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Published on: August 25, 2014
Defining Developmental-Behavioral Pediatrics.
Carol C Weitzman1, Rebecca A Baum2, Jill Fussell3
1Boston Children's Hospital, Harvard School of Medicine, Boston, Massachusetts.
Developmental-behavioral pediatrics (DBP) faces workforce shortages due to unclear definitions. A proposed definition clarifies DBP's scope, aiming to improve recruitment and visibility for children's complex behavioral needs.
Area of Science:
- Medical Subspecialties
- Pediatrics
- Neurodevelopmental Disorders
Background:
- Significant need for developmental-behavioral pediatrics (DBP) specialists exists, with ~25% of children facing developmental, learning, behavioral, or emotional issues.
- The lack of a clear definition for DBP clinical practice hinders recruitment, workforce growth, and broader recognition.
Purpose of the Study:
- To establish a clear and comprehensive definition for developmental-behavioral pediatrics (DBP).
- To address challenges in defining DBP's scope and distinguish it from related medical fields.
Main Methods:
- Review of DBP origins and persistent challenges in defining its scope.
- Description of DBP training and its unique characteristics.
- Development of a proposed definition for DBP.
Main Results:
- A proposed definition for developmental-behavioral pediatrics (DBP): a board-certified medical subspecialty focused on complex pediatric DBP problems.
- DBP utilizes a systems-based, neurodevelopmental, strength-based approach to optimize functioning in children from birth through young adulthood.
- The definition emphasizes care for children with suspected, at-risk, or diagnosed developmental and behavioral disorders.
Conclusions:
- A precise definition is crucial for the survival and growth of the DBP subspecialty.
- Clarifying DBP's scope can aid in addressing workforce shortages and improving visibility.
- The proposed definition supports a holistic approach to pediatric developmental and behavioral health.
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