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Paeds Casesgrowth-development-and-behaviour

Paeds Cases · growth-development-and-behaviour

Toddler social communication concern — autism recognition OSCE

OSCE on autism red flags, screening limits, hearing check and referral counselling.

osce development and communication1 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
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Study tools

Target exams

MRCPCH ClinicalRACP DCE
Prompt
19-month-old with caregiver concern about limited pointing and reduced social response.

Objectives

  1. Elicit social communication concerns with open then structured probes. [1]
  2. Observe joint attention, gesture, response to name and play. [4]
  3. Explain autism-specific screening limits and plan hearing check. [2] [3]
  4. Counsel referral, interim supports and safety-net with teach-back. [7] [8]
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References10ShowHide
  1. [1]Hyman SL Identification, Evaluation, and Management of Children With Autism Spectrum Disorder. Pediatrics, 2020.PMID 31843864
  2. [2]Robins DL Validation of the modified checklist for Autism in toddlers, revised with follow-up (M-CHAT-R/F). Pediatrics, 2014.PMID 24366990
  3. [3]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
  4. [4]Zubler JM Evidence-Informed Milestones for Developmental Surveillance Tools. Pediatrics, 2022.PMID 35132439
  5. [5]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
  6. [6]Forkey H Trauma-Informed Care. Pediatrics, 2021.PMID 34312292
  7. [7]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
  8. [8]Katz AL Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 2016.PMID 27456510
  9. [9]Kuo DZ Recognition and Management of Medical Complexity. Pediatrics, 2016.PMID 27940731
  10. [10]Starmer AJ Changes in medical errors after implementation of a handoff program. The New England journal of medicine, 2014.PMID 25372088
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