Prompt

Station A is a 6-year-old with school failure and adaptive skill gaps. Station B is counselling after confirming intellectual developmental disorder and planning evaluation and supports.

Station objectives

Elicit adaptive and developmental history that can support an IDD formulation. [5]
Explain that IDD needs intellectual and adaptive criteria, not IQ alone. [5]
Start supports without waiting for every genetic result. [1] [16]
Outline first-line aetiological testing including microarray. [2] [3]
Use clear, non-stigmatising language and safety-net regression or acute change. [1]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References6Show ledger

[1]Moeschler JB Comprehensive evaluation of the child with intellectual disability or global developmental delays. Pediatrics, 2014.PMID 25157020
[2]Miller DT Consensus statement: chromosomal microarray is a first-tier clinical diagnostic test for individuals with developmental disabilities or congenital anomalies. American journal of human genetics, 2010.PMID 20466091
[3]Manickam K Exome and genome sequencing for pediatric patients with congenital anomalies or intellectual disability: an evidence-based clinical guideline of the American College of Medical Genetics and Genomics (ACMG). Genetics in medicine, 2021.PMID 34211152
[5]Tassé MJ The Relation Between Intellectual Functioning and Adaptive Behavior in the Diagnosis of Intellectual Disability. Intellectual and developmental disabilities, 2016.PMID 27893317
[16]Council on Children with Disabilities and Medical Home Implementation Project Advisory Committee Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems. Pediatrics, 2014.PMID 24777209
[19]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI evidence synthesis, 2020.PMID 32813387

Station objectives

Elicit adaptive and developmental history that can support an IDD formulation. [5]

Explain that IDD needs intellectual and adaptive criteria, not IQ alone. [5]

Start supports without waiting for every genetic result. [1] [16]

Outline first-line aetiological testing including microarray. [2] [3]

Use clear, non-stigmatising language and safety-net regression or acute change. [1]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References6Show ledger

[1]Moeschler JB Comprehensive evaluation of the child with intellectual disability or global developmental delays. Pediatrics, 2014.PMID 25157020
[2]Miller DT Consensus statement: chromosomal microarray is a first-tier clinical diagnostic test for individuals with developmental disabilities or congenital anomalies. American journal of human genetics, 2010.PMID 20466091
[3]Manickam K Exome and genome sequencing for pediatric patients with congenital anomalies or intellectual disability: an evidence-based clinical guideline of the American College of Medical Genetics and Genomics (ACMG). Genetics in medicine, 2021.PMID 34211152
[5]Tassé MJ The Relation Between Intellectual Functioning and Adaptive Behavior in the Diagnosis of Intellectual Disability. Intellectual and developmental disabilities, 2016.PMID 27893317
[16]Council on Children with Disabilities and Medical Home Implementation Project Advisory Committee Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems. Pediatrics, 2014.PMID 24777209
[19]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI evidence synthesis, 2020.PMID 32813387

Intellectual developmental disorder OSCE — diagnosis counselling and care planning

Station objectives

Intellectual developmental disorder OSCE — diagnosis counselling and care planning

Station objectives