Paeds Cases · child-safety-and-social-paediatrics
Documentation OSCE — capturing a perishable finding to court standard
Observed structured encounter testing injury photodocumentation, the three-shot rule, secure storage governance, and the fact-versus-opinion distinction in suspected child maltreatment.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is a non-mobile infant with an unexplained patterned arm mark requiring bedside capture. Station B is review of a deficient record and preparation of a court statement six weeks later.
Station objectives
- Capture an injury to court standard using the three-shot rule with a scale. [3]
- Label and store images only in the secure clinical record with chain-of-custody governance. [1] [9]
- Distinguish observed fact from interpreted opinion in the written record. [10] [6]
- Communicate with the family about why photographs are taken and how they are stored, while completing the safeguarding pathway. [8]
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References7Show ledgerHide ledger
- [1]Schulte AG Emerging Trends in Smartphone Photo Documentation of Child Physical Abuse. Pediatric emergency care, 2022.PMID 36040467
- [2]Moles RL Improving Physical Abuse Documentation and Photography through a Remote Peer Review Intervention. Pediatric quality & safety, 2021.PMID 34589651
- [3]Bloemen EM Photographing Injuries in the Acute Care Setting: Development and Evaluation of a Standardized Protocol for Research, Forensics, and Clinical Practice. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2016.PMID 26932497
- [6]Skellern C Practices and perspectives regarding medico-legal reports in day-to-day cases in tertiary Australian child protection units. Journal of paediatrics and child health, 2022.PMID 34496093
- [8]Smith T The medical evaluation of prepubertal children with suspected sexual abuse. Paediatrics & child health, 2020.PMID 32296280
- [9]Brennan PA The medical and ethical aspects of photography in the sexual assault examination: why does it offend? Journal of clinical forensic medicine, 2006.PMID 16571379
- [10]Strouse PJ Preparing for court testimony. Pediatric radiology, 2021.PMID 33999250