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Paeds Casesgrowth-development-and-behaviour

Paeds Cases · growth-development-and-behaviour

Speech and language delay OSCE — assessment and counselling

OSCE on toddler speech-language concern: history, observation, hearing pathway, counselling and closed-loop referral.

osce communication and developmental-counselling 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 24-month visit for ‘not talking’. Station B is counselling after you decide on concurrent audiology and SLP referral.

Station objectives

  1. Take a focused speech-language developmental history including red flags. [1]
  2. Observe social communication briefly and avoid over-reassurance. [7]
  3. Explain why hearing assessment is required. [1] [2]
  4. Counsel concurrent SLP/early support without diagnosing from the doorway. [1] [13]
  5. Use teach-back and a closed-loop follow-up plan. [13]
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References7ShowHide
  1. [1]Rupert J Speech and Language Delay in Children. Am Fam Physician, 2023.PMID 37590860
  2. [2]McLaughlin MR Speech and language delay in children. Am Fam Physician, 2011.PMID 21568252
  3. [7]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
  4. [11]Robins DL Validation of the modified checklist for Autism in toddlers, revised with follow-up (M-CHAT-R/F). Pediatrics, 2014.PMID 24366990
  5. [4]Bishop DVM Phase 2 of CATALISE: a multinational and multidisciplinary Delphi consensus study of problems with language development: Terminology. J Child Psychol Psychiatry, 2017.PMID 28369935
  6. [13]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
  7. [14]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI Evid Synth, 2020.PMID 32813387
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PreviousSpecific learning disorders OSCE — evaluation and family counsellinggrowth-development-and-behaviourNextStarting early intervention before the label — OSCEgrowth-development-and-behaviour