Clinical competence in developmental-behavioural paediatrics: Raising the bar


  • Mick O'Keeffe

    Corresponding author
    1. Child Development Service, Child and Youth Community Health Service, Brisbane, Queensland, Australia
    • Correspondence: Dr Mick O'Keeffe, Child Development Service, C/- Northwest Community Health Centre, 49 Corrigan Street, Keperra, Brisbane, Qld 4054, Australia. Fax: +61 73335 8713; email: michael_o'

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  • Conflict of interest: I have no conflict of interest to declare.


For our specialist paediatric workforce to be suitably equipped to deal with current childhood morbidity, a high level of competence in developmental-behavioural paediatrics (DBP) is necessary. New models of training and assessment are required to meet this challenge. An evolution of training in DBP, built around the centrepiece of competency-based medical education, is proposed. Summative assessment based upon entrustable professional activities, and a menu of formative workplace-based assessments specific to the DBP context are key components. A pilot project to develop and implement these changes is recommended.