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.
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Study tools
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
- Take a focused speech-language developmental history including red flags. [1]
- Observe social communication briefly and avoid over-reassurance. [7]
- Explain why hearing assessment is required. [1] [2]
- Counsel concurrent SLP/early support without diagnosing from the doorway. [1] [13]
- Use teach-back and a closed-loop follow-up plan. [13]
References7ShowHide
- [1]Rupert J Speech and Language Delay in Children. Am Fam Physician, 2023.PMID 37590860
- [2]McLaughlin MR Speech and language delay in children. Am Fam Physician, 2011.PMID 21568252
- [7]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
- [11]Robins DL Validation of the modified checklist for Autism in toddlers, revised with follow-up (M-CHAT-R/F). Pediatrics, 2014.PMID 24366990
- [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
- [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
- [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