Paeds Cases · growth-development-and-behaviour
Toddler speech concern — developmental assessment OSCE
OSCE on developmental history, examination plan, tool choice and counselling.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
19-month-old with caregiver speech concern; limited words; walks independently.
Objectives
- Elicit developmental concerns. [1]
- Perform age-adapted observation and examination planning. [2]
- Choose screening/referral appropriately without over-claiming. [3]
- Counsel with teach-back, hearing pathway and safety-net. [1] [9]
References10ShowHide
- [1]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening Pediatrics, 2020.PMID 31843861
- [2]Zubler JM Evidence-Informed Milestones for Developmental Surveillance Tools Pediatrics, 2022.PMID 35132439
- [3]Robins DL Validation of the modified checklist for Autism in toddlers, revised with follow-up (M-CHAT-R/F) Pediatrics, 2014.PMID 24366990
- [4]Moeschler JB Comprehensive evaluation of the child with intellectual disability or global developmental delays Pediatrics, 2014.PMID 25157020
- [5]Pavlova P A psychometric study of the Russian-language version of the Bayley Scales of Infant and Toddler Development-third edition: An assessment of reliability and validity Front Psychol, 2022.PMID 36118487
- [6]Maleka BK Developmental Screening-Evaluation of an m-Health Version of the Parents Evaluation Developmental Status Tools Telemed J E Health, 2016.PMID 27286191
- [7]Kuo DZ Recognition and Management of Medical Complexity Pediatrics, 2016.PMID 27940731
- [8]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review JBI Evid Synth, 2020.PMID 32813387
- [9]Starmer AJ Changes in medical errors after implementation of a handoff program N Engl J Med, 2014.PMID 25372088
- [10]Forkey H Trauma-Informed Care Pediatrics, 2021.PMID 34312292