With current global healthcare trends, there is a growing need for interprofessional education (IPE) and interprofessional practice (IPP) in collaborative care of persons with chronic medical conditions. Tools and models for IPE and IPP are now available, but they are not yet in widespread use. Developmental-behavioural paediatrics is a medical discipline that is characterized by IPP with an encouraging emergence of this speciality in India and other developing countries. This article provides an overview of IPE and IPP, followed by a precise account of an Indian institution, which provides services to children suffering from neurodevelopmental disorders utilizing an IPP approach and implementing IPE to its trainees.
Sotos syndrome (Cerebral Gigantism) a rare genetic disorder is usually characterized by macrocephaly and typical facial gestalt. There is a spectrum of behavioral and cognitive problems associated with it. We present a case of 11-year-old boy who presented with coordination issues, academic difficulties along with host of behavioral problems. On examination he was tall and had macrocephaly with typical facial gestalt. His educational assessment revealed the presence of developmental co-ordination disorder (DCD) which was confirmed by Bruininks Otseretsky Motor Proficiency (BOTMP) and developmental co-ordination disorder questionnaire (DCD e 2007). On further assessment he also had an element of attention deficit hyperactivity disorder (ADHD) for which he was started on methylphenidate. In view of presence of both ADHD and DCD we used a multipronged approach while treating him; both medical and behavioral therapies were used. Although Sotos syndrome is well described in literature and known to be associated with several behavioral disorders, we couldn't find any previously reported association with DCD.
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