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Paeds Casespreventive-and-community-paediatrics

Paeds Cases · preventive-and-community-paediatrics

Infant health supervision 6–12 months OSCE — well visit and conversion

Observed structured encounter testing a complete 9-month health-supervision visit and recognition of when a booked well visit must convert to acute care.

osce history management and communication station1 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Study tools

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is a 9-month well-child visit with iron-poor feeding and emerging mobility. Station B is a 12-month vaccine visit where the infant appears seriously unwell at triage.

Station A — 9-month health supervision (10 minutes)

Candidate task: Conduct a focused health-supervision visit with a simulated caregiver. The infant is generally well. Feeding is mostly bottles of cow’s milk with few solids. The family just moved to a house with stairs. [1] [3]

Examiner checklist

  • Opens with caregiver concerns and doorway wellness check. [1]
  • Measures and plots growth, or clearly states weight, length and OFC. [1]
  • Performs developmental surveillance with questions and an observation plan. [4]
  • Identifies iron-risk feeding; advises against cow’s milk as main drink before 12 months; promotes iron-rich solids. [3] [2]
  • Reinforces safe sleep. [5]
  • Covers injury prevention for stairs and mobility, plus rear-facing car-seat principles. [6]
  • Covers oral-health basics. [7]
  • Screens family psychosocial context, mood and food security. [8]
  • Gives a shared plan, early review if needed, and safety-net symptoms. [1]

Critical fails

Missing the iron-risk pattern entirely; no safety-net or follow-up; dismissing all development solely because the caregiver is not worried. [3] [4]

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References8ShowHide
  1. [1]COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE 2023 Recommendations for Preventive Pediatric Health Care Pediatrics, 2023.PMID 36938620
  2. [2]Fewtrell M, Bronsky J, Campoy C, et al. Complementary Feeding: A Position Paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition J Pediatr Gastroenterol Nutr, 2017.PMID 28027215
  3. [3]Sundararajan S, Rabe H Prevention of iron deficiency anemia in infants and toddlers Pediatr Res, 2021.PMID 32330927
  4. [4]Lipkin PH, Macias MM Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening Pediatrics, 2020.PMID 31843861
  5. [5]Moon RY SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment Pediatrics, 2011.PMID 22007004
  6. [6]Durbin DR, Hoffman BD Child Passenger Safety Pediatrics, 2018.PMID 30166367
  7. [7]Krol DM, Whelan K Maintaining and Improving the Oral Health of Young Children Pediatrics, 2023.PMID 36530159
  8. [8]Rafferty J, Mattson G, Earls MF, et al. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice Pediatrics, 2019.PMID 30559118
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