Treatment and Research Institute for Autism Spectrum Disorders

Training Resources for Pediatric Learners and Providers: Supporting Autism Assessment and Care Coordination

This page provides curated teaching tools, learning activities, and clinical resources focused on autism assessment, diagnosis, and care coordination in pediatric settings. While originally created for pediatric residents and other health professions learners, these materials may also be useful to community providers, educators, and members of training programs seeking practical resources for teaching and implementing evidence-based developmental care. The resources below are designed to offer new knowledge, hands-on learning, and practical skills and tools that can be applied in clinical practice, both during training and beyond.

Given the prevalence and lifelong impact of developmental differences, training in autism identification and care coordination is essential for all pediatric residents and providers, regardless of track or subspecialty. The American Academy of Pediatrics emphasizes that early identification of developmental disabilities is “critical to the well-being of children and their families,” “an integral function of the primary care medical home,” and “an appropriate responsibility of all pediatric health care professionals.” The resources on this page were developed and collected with this expectation in mind.

Many of the materials below were developed for pediatric residents at Vanderbilt University Medical Center. However, by sharing them here, we aim to make this content freely accessible and adaptable for broader use. Whether you’re a learner, educator, or part of a training program working to strengthen developmental-behavioral education, we hope you find these resources useful.

Autism Screening and Referral

The resources below were developed to guide referrals and family education at the point of screening (e.g., completion of M-CHAT-R/F at 18- and 24-month well-child visits) or whenever concerns for autism arise. Pediatric residents and General Pediatrics faculty at VUMC can also access these in the Handy Dandy. SmartPhrases referenced are available system-wide.

This document provides instructions for referring a child for autism evaluation, early intervention or school-based services, hearing evaluation, and speech evaluation/therapy and basic details about what happens next (e.g., post-diagnosis follow-up).

View or download “Autism Referral Pathway” in DOC format

This text is designed to be shared with families in Patient Instructions following discussion/completion of referral for autism evaluation. It provides information about early intervention/family navigation support and helps prime families for their evaluation visit. This can also be accessed in Epic/eStar using the SmartPhrase “.8resASDprediagnosis”.

View or download “ASD Pre-Diagnosis Resource Phrase” in DOC format

Autism Assessment and Diagnostic Decision-Making

As part of their focused developmental training (e.g., during Developmental-Behavioral Pediatrics rotation), our pediatric residents and other learners receive practice-based instruction related to autism assessment. Learners are encouraged to review the materials below before shadowing autism evaluations in our clinics, as these resources will help orient you to the tools and workflows you’ll be using. These links and materials may also be helpful to reference and utilize when conducting autism assessments in your own practice.

If you are scheduled to join Dr. Coleman, Dr. Foster, or Dr. Hine in clinic, you will typically meet them at Vanderbilt Children's Primary Care One Hundred Oaks in Pod C, unless otherwise noted; their service (PEDS DEVELOPMENTAL MED & COGNITION OHO 3) is embedded within the primary care/continuity clinic setting. On occasion, evaluations may also be conducted via telemedicine. Please reach out to your preceptor at least 1 day in advance to confirm their location and appointment schedule. Please also review the sections below prior to clinic. Faculty photos and email addresses are provided here for your reference:

Ryan Coleman headshot
Ryan Coleman, PhD, NCSP
ryan.coleman@vumc.org
Tori Foster headshot
Tori Foster, PhD, BCBA
tori.foster@vumc.org
Jeff Hine headshot
Jeff Hine, PhD, BCBA
jeffrey.hine@vumc.org

Please watch this video before coming to clinic. It will prepare you for shadowing and orient you to other materials provided below.

View Transcript

As discussed in the orientation video, our goal is to help you learn and practice how to observe, ask about, and discuss key behaviors characteristic of autism, and how to communicate appropriate next steps and recommendations to families. We would like for you to actively practice each of these skills at least once during your rotation. Please let your preceptor know which skills you have already practiced this rotation and what you would like to focus on during your time together.

checklist

This one-page (front-and-back) guide is intended to support your clinical learning during autism evaluations. It offers a structured approach for observing behaviors, gathering caregiver history, and discussing concerns and recommendations with families – all centered around seven key behaviors that strongly predict autism diagnosis in young children.

