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Paeds Casesgrowth-development-and-behaviour

Paeds Cases · growth-development-and-behaviour

Intellectual developmental disorder OSCE — diagnosis counselling and care planning

OSCE on explaining IDD criteria, opening supports, outlining aetiological evaluation and safety-netting.

osce communication and management 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 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

  1. Elicit adaptive and developmental history that can support an IDD formulation. [5]
  2. Explain that IDD needs intellectual and adaptive criteria, not IQ alone. [5]
  3. Start supports without waiting for every genetic result. [1] [16]
  4. Outline first-line aetiological testing including microarray. [2] [3]
  5. Use clear, non-stigmatising language and safety-net regression or acute change. [1]
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References6ShowHide
  1. [1]Moeschler JB Comprehensive evaluation of the child with intellectual disability or global developmental delays. Pediatrics, 2014.PMID 25157020
  2. [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. [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
  4. [5]Tassé MJ The Relation Between Intellectual Functioning and Adaptive Behavior in the Diagnosis of Intellectual Disability. Intellectual and developmental disabilities, 2016.PMID 27893317
  5. [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
  6. [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
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