Paeds Cases · preventive-and-community-paediatrics
Bilateral newborn hearing refer before rural discharge — structured clinical encounter
Structured encounter testing bilateral refer counselling, 1-3-6 pathway planning, residual-risk concepts and rural follow-up design for newborn hearing screening.
On this page
Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Noah, 30 hours old, term, well on the postnatal ward. Bilateral OAE refer. Parents request same-day discharge to a town 2 hours away. Father says the baby startles to noise so the result must be wrong.
Station brief (candidate)
You are the paediatric registrar. Noah is 30 hours old and looks well. Bilateral OAE is a refer. The family wants rural discharge today. Father believes the startle response proves normal hearing. You have 12 minutes with the family and 5 minutes for examiner discussion. [8]
References8ShowHide
- [1]American Academy of Pediatrics, Joint Committee on Infant Hearing Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics, 2007.PMID 17908777
- [3]Kennedy CR Language ability after early detection of permanent childhood hearing impairment. The New England journal of medicine, 2006.PMID 16707750
- [7]Grindle CR Pediatric hearing loss. Pediatrics in review, 2014.PMID 25361905
- [8]Awad R Meeting the Joint Committee on Infant Hearing Standards in a Large Metropolitan Children's Hospital: Barriers and Next Steps. American journal of audiology, 2019.PMID 31084570
- [11]Pollick SA Newborn congenital cytomegalovirus screening and hearing outcomes: a systematic review of current literature. Current opinion in otolaryngology & head and neck surgery, 2024.PMID 39146216
- [12]Corazzi V Late-onset, progressive sensorineural hearing loss in the paediatric population: a systematic review. European archives of oto-rhino-laryngology, 2024.PMID 38411671
- [13]Ren AZ Factors that influence health service access in deaf and hard-of-hearing children: a narrative review. International journal of audiology, 2024.PMID 37335176
- [17]Sommerfeldt J Hearing Loss Assessment in Children. Pediatrics in review, 2026.PMID 35593817