Prompt

Station A is a febrile toddler with caregiver concern and language discordance. Station B is an adolescent requesting privacy for mixed abdominal and psychosocial concerns.

Station objectives

Open a multi-party paediatric consultation and gather an age-adapted history. [2]
Use professional interpreting appropriately. [5]
Open confidential adolescent time with limits of confidentiality. [1]
Synthesise a problem representation. [13]
Close with teach-back and concrete safety-netting. [7]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References17Show ledger

[1]Coble C Teaching SSHADESS Versus HEADSS to Medical Students: An Association With Improved Communication Skills and Increased Psychosocial Factor Assessments Acad Pediatr, 2023.PMID 36130691
[2]Svetaz MV Adolescent Health: Communication With Adolescent Patients FP Essent, 2021.PMID 34410092
[3]Katz AL Informed Consent in Decision-Making in Pediatric Practice Pediatrics, 2016.PMID 27456510
[4]COMMITTEE ON BIOETHICS Informed Consent in Decision-Making in Pediatric Practice Pediatrics, 2016.PMID 27456514
[5]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]Gutman CK Professional Interpreter Use and Discharge Communication in the Pediatric Emergency Department Acad Pediatr, 2018.PMID 30048713
[7]Samuels-Kalow M Like a dialogue: Teach-back in the emergency department Patient Educ Couns, 2016.PMID 26597382
[8]Naureckas Li C Medication Education for Dosing Safety: A Randomized Controlled Trial Ann Emerg Med, 2020.PMID 32807539
[9]Samuels-Kalow ME Analysis of a Medication Safety Intervention in the Pediatric Emergency Department JAMA Netw Open, 2024.PMID 38214929
[10]Mills E Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study Lancet Child Adolesc Health, 2025.PMID 40451224
[11]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis Br J Gen Pract, 2025.PMID 39117428
[12]Starmer AJ Changes in medical errors after implementation of a handoff program N Engl J Med, 2014.PMID 25372088
[13]Kuo DZ Recognition and Management of Medical Complexity Pediatrics, 2016.PMID 27940731
[14]Davidson JE Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU Crit Care Med, 2017.PMID 27984278
[15]Forkey H Trauma-Informed Care Pediatrics, 2021.PMID 34312292
[16]Duffee J Trauma-Informed Care in Child Health Systems Pediatrics, 2021.PMID 34312294
[17]Forkey H Trauma-Informed Strategies in Pediatric Primary Care Pediatr Clin North Am, 2024.PMID 39433381

Station objectives

Open a multi-party paediatric consultation and gather an age-adapted history. [2]

Use professional interpreting appropriately. [5]

Open confidential adolescent time with limits of confidentiality. [1]

Synthesise a problem representation. [13]

Close with teach-back and concrete safety-netting. [7]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References17Show ledger

[1]Coble C Teaching SSHADESS Versus HEADSS to Medical Students: An Association With Improved Communication Skills and Increased Psychosocial Factor Assessments Acad Pediatr, 2023.PMID 36130691
[2]Svetaz MV Adolescent Health: Communication With Adolescent Patients FP Essent, 2021.PMID 34410092
[3]Katz AL Informed Consent in Decision-Making in Pediatric Practice Pediatrics, 2016.PMID 27456510
[4]COMMITTEE ON BIOETHICS Informed Consent in Decision-Making in Pediatric Practice Pediatrics, 2016.PMID 27456514
[5]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]Gutman CK Professional Interpreter Use and Discharge Communication in the Pediatric Emergency Department Acad Pediatr, 2018.PMID 30048713
[7]Samuels-Kalow M Like a dialogue: Teach-back in the emergency department Patient Educ Couns, 2016.PMID 26597382
[8]Naureckas Li C Medication Education for Dosing Safety: A Randomized Controlled Trial Ann Emerg Med, 2020.PMID 32807539
[9]Samuels-Kalow ME Analysis of a Medication Safety Intervention in the Pediatric Emergency Department JAMA Netw Open, 2024.PMID 38214929
[10]Mills E Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study Lancet Child Adolesc Health, 2025.PMID 40451224
[11]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis Br J Gen Pract, 2025.PMID 39117428
[12]Starmer AJ Changes in medical errors after implementation of a handoff program N Engl J Med, 2014.PMID 25372088
[13]Kuo DZ Recognition and Management of Medical Complexity Pediatrics, 2016.PMID 27940731
[14]Davidson JE Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU Crit Care Med, 2017.PMID 27984278
[15]Forkey H Trauma-Informed Care Pediatrics, 2021.PMID 34312292
[16]Duffee J Trauma-Informed Care in Child Health Systems Pediatrics, 2021.PMID 34312294
[17]Forkey H Trauma-Informed Strategies in Pediatric Primary Care Pediatr Clin North Am, 2024.PMID 39433381

Age-adapted history OSCE — toddler fever and adolescent confidentiality

Station objectives

Age-adapted history OSCE — toddler fever and adolescent confidentiality

Station objectives