Prompt

Station A is a nine-month health-supervision visit with developmental and social complexity. Station B is conversion when a preventive slot reveals an unwell or unsafe child.

Station objectives

Structure a well-child visit with shared agenda. [1] [7]
Act on developmental concern using surveillance/screening principles. [3]
Respond to social determinant and caregiver mood risks. [5] [23]
Convert the visit when wellness or safety fails. [1]
Close loops and safety-net. [9] [21]

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.

References14Show ledger

[24]Berman RS, Patel MR, Belamarich PF, et al. Screening for Poverty and Poverty-Related Social Determinants of Health. Pediatrics in review, 2018.PMID 29716966
[19]White PH, Cooley WC Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
[1]Committee on Practice and Ambulatory Medicine 2023 Recommendations for Preventive Pediatric Health Care. Pediatrics, 2023.PMID 36938620
[3]Lipkin PH, Macias MM Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
[5]Earls MF, Yogman MW, Mattson G, et al. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice. Pediatrics, 2019.PMID 30559120
[7]Schuster MA, Duan N, Regalado M, et al. Anticipatory guidance: what information do parents receive? What information do they want? Archives of pediatrics & adolescent medicine, 2000.PMID 11115301
[8]Coker TR, Moreno C, Shekelle PG, et al. Well-child care clinical practice redesign for serving low-income children. Pediatrics, 2014.PMID 24936004
[9]Duncan PM, Pirretti A, Earls MF, et al. Improving delivery of Bright Futures preventive services at the 9- and 24-month well child visit. Pediatrics, 2015.PMID 25548322
[11]Garner AS, Shonkoff JP Early childhood adversity, toxic stress, and the role of the pediatrician: translating developmental science into lifelong health. Pediatrics, 2012.PMID 22201148
[16]Medical Home Initiatives for Children With Special Needs Project Advisory Committee The medical home. Pediatrics, 2002.PMID 12093969
[18]Agostino H, Toulany A Considerations for privacy and confidentiality in adolescent health care service delivery. Paediatrics & child health, 2023.PMID 37205141
[20]Szilagyi, Moira A Health Care Issues for Children and Adolescents in Foster Care and Kinship Care. Pediatrics, 2015.PMID 26416941
[21]Turchi, Renee M Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems. Pediatrics, 2014.PMID 24777209
[23]Council on Community Pediatrics Poverty and Child Health in the United States. Pediatrics, 2016.PMID 26962238

Station objectives

Structure a well-child visit with shared agenda. [1] [7]

Act on developmental concern using surveillance/screening principles. [3]

Respond to social determinant and caregiver mood risks. [5] [23]

Convert the visit when wellness or safety fails. [1]

Close loops and safety-net. [9] [21]

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.

References14Show ledger

[24]Berman RS, Patel MR, Belamarich PF, et al. Screening for Poverty and Poverty-Related Social Determinants of Health. Pediatrics in review, 2018.PMID 29716966
[19]White PH, Cooley WC Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
[1]Committee on Practice and Ambulatory Medicine 2023 Recommendations for Preventive Pediatric Health Care. Pediatrics, 2023.PMID 36938620
[3]Lipkin PH, Macias MM Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
[5]Earls MF, Yogman MW, Mattson G, et al. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice. Pediatrics, 2019.PMID 30559120
[7]Schuster MA, Duan N, Regalado M, et al. Anticipatory guidance: what information do parents receive? What information do they want? Archives of pediatrics & adolescent medicine, 2000.PMID 11115301
[8]Coker TR, Moreno C, Shekelle PG, et al. Well-child care clinical practice redesign for serving low-income children. Pediatrics, 2014.PMID 24936004
[9]Duncan PM, Pirretti A, Earls MF, et al. Improving delivery of Bright Futures preventive services at the 9- and 24-month well child visit. Pediatrics, 2015.PMID 25548322
[11]Garner AS, Shonkoff JP Early childhood adversity, toxic stress, and the role of the pediatrician: translating developmental science into lifelong health. Pediatrics, 2012.PMID 22201148
[16]Medical Home Initiatives for Children With Special Needs Project Advisory Committee The medical home. Pediatrics, 2002.PMID 12093969
[18]Agostino H, Toulany A Considerations for privacy and confidentiality in adolescent health care service delivery. Paediatrics & child health, 2023.PMID 37205141
[20]Szilagyi, Moira A Health Care Issues for Children and Adolescents in Foster Care and Kinship Care. Pediatrics, 2015.PMID 26416941
[21]Turchi, Renee M Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems. Pediatrics, 2014.PMID 24777209
[23]Council on Community Pediatrics Poverty and Child Health in the United States. Pediatrics, 2016.PMID 26962238

Well-child visit OSCE — health supervision and conversion counselling

Station objectives

Well-child visit OSCE — health supervision and conversion counselling

Station objectives