Paeds Cases · growth-development-and-behaviour
Specific learning disorders OSCE — evaluation and family counselling
OSCE on school-age academic underachievement: history, sensory exclusion, SLD counselling, rejection of vision therapy as primary treatment, and school–health plan.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is a 10-minute history and formulation with a parent of a Year 2 child who cannot read. Station B is counselling about diagnosis pathway, vision therapy requests and school supports.
Station objectives
- Take a domain-focused academic and developmental history. [3]
- Identify mandatory sensory and red-flag checks. [1]
- Explain SLD in plain language without diagnosing from a single worksheet. [3]
- Counsel against vision therapy as primary dyslexia treatment using AAP/Handler principles. [1] [2]
- Outline interim teaching, formal assessment and school coordination. [7] [17]
References6ShowHide
- [1]Handler SM Learning disabilities, dyslexia, and vision. Pediatrics, 2011.PMID 21357342
- [2]American Academy of Pediatrics, Section on Ophthalmology, Council on Children with Disabilities Joint statement--Learning disabilities, dyslexia, and vision. Pediatrics, 2009.PMID 19651597
- [3]Peterson RL Developmental dyslexia. Lancet, 2012.PMID 22513218
- [5]DuPaul GJ Comorbidity of LD and ADHD: implications of DSM-5 for assessment and treatment. Journal of learning disabilities, 2013.PMID 23144063
- [7]Torgesen JK Intensive remedial instruction for children with severe reading disabilities: immediate and long-term outcomes from two instructional approaches. Journal of learning disabilities, 2001.PMID 15497271
- [17]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