developmental-pediatrics/SOPs/SOP-003-Training.md

Standard Operating Procedure: Training and Competency

Document ID	SOP-003
Title	Training and Competency
Revision	1.0
Effective Date	[DATE]
Author	[AUTHOR]
Approved By	[APPROVER]
Department	Quality Assurance

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1. Purpose

To establish requirements for training and competency assessment of personnel involved in developmental pediatric services, ensuring standardized assessment administration and evidence-based clinical practices.

2. Scope

This procedure applies to all personnel involved in:

• Clinical assessments and evaluations
• Developmental screening
• Administrative support
• School liaison activities
• Quality assurance functions

3. Responsibilities

3.1 Clinical Director

• Identifies training needs
• Develops clinical training curriculum
• Assesses clinical competency
• Maintains assessment tool certifications
• Approves specialized assessment administrators

3.2 Quality Assurance Manager

• Maintains training records
• Tracks training completion
• Schedules required training
• Documents competency assessments

3.3 Supervisors

• Ensure staff complete required training
• Assess ongoing competency
• Identify performance gaps
• Support professional development

3.4 Employees

• Complete assigned training
• Maintain required certifications
• Participate in competency assessments
• Seek additional training as needed

4. Training Requirements

4.1 New Employee Onboarding

All new employees shall complete:

1. General Training (within first week):

   • Organization overview and mission
   • Quality policy and QMS overview
   • HIPAA and patient privacy
   • Safety and emergency procedures
   • Document control procedures
   • Electronic health record system

2. Role-Specific Training (within first 30 days):

   • Position-specific SOPs and protocols
   • Clinical workflows and procedures
   • Assessment tools and protocols (if applicable)
   • Multidisciplinary team coordination
   • Family communication best practices

4.2 Clinical Assessment Training

Clinical staff shall complete specialized training in:

4.2.1 Autism Diagnostic Tools

• ADOS-2 (Autism Diagnostic Observation Schedule, 2nd Edition)

  • Research-reliable training or equivalent
  • Annual inter-rater reliability checks
  • Module-specific training for each age/language level

• ADI-R (Autism Diagnostic Interview-Revised)

  • Standardized training in administration
  • Scoring and interpretation protocols
  • Annual reliability verification

4.2.2 Cognitive and Developmental Assessments

• Bayley-4 (Bayley Scales of Infant and Toddler Development)
• WISC-V (Wechsler Intelligence Scale for Children)
• Stanford-Binet 5
• Vineland Adaptive Behavior Scales-3
• Leiter International Performance Scale-3

4.2.3 ADHD and Behavior Rating Scales

• Conners Rating Scales-4
• Vanderbilt Assessment Scales
• BASC-3 (Behavior Assessment System for Children)
• CBCL (Child Behavior Checklist)

4.2.4 Learning Disability Assessments

• WIAT-4 (Wechsler Individual Achievement Test)
• WJ-IV (Woodcock-Johnson IV)
• KTEA-3 (Kaufman Test of Educational Achievement)

4.2.5 Screening Tools

• ASQ-3 (Ages & Stages Questionnaires)
• M-CHAT-R/F (Modified Checklist for Autism in Toddlers)
• PEDS (Parents' Evaluation of Developmental Status)

4.3 Regulatory and Compliance Training

All staff shall complete annual training in:

• HIPAA and patient privacy
• IDEA and special education law (for school liaison staff)
• Section 504 and ADA requirements
• Mandated reporter requirements
• Cultural competency
• Trauma-informed care

4.4 Continuing Education

Clinical staff shall maintain:

• Professional licensure requirements
• Continuing education credits per licensing board
• Updated knowledge of DSM-5-TR criteria
• Current AAP developmental surveillance guidelines
• Evidence-based practice updates

5. Competency Assessment

5.1 Initial Competency

Before independent practice, employees shall demonstrate competency through:

1. Observation: Direct observation by supervisor/trainer
2. Testing: Written or practical examination
3. Case Review: Review of practice cases with feedback
4. Simulation: Practice scenarios or role-play

5.2 Assessment Tool Competency

Clinical staff administering standardized assessments shall demonstrate:

1. Administration Fidelity:

   • Correct setup and materials
   • Standardized instructions
   • Accurate timing and prompting
   • Appropriate rapport building

2. Scoring Accuracy:

   • Accurate real-time scoring
   • Correct interpretation of responses
   • Proper use of scoring criteria

3. Protocol Adherence:

   • Following published administration guidelines
   • Proper documentation
   • Recognizing when to discontinue or adapt

5.3 Ongoing Competency

Annual competency verification through:

• Case audits and documentation review
• Inter-rater reliability checks (for diagnostic tools)
• Supervisor observations
• Peer review
• Outcome metrics (e.g., report timeliness, family satisfaction)

5.4 Competency Documentation

Document competency assessments using:

• FRM-004 Training Record Form
• Assessment tool fidelity checklists
• Inter-rater reliability data
• Competency assessment forms

6. Training Records

6.1 Record Contents

Training records shall include:

• Employee name and position
• Training topic/course title
• Date of training
• Duration/credits
• Trainer/instructor name
• Competency assessment results
• Certifications and expiration dates

6.2 Record Retention

• Active employee records: Maintained in personnel file
• Former employee records: Retained for 7 years after separation
• Assessment tool certifications: Maintained with current credentials

7. Training Effectiveness

Training effectiveness evaluated through:

• Post-training assessments
• Performance metrics
• Error/incident rates
• Family satisfaction feedback
• Audit findings
• Competency assessment results

8. Retraining

Retraining required when:

• Competency assessment fails
• Significant protocol deviations identified
• New assessment tools implemented
• Regulatory changes require updated knowledge
• Annual refresher training due
• Extended absence from clinical duties (>6 months)

9. Related Documents

• FRM-004 Training Record Form
• Assessment tool administration manuals
• Competency assessment checklists
• Personnel files

10. References

• ADOS-2 Clinical Training Guidelines
• Professional licensing board requirements
• AAP developmental surveillance recommendations
• IDEA regulations (34 CFR Part 300)

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Revision History

Rev	Date	Description	Author
1.0	[DATE]	Initial release	[AUTHOR]