Paeds Cases · growth-development-and-behaviour
Autism spectrum disorder — OSCE
OSCE counselling station after suspected autism spectrum disorder assessment.
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MRCPCH ClinicalRACP DCE
Prompt
You have 8 minutes with parents of a 3-year-old after clinic assessment for social-communication concerns. Explain findings, next steps, supports and answer questions about causes and medication.
Station brief (candidate)
- Explain that ASD is a clinical neurodevelopmental diagnosis based on social-communication and restricted/repetitive patterns across settings.
- State that supports can start while formal assessment completes.
- Outline audiology, multidisciplinary assessment and early intervention.
- Answer vaccine and “blood test for autism” questions accurately.
- Explain that medicines do not treat core social deficits; medicines may later target severe irritability or comorbidities only after formulation.
- Use plain language, strengths-based framing and teach-back. [1] [2] [5]
References6ShowHide
- [1]Hyman SL Identification, Evaluation, and Management of Children With Autism Spectrum Disorder Pediatrics, 2020.PMID 31843864
- [2]Dawson G Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model Pediatrics, 2010.PMID 19948568
- [3]Green J Parent-mediated communication-focused treatment in children with autism (PACT): a randomised controlled trial Lancet, 2010.PMID 20494434
- [4]McCracken JT Risperidone in children with autism and serious behavioral problems N Engl J Med, 2002.PMID 12151468
- [5]Lord C The Lancet Commission on the future of care and clinical research in autism Lancet, 2022.PMID 34883054
- [6]Cassidy S Understanding and prevention of suicide in autism Lancet Psychiatry, 2017.PMID 28551299