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Paeds SAQsgrowth-development-and-behaviour

Paeds SAQs · growth-development-and-behaviour

Adolescent transition for neurodevelopmental disability — formative SAQs

Formative SAQs on structured transition planning, readiness and warm handoff for neurodevelopmental disability.

20 marks30 min1 min readVerification in progress

Target exams

RACP General PaediatricsMRCPCH ClinicalABP General Pediatrics
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Study tools

Target exams

RACP General PaediatricsMRCPCH ClinicalABP General Pediatrics
Prompt
Adolescent transition for neurodevelopmental disability

SAQ 1 (10 marks)

A 15-year-old with intellectual disability and epilepsy still has only paediatric care. No adult providers are named. [1]

  1. Define health-care transition versus simple transfer. (2) [1]
  2. List the core elements of a structured transition pathway you would start now. (4) [1] [2]
  3. List four components of the portable transfer package. (4) [1] [7]

Model answer

Transition is a planned longitudinal process of preparation and continuous care; transfer is the administrative move of care/records alone. [1]

Elements: policy/introduction; tracking; readiness assessment/teaching; joint planning; warm handoff transfer; adult integration/follow-up. [1] [2]

Package: problem list; medications/allergies; emergency seizure plan; communication passport; named adult primary and specialty contacts; goals/preferences. [1] [7]

Paediatrics Fellowship Pro

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You have read the opening of this SAQ. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

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References7ShowHide
  1. [1]White PH Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
  2. [2]Cooley WC, Sagerman PJ Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics, 2011.PMID 21708806
  3. [3]Sawicki GS 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
  4. [7]Suris JC Key elements for, and indicators of, a successful transition: an international Delphi study. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2015.PMID 26003575
  5. [8]Suris JC Transition from paediatric to adult care: what makes it easier for parents? Child: care, health and development, 2017.PMID 27625071
  6. [12]Gabriel P Outcome Evidence for Structured Pediatric to Adult Health Care Transition Interventions: A Systematic Review. The Journal of pediatrics, 2017.PMID 28668449
  7. [17]Fortune J Transition to adulthood: Perspectives from young people with cerebral palsy, parents, and health professionals. Developmental medicine and child neurology, 2026.PMID 42277597
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