The “7 Key Behaviors” framework is designed to help you organize your observations, questions, and clinical impressions in a cohesive way that supports diagnostic decision-making. It can also help guide documentation and communication with families. While this guide was originally developed to be used during shadowing, we hope it might also be useful during your own clinical encounters when autism is a concern. Please bring the guide to clinic, refer to it during visits, and review your observations with your preceptor as part of your skill development. For a tutorial on how to use this guide, see the “Clinical Shadowing Orientation Video” above.

View or download “Guide to 7 Key Behaviors” in PDF format  

As part of your training with our team, you will be introduced to streamlined models for autism assessment that have emerged in response to widespread service barriers, including workforce shortages, limited access to specialist evaluations, diagnostic delays, and increasing demand for services. While some referrals – particularly those involving children with more language or more subtle/complex presentations of autism – require more in-depth assessment, many of the young children we evaluate present with clear characteristics and can be appropriately served through more flexible and efficient tools and models. These approaches support timely diagnosis and access to care, particularly in under-resourced or high-demand settings.

We encourage all learners to read this brief commentary by Zwaigenbaum and Warren (2020), which outlines the rationale for these innovative methods and highlights the need for system-level solutions that expand diagnostic capacity while maintaining quality.

Below, you’ll find key assessment tools used in our streamlined evaluations:

This visual checklist was designed to support diagnostic decision-making by depicting the DSM-5 criteria for autism alongside clear, straightforward language. It also highlights where each of the “7 Key Behaviors” maps onto DSM-5 diagnostic criteria, helping learners integrate information gathered using the “Guide to 7 Key Behaviors” and ASD-PEDS assessment tool (referenced in earlier sections) when formulating diagnostic impressions. Due to its accessible visual format and family-friendly language, this resource may also be helpful during conversations with patient families to support clear and collaborative communication around diagnostic reasoning.

View or download “Visual Checklist for Autism Criteria Using DSM-5 and 7 Key Behaviors/ASD-PEDS” in PDF format  

Providing and Discussing an Autism Diagnosis

Delivering an autism diagnosis can be a complex and emotionally sensitive task, especially for early-career clinicians. This section includes resources and activities designed to help you build skills and confidence in discussing a diagnosis with families. Through a combination of online training and simulation, you will have the opportunity to explore key communication strategies, anticipate common challenges, and practice navigating a range of scenarios.

While these resources will be especially helpful for those in the role of diagnosing provider, they are also relevant for a broader range of pediatric learners and health professionals. Even when you are not directly delivering an autism diagnosis yourself, you may be asked to discuss autism-related concerns, answer questions from families, or help guide them through the screening and evaluation process. The strategies and frameworks introduced here can be applied across clinical roles and may be useful when discussing other developmental or behavioral concerns as well.

This training is designed to support providers in discussing autism characteristics with families - whether they are delivering formal diagnoses themselves, or navigating conversations around autism-related characteristics and common questions. Model scripts/discussion points, audio/video examples, interactive learning activities, and links to resources are included. Providers will learn to:

  • Structure and lead discussions around autism-related observations
  • Support family understanding across a range of common scenarios and cultural contexts
  • Provide support and guidance related to next steps/resources aligned with family priorities
  • Respond to frequently asked questions surrounding autism diagnosis

The estimated time to complete this training is 30-45 minutes.

Launch the training here ➔

This 20-minute simulated encounter gives learners the opportunity to practice delivering an autism diagnosis to a standardized patient portraying the caregiver of a young child. Immediately before the simulation, you will review a clinical case including developmental history, completed screening and assessment measures (M-CHAT-R/F responses and ASD-PEDS scoring), and a brief video representing behaviors observed during the evaluation.

