Pediatric Neurodevelopmental Disabilities Fellowship

Message from the program director

A professional photo of Dr. David Kube.

The Institute on Development and Disability and the Child Development and Rehabilitation Center at Oregon Health & Science University (OHSU) offer comprehensive fellowship training in neurodevelopmental disabilities. By definition, neurodevelopmental disabilities are a group of disorders that begin in childhood and affect three or more areas of life function including language, movement, the special senses, and cognition. Training in neurodevelopmental disabilities incorporates the best that pediatrics and neurology have to offer as well as the related fields of genetics, psychiatry, and allied health.

At OHSU, we are committed to training highly qualified pediatricians who desire to become leaders in clinical care, academic training, research, and advocacy for individuals with neurodevelopmental disabilities. The training program collaborates with the University Center of Excellence in Developmental Disabilities and the Leadership Education in Neurodevelopmental and Related Disabilities programs to provide a unique interdisciplinary training experience, which includes trainees in psychology, social work, physical therapy, occupational therapy, speech language pathology, special education, audiology, genetics, psychiatry, community services, and advocacy. Comprehensive training takes place in a supportive and nurturing environment while providing a curriculum tailored to the career goals of the individual trainee. The training program is closely affiliated with a complementary residency program in Child Neurology and leads to eligibility for board certification in Neurodevelopmental Disabilities and Child Neurology. The faculty from both programs have widely varied interests and are excellent, dedicated clinical, academic, and research instructors. 

For more information about the OHSU Neurodevelopmental Disabilities Fellowship Program, please feel free to contact me by email at kube@ohsu.edu. I look forward to your inquiries and a chance to discuss our program with you. 

Sincerely, 

David A. Kube, M.D. 
Professor, Neurodevelopmental Pediatrics 
Program Director, Neurodevelopmental Disabilities Fellowship

  1. To train pediatricians through the Neurodevelopmental Disabilities Fellowship Program at OHSU who desire to become leaders in the care of children with neurodevelopmental disabilities including cerebral palsy, intellectual disability, autism, attention deficit disorders and other neurobehavioral disorders, and other chronic neurological conditions at the local, regional, and national level by providing them the tools needed to develop their skills in academics, research, education, innovation, and quality improvement and patient safety.
  2. To train NDD fellows through an interdisciplinary educational model established within OHSU’s Institute on Development and Disability (IDD) and the Department of Pediatrics in conjunction with the University Center of Excellence in Developmental Disabilities (UCEDD), a national network of pediatric disability care organizations.
  3. To provide fellowship training in the context of a truly interdisciplinary approach. The NDD fellow will acquire expertise in the diagnosis and management of children with neurodevelopmental disabilities through individualized training and supervision from NDD and Child Neurology faculty in addition to faculty from other disciplines, including psychology, social work, physical therapy, occupational therapy, speech language pathology, special education, audiology, and psychiatry.
  4. To train NDD fellows in the diagnosis and management of the spectrum of neurodevelopmental disabilities and related neurological and neurobehavioral conditions in a program fully integrated with Child Neurology and Adult Neurology where the fellow will acquire knowledge and skills in management of child neurological disorders, genetic and neurometabolic disorders, and psychiatric disorders.
  5. To train fellows in the scientific method and to encourage them to develop a particular area of research interest during the course of training by taking advantage of the multiple research opportunities across the institution and its affiliates. At the conclusion of their training, fellows will be well positioned to make significant long-term research contributions in the field of NDD.
  6. To provide a well-rounded training experience while nurturing personal well-being, building resources and skills in the training program to promote a positive work-life balance and prevent burnout, and providing institutional resources to develop skills needed to develop a well-balanced career.

Please see the Department of Pediatrics fellowship page for departmental benefits available to all pediatric fellows, and the OHSU GME page for Employment and Benefits information, including salary, transportation, and insurance.

