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Five-year Outcomes From a Career Exploration Pilot Program for Developmental & Behavioral Pediatrics.

Shruti Mittal1, Elizabeth Barnhardt2, Silvia Pereira-Smith3

  • 1Department of Pediatrics, Atrium Health Wake Forest Levine Children's Hospital, Charlotte, NC.

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|February 10, 2026
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Summary

The Exploring DBP program significantly boosted trainee interest in developmental-behavioral pediatrics (DBP) careers, with 79% likely to apply post-program. Early exposure aids recruitment into this pediatric subspecialty.

Keywords:
Behavioral PediatricsDevelopmentalEducationFellowship Training

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Area of Science:

  • Pediatrics
  • Medical Education
  • Career Development

Background:

  • Developmental-Behavioral Pediatrics (DBP) is an undersubscribed pediatric subspecialty.
  • Effective strategies are needed to increase trainee interest and recruitment into DBP fellowship programs.

Purpose of the Study:

  • To assess the impact of the national Exploring DBP career exploration program on trainee interest in DBP fellowships.
  • To characterize participant demographics, knowledge acquisition, and barriers to entering the DBP field.

Main Methods:

  • Analysis of presurvey and postsurvey data from 2019-2023 Exploring DBP cohorts.
  • Surveys assessed demographics, DBP knowledge, satisfaction, and fellowship application likelihood.
  • Qualitative analysis explored career decision factors influencing DBP pursuit.

Main Results:

  • 239 participants completed the program, with diverse ethnic representation.
  • Likelihood to apply for a DBP fellowship increased from 46% to 79% post-program.
  • Key barriers included compensation, training length, and student loans; 41% of early participants matched into DBP.

Conclusions:

  • The Exploring DBP program successfully enhanced trainee knowledge and interest in pursuing a DBP career.
  • Structured early exposure to DBP can effectively support recruitment into this pediatric subspecialty.