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Developmental - Behavioral Paediatrics

Mother and Son
Draft proposed by Dr Florence Lee
Reviewed by Dr Stephen Chan

Essential Skills

Domain 1 Professional Values & Behaviour

Domain 2 Communication

Domain 4 Patient Management

Domain 5 Health promotion and Illness Prevention

Domain 9 Safeguarding

Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises

Basic Training

Normal child development

Understand developmental domains and trajectories, normal variations

 

Common developmental problems in childhood

Global developmental delay / Intellectual Disability

Language difficulties / disorder

Autism spectrum disorder

Attention deficit hyperactivity disorder and problems

Anxiety problems

Dyslexia / at risk of dyslexia

Physical impairment e.g. cerebral palsy

Hearing impairment

Visual impairment

Acquired brain injury, acquired cognitive impairment

Understand

  • genetic and environmental factors affecting development and common types of disabilities

  • neurological and genetic basis of developmental disorders

  • risk and protective factors

  • clinical signs and diagnostic criteria

Recognize and identify common developmental problems

  • concept of “Early identification and intervention”

Management of the common disorders​

Developmental assessment

Acquire skills on gathering essential information and use of screening tools on different clinic setting

Perform developmental screening including hearing and vision screening, and neurodevelopmental examination

Initiate / make referral for investigation of underlying causes (e.g. genetic, metabolic, neurological) and further assessment/ management

Provide advice to parents on common development related concerns (e.g. basic home training on development, positive parenting, handling of food fad)

 

Rehabilitation services in Hong Kong

General understanding

Higher Training

Common developmental problems in childhood

Understand and identify comorbid conditions

Understand the international classification of function (ICF WHO)

 

Developmental assessment skills

Recognize common developmental problems and formulate appropriate differential diagnoses

Know common locally used developmental assessment tools and their interpretation

Acquire basic disclosure and counseling skills

Manage and formulate management plan for simple cases (e.g. language delay, borderline developmental delay)- conduct developmental assessment and make appropriate referral

Understand multidisciplinary approach in developmental assessment and make appropriate referral for further assessment management for more complex conditions e.g. comorbid, significant delay/ disorder

Provide evidence based information to parents on common developmental conditions.

 

Rehabilitation services in Hong Kong

Know local community resources, including rehabilitation, educational and social support service, and make appropriate referrals

Principle of rehabilitation planning

 

Desirable skills (optional for General Paediatric Training)

  1. Perform some standardized developmental assessment tools e.g. HKCASP, GDS-C

  2. Parental counselling on common developmental problems and fostering child development

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