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Introduction Education in healthcare and delivery of healthcare in the 21st century is changing, moving towards an interdisciplinary model that benefit both patients and physicians alike. An interdisciplinary approach enables coordinated and coherent linkages between disciplines resulting in reciprocal interactions that overlap disciplinary boundaries, and generate new common methods, knowledge, and perspectives.1 Providing interdisciplinary education is essential to produce healthcare providers with the knowledge and skills required to optimally collaborate in working environments.2 Due to the value of this type of education, the World Health Organization (WHO) and United States (US) Health Resources and Services Administration (HRSA) have engaged in efforts to advance interdisciplinary education.3–5 One of HRSA’s initiatives through the Maternal and Child Health Bureau (MCHB) is focused on developing training programs for Developmental-Behavioral Pediatrics (DBP), a subspecialty of pediatrics involved in the evaluation, counseling, and provision of treatment for a wide range of developmental and behavioral concerns and conditions. This includes learning disorders and other school-related problems, attention and behavioral disorders, habit and regulatory disorders, neurodevelopmental disabilities, delayed development in various areas, as well as behavioral and developmental conditions accompanying chronic illnesses.6 DBP was formally recognized as a pediatric subspecialty in 1999, with two primary aims: 1) to educate trainees and general pediatricians in practice to deliver improved care for children and adolescents with developmental-behavioral concerns and 2) to expand the knowledge base related to children's developmental and behavioral problems through research. Over the last two decades, DBP, as a distinct discipline, has expanded to deliver clinical care in a variety of settings beyond academic tertiary care centers. By the end of 2016, the American Board of Pediatrics recognized almost 800 board certified Developmental-Behavioral pediatricians (DBPs),7 which represents a small proportion of all pediatricians (118,200) and pediatric subspecialists (28,300) in the US. This perspective paper aims to highlight the challenges faced by DBP educators and trainees in an evolving healthcare landscape and suggest strategies to leverage these challenges to opportunities.

Developmental-behavioral pediatrics education in the United States: challenges in the midst of healthcare evolution