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Paeds Casespreventive-and-community-paediatrics

Paeds Cases · preventive-and-community-paediatrics

Well-child visit OSCE — health supervision and conversion counselling

OSCE testing well-child visit structure, developmental action, social determinant response and acute conversion judgement.

osce communication and health-supervision station1 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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

  1. Structure a well-child visit with shared agenda. [1] [7]
  2. Act on developmental concern using surveillance/screening principles. [3]
  3. Respond to social determinant and caregiver mood risks. [5] [23]
  4. Convert the visit when wellness or safety fails. [1]
  5. Close loops and safety-net. [9] [21]
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References14ShowHide
  1. [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
  2. [19]White PH, Cooley WC Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
  3. [1]Committee on Practice and Ambulatory Medicine 2023 Recommendations for Preventive Pediatric Health Care. Pediatrics, 2023.PMID 36938620
  4. [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. [5]Earls MF, Yogman MW, Mattson G, et al. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice. Pediatrics, 2019.PMID 30559120
  6. [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
  7. [8]Coker TR, Moreno C, Shekelle PG, et al. Well-child care clinical practice redesign for serving low-income children. Pediatrics, 2014.PMID 24936004
  8. [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
  9. [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
  10. [16]Medical Home Initiatives for Children With Special Needs Project Advisory Committee The medical home. Pediatrics, 2002.PMID 12093969
  11. [18]Agostino H, Toulany A Considerations for privacy and confidentiality in adolescent health care service delivery. Paediatrics & child health, 2023.PMID 37205141
  12. [20]Szilagyi, Moira A Health Care Issues for Children and Adolescents in Foster Care and Kinship Care. Pediatrics, 2015.PMID 26416941
  13. [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
  14. [23]Council on Community Pediatrics Poverty and Child Health in the United States. Pediatrics, 2016.PMID 26962238
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