Clinical training

The Institute of Development and Disability (IDD) is a University Center of Excellence in Developmental Disabilities (UCEDD), a national network of pediatric disability care organizations. The training programs within the IDD include faculty and graduate students from a wide variety of disciplines. The programs incorporate a truly interdisciplinary approach, and the NDD fellow will acquire expertise in interdisciplinary diagnosis and care. The NDD fellow will become skilled in developmental assessment, medical diagnosis, and management of children with disabilities. Interviewing, family observation, and the appropriate use of behavioral strategies are also taught. The trainee will participate in many settings, both medical center based and community based, and will receive training and supervision from faculty in other disciplines, including psychology, social work, psychiatry, special education, and all the therapy disciplines. The NDD fellow will routinely interact with trainees from all the other disciplines in the UCEDD training programs. 

Goal areas for trainees from all disciplines:

  • Development of skills in interviewing and communication 

  • Development of knowledge and understanding of child development and skill in its assessment 

  • Development of knowledge and understanding about those pathological processes which interrupt or alter neurodevelopment 

  • Development of knowledge and skills in patient management and treatment strategies 

  • Development of an understanding of interdisciplinary theory and practice, knowledge about other professional disciplines, and increased skill in working with them 

  • Growth in understanding of administrative functions and participation in the development of public health policy 

  • Development of an understanding of developmental disabilities in the community: epidemiology, prevention, community agencies, and resources 

  • Development of clinical research skills and the ability to critically review the research of others 

  • Growth in leadership skills 

In addition to the above goals, there are several areas in which the NDD trainee will have the opportunity to acquire particular knowledge and skill: 

  • Knowledge and skill in the medical diagnosis and management of the spectrum of neurodevelopmental disabilities, related neurological conditions, and neurobehavioral disorders 

  • Knowledge and skill in adult and child neurology 

  • Knowledge and skill in clinical genetics, genetics interviewing, and genetics counseling 

  • Knowledge and skill in neurometabolic disorders 

  • Knowledge and skill in behavioral pediatrics, child psychiatry and psychopharmacology

Clinical resources

The clinical setting of the IDD is the Child Development and Rehabilitation Center (CDRC), which comprises a comprehensive array of child development clinics plus the rich offerings of the Oregon Center for Children and Youth with Special Health Needs (OCCYSHN) clinics, conducted jointly in the CDRC. The clinical programs include the following: 

  • Child development (behavior and learning) clinics 

  • Neurodevelopmental (cerebral palsy and feeding) clinics 

  • Child neurology clinics 

  • Autism clinic 

  • NICU follow-up clinic 

  • Genetics clinic 

  • Metabolic disease clinic 

  • Hemophilia clinic 

  • Spina bifida clinic 

  • Craniofacial disorders clinic 

  • Down syndrome clinic 

  • Rett syndrome clinic 

Additional clinical programs on and off the OHSU campus include the adult neurology programs, Shriners Hospital clinics, physical medicine and rehabilitation clinics, psychiatry and behavioral pediatrics clinics, Eugene CDRC clinics, OCCYSHN community developmental clinics, and many others. 

In the clinical arena, the trainee is given responsibility commensurate with his or her experience. Extensive observation facilities encourage unobtrusive faculty-trainee supervision and feedback as well as the appreciation for the techniques of other disciplines. Participation in community programs is considered to be a vital component, where trainees have the opportunity for further clinical experience in the context of various communities that have differing populations and different resources. Parent education programs accompany many of these programs. Individual, mentored research activity is an essential element of each NDD resident's training experience.

Didactics

Interdisciplinary seminars and conferences provide a forum for didactic instruction and discussion. The Neuroscience Seminar is the central classroom session for NDD and Child Neurology residents/fellows and is jointly organized by Child Neurology, Neuroradiology, and Neurodevelopmental Pediatrics. Neuroscience Seminar includes journal club, morbidity and mortality conference, research updates, and overview lectures on high-yield clinical topics. Trainees are invited to attend the journal clubs conducted by other disciplines. In addition, the Neurodevelopmental Disabilities trainee is encouraged to attend appropriate conferences from the wide variety offered by the OHSU Departments of Pediatrics and Neurology. At the start of the PGY-3 academic year, NDD trainees participate in Neurology Boot Camp with the adult neurology residents, when offered.

