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Paeds Casesgrowth-development-and-behaviour

Paeds Cases · growth-development-and-behaviour

Late walker and non-crawler counselling — development OSCE

OSCE on counselling WHO motor windows, healthy variation and when to recheck or escalate.

osce development and communication1 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
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Target exams

MRCPCH ClinicalRACP DCE
Prompt
Caregivers of a 14-month-old who bottom-shuffles, has not walked alone, and want reassurance that everything is fine.

Objectives

  1. Explain WHO walking and crawling windows in plain language. [1]
  2. Distinguish healthy bottom-shuffling variation from red-flag motor patterns. [1] [5]
  3. Perform or describe a focused motor observation and exam. [2] [3]
  4. Leave a dated plan with opportunity supports and safety-net. [3] [10]
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References6ShowHide
  1. [1]WHO Multicentre Growth Reference Study Group WHO Motor Development Study: windows of achievement for six gross motor development milestones. Acta Paediatr Suppl, 2006.PMID 16817682
  2. [2]Zubler JM Evidence-Informed Milestones for Developmental Surveillance Tools. Pediatrics, 2022.PMID 35132439
  3. [3]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
  4. [5]Novak I Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy: Advances in Diagnosis and Treatment. JAMA Pediatr, 2017.PMID 28715518
  5. [8]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI Evid Synth, 2020.PMID 32813387
  6. [10]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis. Br J Gen Pract, 2025.PMID 39117428
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