Paeds Cases · professional-practice-and-evidence
Paediatric consultation with child, young person and family — communication OSCE
OSCE on structuring a triadic, developmentally-adapted paediatric consultation: rapport before examination, eliciting ICE, adolescent time alone and HEEADSSS, and safety-netted closure.
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Study tools
Target exams
MRCPCH ClinicalRACP DCEABP General Pediatrics
Prompt
A 13-year-old boy attends with his father for persistent tiredness and school refusal. The boy is withdrawn and monosyllabic; the father is anxious and answers every question himself. The examiner asks you to conduct the opening and adolescent component of the consultation.
Candidate brief
This is a triadic adolescent consultation in trouble: the patient is being spoken for, no confidentiality has been offered, and the psychosocial driver of school refusal has not been explored. Your task is to restructure the opening and run the adolescent component safely. [1] [2]
References4ShowHide
- [1]Levetown M and American Academy of Pediatrics Committee on Bioethics Communicating with children and families: from everyday interactions to skill in conveying distressing information. Pediatrics, 2008.PMID 18450887
- [2]Howells RJ, Davies HA, Silverman JD, Archer JC, Mellon AF Assessment of doctors' consultation skills in the paediatric setting: the Paediatric Consultation Assessment Tool. Archives of disease in childhood, 2010.PMID 19019880
- [3]Ho J, Fong CK, Iskander A, Towns S, Steinbeck K Digital psychosocial assessment: An efficient and effective screening tool. Journal of paediatrics and child health, 2020.PMID 31883286
- [4]Ford CA, Skiles MP, English A, Cai J, Agans RP, Stokley S, Markowitz L, Koumans EH Minor consent and delivery of adolescent vaccines. The Journal of adolescent health, 2014.PMID 24074605