Paeds Cases · preventive-and-community-paediatrics
Toddler 18-month well visit — OSCE
OSCE on toddler health supervision, positive autism screen counselling and injury guidance.
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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
- Structure a toddler health supervision visit beyond immunisation. [1]
- Explain a positive autism screen without panic and with clear next steps. [4] [18]
- Deliver prioritised anticipatory guidance on injury, oral health, diet and discipline. [5] [8] [10] [12]
- Safety-net referrals with teach-back. [21]
References15ShowHide
- [1]Committee on Practice and Ambulatory Medicine 2025 Recommendations for Preventive Pediatric Health Care: Policy Statement. Pediatrics, 2025.PMID 39914362
- [2]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
- [3]Zubler JM Evidence-Informed Milestones for Developmental Surveillance Tools. Pediatrics, 2022.PMID 35132439
- [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]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
- [7]Clark MB Fluoride Use in Caries Prevention in the Primary Care Setting. Pediatrics, 2020.PMID 33257404
- [8]Krol DM Maintaining and Improving the Oral Health of Young Children. Pediatrics, 2023.PMID 36530159
- [9]Durbin DR Child Passenger Safety. Pediatrics, 2018.PMID 30166367
- [10]Sege RD Effective Discipline to Raise Healthy Children. Pediatrics, 2018.PMID 30397164
- [11]COUNCIL ON COMMUNICATIONS AND MEDIA Media and Young Minds. Pediatrics, 2016.PMID 27940793
- [12]Gardner HG Office-based counseling for unintentional injury prevention. Pediatrics, 2007.PMID 17200289
- [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
- [18]Aishworiya R Meta-analysis of the Modified Checklist for Autism in Toddlers, Revised/Follow-up for Screening. Pediatrics, 2023.PMID 37203373
- [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
- [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