This simulation is designed to help you apply strategies introduced in the online module “How to Navigate Providing and Discussing an Autism Diagnosis” (linked in the previous section). During the session, you will be expected to summarize your observations, communicate the diagnosis clearly, and offer thoughtful counseling around next steps, intervention, and the family’s questions and concerns. You will be assessed on both the accuracy and completeness of your counseling, as well as your interpersonal and communication skills.

Following the session, preceptor(s) will provide approximately 10 minutes of individualized feedback focused on both clinical content and your delivery approach. The simulation is intended to support skill development in navigating emotionally sensitive conversations with clarity, empathy, and confidence.

This learning activity is currently reserved for upper-level pediatric residents at VUMC and is completed during the Developmental-Behavioral Pediatrics rotation. However, content and materials may be shared upon request or posted to this site in the future to support a broader range of learners and training programs.

Instructions for Residents:

If you are scheduled for “Autism CELA” as part of your DBP rotation, please review the online module How to Navigate Providing and Discussing an Autism Diagnosis prior to your scheduled session. Completion of both the module content and the embedded pre-/post-surveys is required in advance. You will receive an email confirming your assigned date and time. Please arrive promptly and be prepared to review the clinical case materials prior to your 20-minute simulated counseling session. After the session, you will complete a brief survey and receive feedback from the preceptor(s) and standardized patient. If you have any questions, please contact Dr. Laleh Bahrami at laleh.bahrami@vumc.org and/or your assigned preceptor (if known).

Directions to CELA (Center for Experiential Learning and Assessment):

Enter the Light Hall North lobby and take the elevator to the 3rd floor. Upon exiting, turn right and follow the hallway with a slight incline. Once down the hall, you may either take the stairs to the left or the second elevator to the right to reach the 4thfloor. Check in at the desk upon arrival.

Autism-Specific Follow-Up After Diagnosis

With the increasing prevalence of autism, all primary care providers can expect to support individuals on the spectrum in their practices. Whether or not they personally delivered the diagnosis, they play a critical role in guiding families through intervention, care coordination, and ongoing medical management.

To address gaps in continuity of care, our primary care autism team implemented a clinic-wide initiative to improve autism-specific follow-up within Vanderbilt Children’s Primary Care. This included the creation of a designated visit type, standardized scheduling processes, provider training, and documentation tools to support best practices in post-diagnostic care. Educational materials and care coordination resources were also developed and integrated into the electronic health record to help providers guide families through next steps and connect them with appropriate supports. For more information about this award-winning project, please watch the video below:

The resources below were designed to help facilitate timely, supportive follow-up after an autism diagnosis and may be used and adapted by other practices and training programs seeking to strengthen post-diagnostic care.

This training is designed to support primary care providers in helping families navigate best practice recommendations following a diagnosis of autism. Model scripts/discussion points, audio/video examples, interactive learning activities, and links to resources are included. Providers will learn to:

  • Structure a post-diagnosis follow-up appointment for a family of child receiving an initial diagnosis of autism
  • Discuss common referrals, recommendations, and resources related to autism and co-occurring developmental challenges
  • Complete a checklist embedded within the electronic health record that helps providers align with family priorities and best practices related to next steps/resources
  • Document important progress within the health record and review standard handouts related to targeted priority areas (e.g., initial care coordination, accessing services, developmental and behavioral challenges)

The estimated time to complete this training is 20-30 minutes.

Launch the training here ➔

These documents are most relevant for providers within the VUMC enterprise, but they may also serve as helpful examples for other teams/institutions seeking to create similar resources. Pediatric residents and General Pediatrics faculty at VUMC can also access these in the Handy Dandy. SmartPhrases referenced are available system-wide.

View or download "ASD Post-Diagnosis PCP Follow-Up Visit" in DOC format
This document provides an overview of our “ASD Follow-Up” visit/note templates and SmartSet and is most relevant for VUMC residents and providers. External providers and training leads are encouraged to see the previous section for more robust educational materials related to structuring autism-specific medical follow-up.

