Developmental Disabilities Clinic

Mandatory Readings

  • Identification and Evaluation of Children With Autism Spectrum Disorders
  • Management of Children With Autism Spectrum Disorders

Goals & Objectives

The section of the rotation in Developmental-Behavioral Pediatrics on learning about autism spectrum disorders (ASDs) and observing the autism clinics at the Child Study Center has the following goals and objectives:

Goal

To become familiar with the diagnostic criteria for ASDs and the differential diagnosis for children presenting with a possible ASD.

Objectives

  1. Residents will learn about the various components of the history and assessment that contribute to the overall clinical impression of ASD. For two patients at the Child Study Center autism clinics, they will observe the caregiver interview for developmental history, IQ and speech/language testing, and the Autism Diagnostic Observation Schedule (ADOS).
  2. Satisfying this goal will improve core competencies in:
    • Medical knowledge: Residents will develop a greater understanding of the wide range of phenotypes that is possible in ASD.
    • Patient care: Residents will have greater recognition of the warning signs of ASD among children in their practice.

Goal

To become familiar with the treatment plans for children with ASD.

Objectives

  1. Residents will learn about the medical, educational, and behavioral interventions commonly employed for children with ASD by attending the clinical team feedback sessions.
  2. Satisfying this goal will improve core competencies in:
    • Patient care: Residents will learn about the medications which are often used to treat maladaptive behaviors in ASD and of which they may help monitor the efficacy and side effects. Residents will learn about the educational and behavioral therapies that may be recommended for their patients and which they may need to advocate for on their patients' behalf.
    • Interpersonal and communication skills: Residents will become familiar with the large and diverse multidisciplinary team which often follows these patients and their role within that team.
  3. This rotation presents an excellent opportunity to observe diagnostic evaluations in the Yale Developmental Disabilities clinic and to participate in a multidisciplinary evaluation. The multidisciplinary team conducts evaluations that consist of psychological and developmental testing, psychiatric assessment and a speech, language and communication evaluation. At the conclusion of the assessment, prior to meeting with the family, the team will meet to discuss the results of the evaluation and recommendations for intervention.