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Paeds Caseschild-safety-and-social-paediatrics

Paeds Cases · child-safety-and-social-paediatrics

Expert reports and court evidence in child protection — OSCE

OSCE station: explaining the role of an expert report and the duty to the court to the parents of an infant with inflicted injury, distinguishing fact from opinion, framing the process honestly, and outlining what the report and the proceedings will and will not determine.

osce communication station3 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCERCPSC Pediatrics
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Target exams

MRCPCH ClinicalRACP DCERCPSC Pediatrics
Prompt
A 5-month-old infant with inflicted injuries is the subject of family-protection proceedings. The candidate has been asked to prepare an expert report. The parents have asked to speak with the candidate about what the report is, what it will say, and what it means for their family.

Candidate brief

You are the paediatric registrar. You cared for a 5-month-old infant admitted with injuries consistent with inflicted harm. The matter is now in family-protection proceedings, and your consultant has been asked to prepare an expert report. The parents have asked to speak with someone about what the report is, what it will contain, and what it means for them. Your consultant has asked you to have the first conversation with the parents while they review the case file. [2] [6]

You have 8 minutes to explain to the parents what an expert report is, what it will and will not determine, what the duty to the court means, and what the process will involve — while maintaining an honest, non-accusatory and supportive relationship. [1]

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References4ShowHide
  1. [1]Strouse PJ, Moreno JA, Dias MS, Narang SK Preparing for court testimony. Pediatric Radiology, 2021.PMID 33999250
  2. [2]Miller AJ, Narang S, Scribano P, Greeley C, Berkowitz C, Leventhal JM, Frasier L, Lindberg DM Ethical Testimony in Cases of Suspected Child Maltreatment: The Ray E. Helfer Society Guidelines. Academic Pediatrics, 2020.PMID 32068125
  3. [3]Dias MS, Boehmer S, Johnston-Walsh L, Levi BH Defining 'reasonable medical certainty' in court: What does it mean to medical experts in child abuse cases? Child Abuse & Neglect, 2015.PMID 26589362
  4. [6]Skellern C Medical experts and the law: Safeguarding children, the public and the profession. Journal of Paediatrics and Child Health, 2008.PMID 19166533
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