Tuesday:

  • Neuroscience Seminar

Wednesday:

  • Adult Neurology Grand Rounds 

  • Pediatric Neuroradiology Conference (2nd and 4th Wednesdays) 

  • Fenichel Rounds

Thursday:

  • Pediatrics Grand Rounds 

  • Adult Neurology Weekly Resident Didactics 

  • LEND Seminar

Friday:

  • Pediatric Chair’s Friday Forum

Scholarship and mentorship

During the first year of fellowship, the fellow is assigned a mentor with experience in the fellow’s area of clinical or research interest. NDD fellows have dedicated blocks and rotations set aside for research and scholarship activities. While publication or grants are not requirements for graduation from the program, all fellows are encouraged to submit their research activities for publication or presentation at local and national meetings. Departmental funding is available to facilitate fellows’ travel for presentation of their work at a national conference or meeting.

Teaching opportunities

NDD fellows have numerous teaching opportunities in the department and in the School of Medicine. In addition to bedside clinical teaching of medical students, residents, trainees, and professionals in allied health professions, fellows also participate in formal didactic teaching experiences. Previous fellows have led longitudinal clinical skills groups of medical students in their pre-clinical years, as well as formal lectures in the School of Medicine curriculum. Fellows participate in presenting Neuroscience Seminar topics, and the weekly fellow-led Fenichel Rounds provides ample opportunity for tailored review of topics in neurology and neurodevelopment.

Our Neurodevelopmental Disabilities Fellowship and Pediatric Neurology Residency Programs are educationally and clinically intertwined. As such, our excellent faculty are instrumental to the educational quality of both programs.

    • Appointments and titles

      • Professor of Pediatrics, Division of Developmental Pediatrics, School of Medicine
      • Program Director, Neurodevelopmental Disabilities Fellowship Program
      • Clinical Director, Child Development and Rehabilitation Center
      • Medical Director, Leadership Education in Neurodevelopmental and Related Disabilities (LEND) Clinic
    • Appointments and titles

      • Assistant Professor of Pediatrics, Division of Developmental Pediatrics, School of Medicine
      • Associate Program Director, Neurodevelopmental Disabilities Fellowship Program
    • Areas of interest

      • Developmental delays
      • Neurodevelopmental disabilities
      • Cerebral Palsy
      • Child neurology
      • Resident and student education
    • Appointments and titles

      • Associate Professor of Pediatrics, Division of Developmental Pediatrics, School of Medicine
    • Areas of interest

      • Cerebral palsy
      • Interdisciplinary training
      • Teaching clinical medicine
    • Appointments and titles

      • Assistant Professor of Pediatrics, Division of Neurology, School of Medicine
    • Areas of interest

      • Pediatric epilepsy
      • Genetic causes of epilepsy
      • Surgical approaches to epilepsy
      • Status epilepticus
    • Appointments and titles

      • Associate Professor of Pediatrics, Division of Neurology, School of Medicine
      • Ericksen Family Endowed?Professor for Research
    • Appointments and titles

      • Assistant Professor of Pediatrics, Division of Neurology, School of Medicine
      • Clinical Director, Epilepsy, Neurogenetics
      • Course director for medical student neuroscience block
    • Areas of interest

      • Pediatric Epilepsy Research Consortium (current studies involving infantile spasms, epilepsy genetics, learning healthcare systems, and status epilepticus)
      • QI initiatives at national and local levels
    • Appointments and titles

      • Associate Professor of Pediatrics, Division of Neurology, School of Medicine
      • Director Pediatric Neuromuscular Program
      • Director, Muscular Dystrophy Association Clinic at Shriners Hospital Portland
      • Director, Pediatric EMG and Nerve Conduction Studies
    • Areas of interest

      • Pediatric neuromuscular disease, specifically Duchenne muscular dystrophy and spinal muscular atrophy
    • Appointments and titles

      • Assistant Professor of Pediatrics, Division of Neurology, School of Medicine
      • Director of Pediatric Headache
    • Areas of interest

