A core curriculum was developed for primary health care professionals(Pediatrics 50, Medicine 9, Family Medicine 26) serving individuals with developmental disabilities. Modules included approaches to developmental motor disability, communicative-cognitive surveillance, and family counseling. Pre- and post-test evaluations of risk factors, functional assessment (FA), and counseling principles are shown in Table 1. Teaching methods included interactive cases, community site visits, and uses of videotapes. Table

Table 1
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Modest gains in knowledge about developmental disabilities did not result in a sufficient experience to make the residents feel comfortable with diagnosis and management. Residents and continuity clinic faculty felt that ongoing sequential structured patient contact experiences were necessary to develop these competencies. (Supported by an IME grant from SUNYAB Consortium Hospitals)

Table 2
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