Number of Fellows per Rotation: 1

Length of Rotation: 1 half day per week for 10.4 weeks
Time of Rotation: Second year
The goal is to provide the fellow with an intensive clinical experience focused on the comprehensive, multidisciplinary assessment of autism spectrum disorder and related neurodevelopmental conditions in children and adolescents.
Objectives
To develop competence in the following areas:
The fellow will learn skills in the Autism Clinical Center.
- Conduct comprehensive autism evaluations using standardized tools.
- Obtain accurate developmental and behavioral history (perinatal, family).
- Distinguish ASD from other neurodevelopmental/psychiatric disorders (e.g., social communication disorder, anxiety disorders, childhood schizophrenia).
- Develop a thorough, prioritized differential diagnosis and integrate psychosocial/developmental factors.
- Create tailored treatment plans incorporating behavioral, educational, and pharmacological strategies. Develop a multidisciplinary treatment plan.
- Address emotional/behavioral issues (anxiety, aggression) in autistic patients.
The fellow will gain medical knowledge through supervised clinical activities, mandatory divisional didactics, and supervised reading of pertinent or related literature.
- Understand the neurobiology of ASD, developmental trajectories, and common co-occurring genetic conditions (e.g., Fragile X, Down Syndrome).
- Apply DSM-5-TR criteria for ASD and utilize standardized assessment instruments correctly.
In addition to supervised clinical activities and self-initiated and suggested readings, the fellow will participate in one-on-one supervision by an attending faculty member and other divisional supervision, including individual and team supervision.
- Use current evidence-based literature (e.g., AACAP Practice Parameters) to guide treatment.
The fellow will demonstrate sensitivity and compassion to children, adolescents, and their families/caretakers affected by psychopathology and will continue to develop relationships with other professionals or professionals in training, including supervisors, colleagues, students, and allied professionals.
- Convey information, both written and especially oral, as clearly as possible without the use of jargon.
- Demonstrate a commitment to continued professional development.
The fellow will effectively communicate with patients and their families.
- Communicate complex diagnoses to families with compassion, particularly during the initial disclosure.
- Collaborate effectively with psychologists, speech-language pathologists, and occupational therapists.
- Identify risks (e.g., self-injury, elopement) and implement safety plans.
- Help families access school-based services (IEP/504 plans) and community resources.
Measurement of Objectives
- Feedback from other professionals
- Standard program evaluations
- Clinical Skills Exams