      • Primary headache disorders in children including migraine, New Daily Persistent Headache, chronic post-traumatic headache and multi-disciplinary approach to headache management
    • Appointments and titles

      • Associate Professor of Pediatrics, Division of Developmental Pediatrics, School of Medicine
      • Director of the Child Development Clinic at the CDRC
      • Director of the pediatric resident and family medicine resident developmental rotations
    • Areas of interest

      • Neurodevelopmental disabilities
      • Preschool speech and language disorders
    • Appointments and titles

      • Assistant Professor of Pediatrics, Division of Neurology, School of Medicine
      • Director, Inpatient Child Neurology
    • Areas of interest

      • Pediatric neurocritical care
      • Traumatic brain injury
      • Pediatric epilepsy
    • Appointments and titles

      • Professor of Pediatrics, Division of Developmental Pediatrics, School of Medicine
    • Areas of interest

      • Down syndrome
      • Spina bifida
      • Fetal neurology
      • Congenital brain malformations
      • General child neurology including tics/Tourette syndrome and headaches
      • Neurodevelopmental disorders
      • Neuroimaging
    • Appointments and titles

      • Associate Professor of Pediatrics, Division of Neurology, School of Medicine
      • Pediatric Epilepsy, Pediatrics, Division of Neurology, School of Medicine
    • Areas of interest

      • Pediatric epilepsy surgery
      • Clinical management of treatment resistant epilepsy syndromes
      • Clinical translational research
      • Novel epilepsy therapies
      • Gene therapies for childhood epilepsy
      • Cannabinoids (Oregon Cannabis Research Committee)
      • Genetics of cortical dysplasias
    • Appointments and titles

      • Associate Professor of Pediatrics, Division of Developmental Pediatrics, School of Medicine
    • Areas of interest

      • Evaluation and treatment of children with autism and related disorders
      • General developmental evaluation
      • Feeding disorders in children
    • Areas of interest

      • Fine motor development in children with Down syndrome, autism and neurometabolic disorders
    • Appointments and titles

      • Associate Professor of Pediatrics, Division of Developmental Pediatrics, School of Medicine
      • Associate Program Director, Child Neurology Residency Program
    • Appointments and titles

      • Associate Professor of Pediatrics, Division of Neurology, School of Medicine
      • Program Director, Child Neurology Residency Program
      • Director, Ketogenic Diet Program
    • Areas of interest

      • Surgical approaches to epilepsy
      • Genetic causes of epilepsy
      • Socratic method focusing on epilepsy evaluation and management including EEG reading.

Current residents and fellows

Max Perelman, M.D.
Child Neurology 
B.A., Yale University, 2001 
M.D., OHSU, 2016 
Pediatrics residency, University of Utah, 2018 
Areas of interest: Pediatric movement disorders, childhood epilepsy, history of neurology 
Personal interests: Astronomy, bicycling, baseball; previous career in film and television animation 
Why I chose OHSU: Portland is just as fun as everyone says it is, and only half as rainy. As far as OHSU itself, I can't say enough good things about the people who work (and teach, and go to school) here. Whether on the pediatric or adult side, people are friendly, approachable, and interested in teaching. I would choose it again in a heartbeat. 

Emily Garavatti, M.D.
Neurodevelopmental Disabilities 
B.S., California Polytechnic State University, 2010 
M.D., University of Central Florida, 2018  
Pediatrics residency, OHSU, 2020  
Areas of interest: Neurodevelopmental disabilities, neonatal neurology, NICU follow-up, autism, cerebral palsy, learning disabilities  
Personal interests: Hiking, swimming, hiking to swimming holes, kayaking, white water rafting, oenology, cooking, camping, cheese  
Why I choose OHSU: The opportunity to train in various interdisciplinary clinics, such as LEND clinic, within our Child Development and Rehabilitation Center was a big motivator as I find this model to be beneficial for me as a trainee and also provides superior patient care. I also was drawn to the abundance of outdoor adventure possibilities the Pacific Northwest has to offer.

