Developmental-behavioral pediatrics education in the United States: challenges in the midst of healthcare evolution

Soares, Neelkamal; Baum, Rebecca; Patel, Dilip R.

doi:10.5116/ijme.59f4.2cf5

Cited by 5 publications

(2 citation statements)

References 21 publications

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“…A 2017 study by Soares et al indicated that there are approximately 800 developmental pediatricians in the U.S., and only 31 pediatricians enter the developmental subspecialty every year. This is notably less than other pediatrics subspecialties and leaves a limitation to meeting the current demand of rising cases of ASD [ 8 ]. The reasons for the decreasing number of pediatricians choosing this subspecialty are poor reimbursement, physician burnout, and administrative duties [ 9 ].…”

Section: Reviewmentioning

confidence: 99%

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Policies for Individuals With Autism: Gaps, Research, and Recommendations

Doda,

Kennedy,

Kaur

2024

Cureus

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Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder characterized by social, behavioral, and learning challenges. Individuals with autism and their families often struggle to get an appropriate diagnosis and continuation of specialty services, including general healthcare, mental health and transition services, special education, employment, and social and emotional support. This paper presents information about the current policies and support mechanisms that exist to help these individuals and their families. This paper identifies the gaps and recommends areas of improvement based on evidence-based research and current data. ASD is a lifelong disability without a cure, but by constructing robust policies and providing enhanced support, the quality of lives of those with ASD and their families can be improved.

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Section: Reviewmentioning

confidence: 99%

“…Diagnosis of ASD can be made at two years of age, but four years and four months is the average age for when diagnosis is made, underscoring the shortage of available specialist physicians [ 1 ]. Policies that meet the needs of patients and families will lead to more physician satisfaction and less delay in diagnosis and care [ 8 ].…”

Section: Reviewmentioning

confidence: 99%

Policies for Individuals With Autism: Gaps, Research, and Recommendations

Doda,

Kennedy,

Kaur

2024

Cureus

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A Systematic Network of Autism Primary Care Services (SYNAPSE): A Model of Coproduction for the Management of Autism Spectrum Disorder

Kong

Chien

et al. 2019

J Autism Dev Disord

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Neurodevelopmental–behavioural paediatrics

McDowell

Lesslie²

2019

Current Opinion in Pediatrics

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Purpose of review Neurodevelopmental–behavioural paediatrics (NBP) is a field of medical practice that has arisen in response to recent changes in child health epidemiology. This review considers how the profession of NBP is addressing clinical need, and discusses possibilities for future development of the field. Recent findings Research publications relevant to NBP clinical practice focus primarily on cause (e.g. biology, imaging, neuropsychology), early detection, diagnostic methodologies and initial treatment strategies, with emphasis on psychotropic medication. Translation of this research implies that NBP clinical services should be undertaken using algorithmic methodologies, and evaluated against treatment attributable outcomes. These strategies and outcomes potentially define the central purpose of the profession; however, they may not be sufficient to best help the children seen. Summary Two sets of information inform and extend consideration of NBP purpose and strategy. Firstly, longitudinal and adult studies indicate that even with treatment, problems persist in adult life for a significant proportion of children with neurodevelopmental–behavioural disorders. Secondly, NBP clinical practice deals with significant, irreducible complexity and uncertainty, arising from both child-diagnostic and contextual factors. Complexity limits the extent to which evidence-based clinical algorithms are able to inform care. Suggestions for how to address both challenges are offered.

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Developmental-behavioral pediatrics education in the United States: challenges in the midst of healthcare evolution

Cited by 5 publications

References 21 publications

Policies for Individuals With Autism: Gaps, Research, and Recommendations

Policies for Individuals With Autism: Gaps, Research, and Recommendations

A Systematic Network of Autism Primary Care Services (SYNAPSE): A Model of Coproduction for the Management of Autism Spectrum Disorder

Neurodevelopmental–behavioural paediatrics

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