Table 1.
1. Form completed by: |
a) child and adolescent psychiatry fellowship program director b) general psychiatry program director |
2. How many trainees are in your program? |
3. If general program, how many FTE months per year of child/adolescent care for your trainees? |
a) 0 b)1–2 c)3–4 d) 5–6 e)7–8 f)9–10 g)11–12 |
4. Number of hours per year in formal lectures on autism/pervasive developmental disorders?* |
5. Number of hours per year in formal lectures on intellectual disability (mental retardation)?* |
6. Number of hours per year in formal lectures on DSM-IVTR learning disorders (reading disorder, mathematics disorder, disorder of written expression, LD-NOS)?* |
7. Number of hours per year in informal didactics (small group or individual supervision, informal didactic teaching in clinic or on rounds) on autism/pervasive developmental disorders?* |
8. Number of hours per year in informal didactics (small group or individual supervision, informal didactic teaching in clinic or on rounds) on intellectual disability?* |
9. Estimated total number of ON-SITE (i.e., excluding school consults, visits to specialty clinics/facilities, etc.) outpatient cases with any diagnosis seen by each trainee per year? |
a)0 b)1–10 c)11–20 d)21–30 e)31–40 f)41–50 g)51–60 h)61–70 i)71–80 j)81–90 k)91–100 l)>100 |
10. Estimated number of each trainee’s ON-SITE outpatient cases per year involving patients with autism/pervasive developmental disorders?** |
a) psychopharmacology only |
11. Estimated number of each trainee’s ON-SITE outpatient cases per year involving patients with intellectual disability (ID) without autism/PDD?** |
a) psychopharmacology only |
12. Estimated number of each trainee’s ON-SITE outpatient cases per year involving patients with autism/pervasive developmental disorders:** |
a) age < 4 years old b) age 4 to <13 c) age 13 to <18 d) adult (age 18+) |
13. Estimated number of each trainee’s ON-SITE outpatient cases per year involving patients with intellectual disability without autism/PDD:** |
a) age < 4 years old b) age 4 to <13 c) age 13 to <18 d) adult (age 18+) |
14. Estimated number of each trainee’s OFF-SITE cases per year for patients with autism/pervasive developmental disorders and/or intellectual disability without autism/PDD?** |
a) PDD b) ID |
15. Estimated number of each trainee’s total outpatient cases per year involving patients with DSM-IVTR learning disorders?** |
a) on-site b) off-site |
16. Estimated total number of inpatient cases seen by each trainee per year?*** |
a) inpatient b) ER c) consult d) residential |
17. Estimated number of each trainee’s inpatient cases per year involving care/consultation for patients with autism/pervasive developmental disorders?** |
a) inpatient b) ER c) consult d) residential |
18. Estimated number of each trainee’s inpatient cases per year involving care/consultation for patients with intellectual disability without autism/PDD?** |
a) inpatient b) ER c) consult d) residential |
19. Research work for trainees in autism and ID:** |
a) # trainees/year involved b) #medical or other students/year involved |
20. Electives for trainees in autism and ID:** |
a) # trainees/year involved b) #medical or other students/year involved |
21. What resources are needed to improve the training of residents in autism & ID at your institution? |
22. Please list other opportunities your program offers for trainees to get exposure to autism & ID: |
23. Program name (optional): |
24. Other comments: |
Content includes the full text of the survey, which respondents viewed in a user-friendly, web-based format.
Number of hours: a) 0, b)1–3, c)4–5, d)>5
Cases/year: a)0, b)1–5, c)6–10, d)11–15, e)16–20, f)21–25, g)26–30, h)31–35, i)36–40, j)41–45, k)46+
Cases/year: a)0, b)1–10, c)11–20, d)21–20, e)31–40, f)41–50, g)51–60, h)61–70, i)71–80, j)81–90, k)>90