Mac Garrett, M.D.
Child Neurology 
B.S., B.A., Hamline University, 2012 
M.D., University of Minnesota, 2019  
Areas of interest: Metabolic and genetic disorders, headache, neuro-oncology, neurocritical care, neuroimmunology, inpatient neurology, medical education 
Personal interests: Video games, home design, DIY, trying new food and beer, cats 
Why I chose OHSU: Faculty with a wide range of experience and expertise. I had a great interview day. The culture here is casual and we get to know our attendings and the subspecialists. Portland! I wanted to be in a place with vibrant and active LGBT culture.

Joanna Galindo, M.D., M.S., M.B.A.
Child Neurology 
B.S., UCLA, 2012 
M.D., Tufts University School of Medicine, 2016 
Pediatrics residency, OHSU, 2020  
Areas of interest: Neurocritical care, TBI, child and adult headaches, biotechnology development and consulting 
Personal interests: Storytelling, films, experimenting with my cooking, binge-watching food docu-series, running, rotating through new coffee beans and ways to prepare a fresh brew, and searching for my new favorite donut spot  
Why I chose OHSU: I had a wonderful experience during my interview day. All the attendings were very personable and focused on my interests in both neurology and what I do outside of the hospital. I also preferred to be in a smaller program where I could get more individual time for training which fit my preferable learning style. There also must be life outside of residency and Portland offers accessibility to beautiful running routes and great eateries, not to mention plenty of opportunities to satiate my love for donuts and coffee.

Alumni

Mandie Wiebers Jensen, M.D., O.T.
Neurodevelopmental Disabilities Fellowship Program, 2020 
Current position: Assistant Professor, Oregon Health & Science University  

Sophia French, M.D.
Child Neurology Residency Program, 2020 
Current position: Provider at Lee Health in Fort Myers, FL  
Why I chose OHSU: I ranked OHSU highly because it is a collaborative and nurturing center of excellence in a beautiful location. During my 2 years of pediatric training I formed lasting friendships with my co-residents while building a solid foundation of general pediatric knowledge. The 12 months of adult neurology training is integrated over 3 years and offer an excellent breadth of training in areas ranging from neuromuscular disease to neuro-ophthalmology. The pediatric neurology faculty was passionate in their teaching and were all incredibly invested in me. They allow progressively greater levels of autonomy and by the end of training I feel confident in my ability to practice independently. 

Daniel Crowder, M.D.
Neurodevelopmental Disabilities Fellowship Program, 2019 
Current position: Assistant Professor, Oregon Health & Science University  

Ittai Bushlin, M.D., Ph.D. 
Child Neurology Residency Program, 2018 
Current position: Assistant Professor, Oregon Health & Science University  
Why I Chose OHSU: I immediately fell in love with OHSU the first time I visited, and am grateful for the high quality and hands-on training that I received here. Portland is a beautiful and vibrant city, and OHSU is the academic hospital for the state of Oregon, which means there are a large variety of cases here, from the bread and butter to the highly unusual. Staff, residents, and faculty at Doernbecher’s Children’s Hospital have created a tight knit, close, supportive community that works together day and night to take care of kids. There are so many opportunities to pursue your niche interests, clinically or research-wise or both, and the residency program emphasizes your individual needs. By the end of my training I felt more than fully prepared to be a pediatric neurology attending. 

Alison Christy, M.D., Ph.D.
Child Neurology Residency Program, 2017  
Current position: Clinical Director of Pediatric Neurology, Providence Health and Services, Portland, OR  
Why I Chose OHSU: I chose OHSU primarily for the location in Portland, Oregon – but I was really glad I did, because I found a small program that gave me a lot of personal attention, supportive faculty, and an excellent exposure to a wide variety of patients and diagnoses. 

