Medical devices, digital health and remote monitoring — OSCE

Station brief (candidate)

• Counsel the family on the validity of the smartwatch rhythm flag as a screening signal rather than a diagnosis, and outline the device-independent confirmatory pathway (the 12-lead ECG and clinician overread). ^[9]
• Counsel the family on the CGM physiology and the plasma-interstitial lag, review the ISPAD 2024 ambulatory glucose profile targets, and reach a shared decision to tune the thresholds rather than abandon the device. ^[4]
• Counsel the family on the demonstrated inaccuracy of pulse oximetry in dark skin pigmentation and low perfusion, and agree a written action plan that names the equity limitation and the threshold to escalate to the emergency department. ^{[5] [6] [7]}