Paeds Cases · adolescent-and-young-adult-medicine
Transition planning clinic — OSCE
OSCE on counselling a young person and family about structured transition from paediatric to adult care.
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Target exams
MRCPCH ClinicalRACP DCERCPSC Pediatrics
Prompt
A 17-year-old with type 1 diabetes and her family attend clinic; no transition plan exists and no adult provider has been identified; she is anxious about 'being dumped' at 18.
Station brief (8–10 minutes)
Counsel the young person and her family. Outline a structured transition plan to adult diabetes care. Address her anxiety about being "dumped" at 18. Do not invent jurisdiction-specific legal ages or benefit rates. [1]
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- [1]White PH; Cooley WC Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
- [3]Sawicki GS; Lukens-Bull K; Yin X; Demars N; Huang IC; Livingood W; Reiss J; Wood D Measuring the transition readiness of youth with special healthcare needs: validation of the TRAQ--Transition Readiness Assessment Questionnaire. Journal of pediatric psychology, 2011.PMID 20040605
- [5]Suris JC; Larocca S; Akre C; Ambresin AE; Bel M; Kaufmann M; Paglia L; Roux N; Vidal C Transition from paediatric to adult care: what makes it easier for parents? Child: care, health and development, 2017.PMID 27625071
- [6]Gabriel P; McManus M; Rogers G; White P Outcome Evidence for Structured Pediatric to Adult Health Care Transition Interventions: A Systematic Review. The Journal of pediatrics, 2017.PMID 28668449