Paeds Cases · preventive-and-community-paediatrics
Absolute risk and vaccine catch-up counselling — OSCE
OSCE on absolute versus relative risk, herd immunity limits, and non-coercive immunisation catch-up planning for a mobile family.
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Target exams
Station tasks
Build rapport and explore housing and access barriers without blame. Explain absolute versus relative risk in plain language. Correct the herd-immunity misconception without shaming. Offer a concrete catch-up immunisation plan with a named follow-up owner. Decline the commercial multi-disease panel as a substitute for vaccination, explaining pathway and net-benefit reasons. Safety-net for fever after vaccines and for access problems. [1] [2] [3] [4] [5] [7]
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.
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- [1]Rose G Sick individuals and sick populations Int J Epidemiol, 1985.PMID 3872850
- [2]Fine P Herd immunity: a rough guide Clin Infect Dis, 2011.PMID 21427399
- [3]Council on Community Pediatrics Poverty and Child Health in the United States Pediatrics, 2016.PMID 26962238
- [4]Dobrow MJ Consolidated principles for screening based on a systematic review and consensus process CMAJ, 2018.PMID 29632037
- [5]Størdal K Overtesting and overtreatment-statement from the European Academy of Paediatrics (EAP) Eur J Pediatr, 2019.PMID 31506723
- [6]Kindig D What is population health? Am J Public Health, 2003.PMID 12604476
- [7]Coker TR Well-child care clinical practice redesign for serving low-income children Pediatrics, 2014.PMID 24936004