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Paeds Casesgrowth-development-and-behaviour

Paeds Cases · growth-development-and-behaviour

DCD OSCE — assessment counselling and school plan

OSCE on suspected DCD: history and exam priorities, red-flag screen, counselling, task-oriented plan and school adaptations.

osce communication and clinical-reasoning station2 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is a focused assessment of an 8-year-old with PE failure and handwriting difficulty. Station B is parent counselling and joint school/OT planning after DCD criteria are met.

Station objectives

  1. Elicit motor developmental history and functional impact. [1]
  2. Screen for neurological red flags that exclude simple DCD. [4]
  3. Use screening/quantification tools correctly without over-calling diagnosis. [7] [1]
  4. Counsel without shame and set task-oriented goals. [1] [5]
  5. Plan school adaptations and activity that protect fitness/participation. [9]
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References5ShowHide
  1. [1]Blank R International clinical practice recommendations on the definition, diagnosis, assessment, intervention, and psychosocial aspects of developmental coordination disorder Developmental medicine and child neurology, 2019.PMID 30671947
  2. [4]Zwicker JG Developmental coordination disorder: a review and update European journal of paediatric neurology, 2012.PMID 22705270
  3. [5]Smits-Engelsman BC Efficacy of interventions to improve motor performance in children with developmental coordination disorder: a combined systematic review and meta-analysis Developmental medicine and child neurology, 2013.PMID 23106530
  4. [7]Wilson BN Psychometric properties of the revised Developmental Coordination Disorder Questionnaire Physical & occupational therapy in pediatrics, 2009.PMID 19401931
  5. [9]Cairney J Developmental coordination disorder and overweight and obesity in children aged 9-14 y International journal of obesity, 2005.PMID 15768042
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