Name: Preschool school-entry check — OSCE
Creator: MedVellum
Published: 2026-07-11
Keywords: Preschool school-entry check — OSCE, Cases, preventive-and-community-paediatrics, MRCPCH Clinical, RACP DCE, paediatrics fellowship exam, RACP General Paediatrics exam prep, RACP DWE paediatrics, RACP DCE paediatrics, RCPCH Progress+ curriculum, MRCPCH revision, ABP pediatrics certification, ACGME pediatrics, RCPSC pediatrics exam, general paediatrics viva, paediatrics long case, multi-board paediatrics atlas

Prompt

4-year-old for school-entry health assessment; caregiver speech and behaviour concerns.

Objectives

Structure a preschool health supervision visit beyond form-signing. ^[4]
Elicit and act on speech/school-readiness concerns. ^[1] ^[2]
Counsel on sensory referral, oral health and lifestyle without blame. ^[5] ^[6]
Safety-net referrals with teach-back. ^[16]

References16Show

[1]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
[2]Zubler JM Evidence-Informed Milestones for Developmental Surveillance Tools. Pediatrics, 2022.PMID 35132439
[3]Robins DL Validation of the modified checklist for Autism in toddlers, revised with follow-up (M-CHAT-R/F). Pediatrics, 2014.PMID 24366990
[4]COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE 2023 Recommendations for Preventive Pediatric Health Care. Pediatrics, 2023.PMID 36938620
[5]COUNCIL ON COMMUNICATIONS AND MEDIA Media and Young Minds. Pediatrics, 2016.PMID 27940793
[6]Clark MB Fluoride Use in Caries Prevention in the Primary Care Setting. Pediatrics, 2020.PMID 33257404
[7]Flynn JT Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics, 2017.PMID 28827377
[8]Durbin DR Child passenger safety. Pediatrics, 2011.PMID 21422094
[9]Curry SJ, Krist AH, Owens DK, et al. Screening for Elevated Blood Lead Levels in Children and Pregnant Women: US Preventive Services Task Force Recommendation Statement. JAMA, 2019.PMID 30990556
[10]Kuo DZ Recognition and Management of Medical Complexity. Pediatrics, 2016.PMID 27940731
[11]Mills E Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study. The Lancet. Child & adolescent health, 2025.PMID 40451224
[12]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI evidence synthesis, 2020.PMID 32813387
[13]Starmer AJ Changes in medical errors after implementation of a handoff program. The New England journal of medicine, 2014.PMID 25372088
[14]Katz AL Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 2016.PMID 27456510
[15]Forkey H Trauma-Informed Care. Pediatrics, 2021.PMID 34312292
[16]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis. The British journal of general practice : the journal of the Royal College of General Practitioners, 2025.PMID 39117428

Objectives

Structure a preschool health supervision visit beyond form-signing. ^[4]

Elicit and act on speech/school-readiness concerns. ^[1] ^[2]

Counsel on sensory referral, oral health and lifestyle without blame. ^[5] ^[6]

Safety-net referrals with teach-back. ^[16]

References16Show

[1]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
[2]Zubler JM Evidence-Informed Milestones for Developmental Surveillance Tools. Pediatrics, 2022.PMID 35132439
[3]Robins DL Validation of the modified checklist for Autism in toddlers, revised with follow-up (M-CHAT-R/F). Pediatrics, 2014.PMID 24366990
[4]COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE 2023 Recommendations for Preventive Pediatric Health Care. Pediatrics, 2023.PMID 36938620
[5]COUNCIL ON COMMUNICATIONS AND MEDIA Media and Young Minds. Pediatrics, 2016.PMID 27940793
[6]Clark MB Fluoride Use in Caries Prevention in the Primary Care Setting. Pediatrics, 2020.PMID 33257404
[7]Flynn JT Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics, 2017.PMID 28827377
[8]Durbin DR Child passenger safety. Pediatrics, 2011.PMID 21422094
[9]Curry SJ, Krist AH, Owens DK, et al. Screening for Elevated Blood Lead Levels in Children and Pregnant Women: US Preventive Services Task Force Recommendation Statement. JAMA, 2019.PMID 30990556
[10]Kuo DZ Recognition and Management of Medical Complexity. Pediatrics, 2016.PMID 27940731
[11]Mills E Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study. The Lancet. Child & adolescent health, 2025.PMID 40451224
[12]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI evidence synthesis, 2020.PMID 32813387
[13]Starmer AJ Changes in medical errors after implementation of a handoff program. The New England journal of medicine, 2014.PMID 25372088
[14]Katz AL Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 2016.PMID 27456510
[15]Forkey H Trauma-Informed Care. Pediatrics, 2021.PMID 34312292
[16]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis. The British journal of general practice : the journal of the Royal College of General Practitioners, 2025.PMID 39117428