View or download "ASD Caregiver First Steps” in DOC format
This text is designed to be shared with families in Patient Instructions at their first primary care follow-up visit after diagnosis. It provides information about recommended resources for caregiver education, community support, and advocacy. This can also be accessed in Epic/eStar using the SmartPhrase “.8resASDcaregiverfirststeps”.

View or download "ASD Resource Phrases" in DOC format
This document provides information about system-wide SmartPhrases containing tips/resources around a variety of autism-related topics. These phrases can be entered manually into the After Visit Summary/Patient Instructions or selected within the ASD Follow-Up SmartSet.

View or download "ASD Family Navigation for Autism Services" in DOC format
This document provides information about connecting families with Tennessee Disability Pathfinder.

View or download "ASD Medication Management" in DOC format
This document provides basic guidelines and pearls related to medication management for co-occurring concerns. There is also a medication section in the ASD Follow-Up SmartSet that providers can reference for pearls and dosing recommendations.

View or download "Toolkits Currently Available in Krames on FHIR” in DOC format
This document provides a list of Vanderbilt-developed toolkits available within Krames on Demand/eStar. They are available in English, Spanish, and Arabic unless otherwise specified. In eStar, you can find these by clicking/going to the “Krames FHIR (PtEd)” section within your Current Visit tab; from there, you’ll click the link for “Krames on FHIR” and this will open up a separate tab where suggested resources will populate based on visit diagnosis and you can add any you’d like using the search function. You can search using keywords, titles, or the file numbers, which are all included in the document here. These can also be found in Krames On Demand using the search function and viewing results under “Client PDF Sheets.”

PDF versions can also be downloaded from the Vanderbilt Kennedy Center website here.

Other Training Resources

TRIAD offers information via brief online training sessions and webinars to caregivers and professionals across the state. TRIAD's Brief Online Training Sessions (BOTS) are created for professionals to have access to quality information on evidence-based practices for individuals with Autism Spectrum Disorder. These short, yet engaging, web-based modules introduce content to increase professional development and understanding of basic principles across the state of Tennessee. Participants can receive a certificate of completion for each module that they participate in via our online platform. New BOTS are created every year to provide the most current information on ASD.

View the online learning website here ➔

Autism Navigator is a unique collection of web-based tools and courses using extensive video footage to bring science to communities. While many of the professional courses require a subscription fee, the “Autism Navigator About Autism in Toddlers” course and “Autism Navigator ASD Video Glossary” are free to access (after registration) and were designed to help families and professionals learn more about early signs of autism.

View the website here ➔

Interacting with Autism is a video collection that presents evidence-based information on Autism Spectrum Disorder (ASD). It is designed primarily for those on the spectrum and their families, as well as educators and healthcare workers, to help them make informed choices about what approaches might be most effective for any specific individual diagnosed with autism. By making this information accessible and documenting how it is currently being used by actual families, it strives to offer hope about what is possible for those on the spectrum.

View the videos here ➔

The IDD Toolkit Autism Health Watch Table highlights particular health problems that occur more frequently among children or adults with autism compared with the general population. The recommendations are not meant to impose a rigid formula as to what must be done and when, but to provide guidance to the primary care provider.

The development of the Health Watch Tables involved a rigorous review of existing guidelines and published literature on these syndromes. Full citations for all the reviewed information are included at the end of each Health Watch Table. The recommendations in the Health Watch Tables reflect a broad consensus in published texts by specialists on these topics and summarize relevant information.

View the Autism Health Watch Table here ➔

For additional provider resources and training offerings surrounding primary care-based autism diagnosis, see:


For questions or training opportunities, please contact

This resource portal was supported in part through the Health Resources & Services Administration (HRSA) and the Autism CARES Act #H6MMC332360100 (The Tennessee Cares Network at Vanderbilt University Medical Center), and Department of Defense Award #HT9425-23-1-0668: Training the Future Pediatric Workforce to Implement Best Practices for ASD within Primary Care