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Paeds Casesclinical-assessment-and-reasoning

Paeds Cases · clinical-assessment-and-reasoning

Paediatric telehealth OSCE — video triage and rural consult

Observed structured encounter testing telehealth readiness checks, remote examination coaching, stewardship, EMS activation language and safety-netting.

osce communication and remote assessment 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 febrile toddler video visit with incomplete ear views. Station B is a rural ED requesting paediatric teleconsult support for a pale infant.

Station objectives

  1. Perform pre-visit safety checks including location. [1]
  2. Coach a caregiver-assisted remote exam and state limits. [1]
  3. Demonstrate stewardship when images are inadequate. [1]
  4. Activate EMS language for remote deterioration. [1]
  5. Close with teach-back and concrete safety-netting. [7] [11] [15]
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References15ShowHide
  1. [1]Curfman A Pediatric Telehealth in the COVID-19 Pandemic Era and Beyond Pediatrics, 2021.PMID 34215677
  2. [2]Curfman AL Telehealth: Improving Access to and Quality of Pediatric Health Care Pediatrics, 2021.PMID 34462339
  3. [3]Ray KN Antibiotic Prescribing During Pediatric Direct-to-Consumer Telemedicine Visits Pediatrics, 2019.PMID 30962253
  4. [4]Wittman SR Antibiotic Receipt for Pediatric Telemedicine Visits With Primary Care vs Direct-to-Consumer Vendors JAMA Netw Open, 2024.PMID 38483387
  5. [5]Marcin JP Impact of Tele-Emergency Consultations on Pediatric Interfacility Transfers: A Cluster-Randomized Crossover Trial JAMA Netw Open, 2023.PMID 36780158
  6. [6]Marcin JP Telemedicine vs Telephone Consultations and Medication Prescribing Errors Among Referring Physicians: A Cluster Randomized Crossover Trial JAMA Netw Open, 2024.PMID 38421649
  7. [7]Elliott T Conducting a Professional Telemedicine Visit Using High-Quality Webside Manner Curr Allergy Asthma Rep, 2022.PMID 35072928
  8. [8]Erkkola-Anttinen N Smartphone Otoscopy Performed by Parents Telemed J E Health, 2019.PMID 30040525
  9. [9]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
  10. [10]Samuels-Kalow M Like a dialogue: Teach-back in the emergency department Patient Educ Couns, 2016.PMID 26597382
  11. [11]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis Br J Gen Pract, 2025.PMID 39117428
  12. [12]Katz AL Informed Consent in Decision-Making in Pediatric Practice Pediatrics, 2016.PMID 27456510
  13. [13]Haynes SC Video vs Telephone Consultations for Pediatric Quality of Care in Emergency Departments Pediatrics, 2026.PMID 42409386
  14. [14]Foster C Remote Monitoring of Patient- and Family-Generated Health Data in Pediatrics Pediatrics, 2022.PMID 35102417
  15. [15]Schinasi DA Telehealth in pediatric emergency medicine Curr Probl Pediatr Adolesc Health Care, 2021.PMID 33551336
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