Paeds Cases · preventive-and-community-paediatrics
Rural disposition and medical-home planning — OSCE
OSCE on rural capability-matched disposition, telehealth versus transfer counselling and medical-home loop closure.
On this page
Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
Parent of a 4-year-old with recurrent wheeze in a remote town; incomplete specialty follow-up; asks whether every flare needs a 5-hour drive to the city.
Candidate instructions
You have 8 minutes with a parent from a remote town. The child has recurrent wheeze, incomplete specialty follow-up and long travel times. Establish the access barriers, explain a capability-matched plan (local care, telehealth co-consult, when to transfer), and name a medical-home owner with safety-net advice. [12] [22]
References11ShowHide
- [1]Shipman SA Geographic maldistribution of primary care for children. Pediatrics, 2011.PMID 21172992
- [3]Cherry DC Children's health in the rural environment. Pediatric clinics of North America, 2007.PMID 17306687
- [6]Gausche-Hill M A national assessment of pediatric readiness of emergency departments. JAMA pediatrics, 2015.PMID 25867088
- [7]Newgard CD Emergency Department Pediatric Readiness and Short-term and Long-term Mortality Among Children Receiving Emergency Care. JAMA network open, 2023.PMID 36637819
- [12]Curfman AL Telehealth: Improving Access to and Quality of Pediatric Health Care. Pediatrics, 2021.PMID 34462339
- [14]Marcin JP Impact of Tele-Emergency Consultations on Pediatric Interfacility Transfers: A Cluster-Randomized Crossover Trial. JAMA network open, 2023.PMID 36780158
- [19]Haggerty JL Continuity of care: a multidisciplinary review. BMJ (Clinical research ed.), 2003.PMID 14630762
- [21]Christakis DA Association of lower continuity of care with greater risk of emergency department use and hospitalization in children. Pediatrics, 2001.PMID 11230593
- [22]Council on Children with Disabilities and Medical Home Implementation Project Advisory Committee Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems. Pediatrics, 2014.PMID 24777209
- [24]Bugeja L Drowning deaths of zero- to five-year-old children in Victorian dams, 1989-2001. The Australian journal of rural health, 2005.PMID 16171505
- [28]Bullock S A Virtual Integrated General Practitioner-Pediatrician Model of Care Implemented in Metropolitan and Rural Primary Care Settings: Qualitative Analysis of Clinician Perspectives on the SUSTAIN Model of Care. Journal of medical Internet research, 2026.PMID 42085669