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Paeds Casespreventive-and-community-paediatrics

Paeds Cases · preventive-and-community-paediatrics

Toddler 18-month well visit — OSCE

OSCE on toddler health supervision, positive autism screen counselling and injury guidance.

osce preventive visit and communication1 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
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Study tools

Target exams

MRCPCH ClinicalRACP DCE
Prompt
18-month-old for well-child visit; caregiver language concern and tantrum stress; M-CHAT-R/F positive after follow-up.

Objectives

  1. Structure a toddler health supervision visit beyond immunisation. [1]
  2. Explain a positive autism screen without panic and with clear next steps. [4] [18]
  3. Deliver prioritised anticipatory guidance on injury, oral health, diet and discipline. [5] [8] [10] [12]
  4. Safety-net referrals with teach-back. [21]
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References15ShowHide
  1. [1]Committee on Practice and Ambulatory Medicine 2025 Recommendations for Preventive Pediatric Health Care: Policy Statement. Pediatrics, 2025.PMID 39914362
  2. [2]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
  3. [3]Zubler JM Evidence-Informed Milestones for Developmental Surveillance Tools. Pediatrics, 2022.PMID 35132439
  4. [4]Robins DL Validation of the modified checklist for Autism in toddlers, revised with follow-up (M-CHAT-R/F). Pediatrics, 2014.PMID 24366990
  5. [5]Baker RD Diagnosis and prevention of iron deficiency and iron-deficiency anemia in infants and young children (0-3 years of age). Pediatrics, 2010.PMID 20923825
  6. [7]Clark MB Fluoride Use in Caries Prevention in the Primary Care Setting. Pediatrics, 2020.PMID 33257404
  7. [8]Krol DM Maintaining and Improving the Oral Health of Young Children. Pediatrics, 2023.PMID 36530159
  8. [9]Durbin DR Child Passenger Safety. Pediatrics, 2018.PMID 30166367
  9. [10]Sege RD Effective Discipline to Raise Healthy Children. Pediatrics, 2018.PMID 30397164
  10. [11]COUNCIL ON COMMUNICATIONS AND MEDIA Media and Young Minds. Pediatrics, 2016.PMID 27940793
  11. [12]Gardner HG Office-based counseling for unintentional injury prevention. Pediatrics, 2007.PMID 17200289
  12. [17]WHO Multicentre Growth Reference Study Group WHO Child Growth Standards based on length/height, weight and age. Acta paediatrica (Oslo, Norway : 1992). Supplement, 2006.PMID 16817681
  13. [18]Aishworiya R Meta-analysis of the Modified Checklist for Autism in Toddlers, Revised/Follow-up for Screening. Pediatrics, 2023.PMID 37203373
  14. [21]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
  15. [22]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
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