Paeds Cases · preventive-and-community-paediatrics
Vaccine hesitancy OSCE — MMR delay counselling station
Communication OSCE testing recommendation style, elicitation of autism concern, tailored response, negotiation of plan and documentation of refusal.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Parent of a healthy 12-month-old accepts other due vaccines but wants to delay MMR after reading online autism claims. Local measles cases reported. You have 8 minutes to counsel and agree a plan.
Station brief (candidate)
- Child: 12-month-old, well, development normal.
- Vaccines: other antigens acceptable today; MMR deferred by parent.
- Parent concern: autism after online reading.
- Context: measles circulating locally.
- Task: counsel, recommend, negotiate plan, safety-net. [3]
References5ShowHide
- [1]MacDonald NE Vaccine hesitancy: Definition, scope and determinants. Vaccine, 2015.PMID 25896383
- [2]Opel DJ, Mangione-Smith R The Influence of Provider Communication Behaviors on Parental Vaccine Acceptance and Visit Experience. American journal of public health, 2015.PMID 25790386
- [3]Nyhan B, Reifler J Effective messages in vaccine promotion: a randomized trial. Pediatrics, 2014.PMID 24590751
- [4]Diekema DS Responding to parental refusals of immunization of children. Pediatrics, 2005.PMID 15867060
- [5]Gagneur A, Gutnick D From vaccine hesitancy to vaccine motivation: A motivational interviewing based approach to vaccine counselling. Human vaccines & immunotherapeutics, 2024.PMID 39187772