Melissa Svoboda, M.D.
Neurodevelopmental Disabilities Fellowship Program, 2014 
Current position: Director, Autism Clinic; Chief of Neurology, Baylor College of Medicine/The Children’s Hospital of San Antonio  
Why I chose OHSU: My training in the NDD program at OHSU was top notch! I am a very well-rounded clinician and have a strong foundation for clinical child neurology – more so than many of my friends who trained at other programs when we started out. I feel this is due to the amount of clinic exposure we are given during training and the excellent attendings who staff those clinics. I also received good research exposure and now have my own research grants because of the training I received there. The teachers at OHSU were not just limited to attendings – I learned as much from the excellent ancillary services such as the experienced speech therapists, physical therapists, etc. If it weren’t for my family being in a different place, I’d be back there now as an attending. It was a wonderful, rich, diverse place to train.  

Jason Coryell, M.D.
Child Neurology Residency Program, 2011  
Current position: Associate Professor, Oregon Health & Sciences University  
Why I Chose OHSU: I chose OHSU because it is the most collegial place that I have worked/trained. There has never been bad blood between any of the divisions or faculty, and it makes a difference in the quality of the workday to really like the people with whom you surround yourself. And, oh yeah, Portland: great restaurants, close to coast, most affordable West coast metropolitan area, skiing, mountain biking, wineries, and evergreens!! 

Michael Kruer M.D.
Neurodevelopmental Disabilities Fellowship Program, 2011  
Current position: Director, Pediatric Movement Disorders Program, Barrow Neurological Institute, Phoenix Children’s Hospital; Associate Professor, Child Health, Neurology, Genetics and Cellular & Molecular Medicine, University of Arizona College of Medicine – Phoenix (www.kruerlab.org
Why I chose OHSU: I chose OHSU because of the fantastic faculty and the well-balanced interdisciplinary training I received in the beautiful Pacific Northwest. NDD training at OHSU was instrumental in providing me with the skills I needed to become a successful physician-scientist   

Kit Yeng Lim, M.D.
Child Neurology Residency Program, 2010  
Current position: Providence Pediatric Neurology – St. Vincent, Portland, OR  

Amy D. Harper, M.D.
Neurodevelopmental Disabilities Fellowship Program, 2006 
Current position: Associate Professor, Virginia Commonwealth University 
Why I Chose OHSU: OHSU offers broad array of multidisciplinary neurodevelopmental clinics providing learners with an in depth teaching experience from many perspectives.

How to apply

Applications to the Neurodevelopmental Disabilities Training Program must be submitted through the Electronic Residency Application Service (ERAS), and should include the following: 

  • Personal Statement- please discuss why you have chosen Neurodevelopmental Disabilities and, specifically, why OHSU might be a good fit for you and your career goals. This can be included as a brief addendum to the end of your personal statement. 

  • A minimum of three Letters of Recommendation (we do not require a letter from the Chair of the department) 

  • Dean's letter 

  • USMLE scores (at least Step 1 required to apply). We require Step 1 scores for all initial applications, including DO applicants. We also require Step 2 scores by January 31st.  

Please also see the OHSU GME information on Applying to OHSU Residencies and Fellowships.

Oregon Health and Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu

Interviews

Applicants are invited for an interview based on the strength of their application. All interviews will be conducted virtually through Thalamusgme.org.  

Interview dates will range from November 2020 through January 2021.

Upon receipt of an application, the selection committee will review and notify each applicant by email of the decision to interview. Applicants may then schedule an interview online through Thalamus. Unfortunately, due to the volume of applications, we are unable to interview all applicants. 

International graduates

For graduates of a foreign medical school, at least one year of clinical training in the US or Canada must have been completed in order to apply. Applicants must be legally able to work in the US, or eligible to obtain work. Applicants must also provide a copy of a valid certificate from the Educational Commission for Foreign Medical Graduates, participate in the National Residency Match Program and apply through ERAS. 

Contact Us

David Kube, M.D.
Program Director, NDD Fellowship Program 
503-494-4571
kube@ohsu.edu

Daniel Crowder, M.D. 
Associate Program Director, NDD Fellowship Program 
503-494-4571
crowderd@ohsu.edu

Kristina Fancy 
Fellowship Program Technician
503-718-5171

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