Medication reconciliation and polypharmacy in children

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Target exams

Red flags

• Unintentional omission of critical chronic therapy (anticonvulsant, steroid, insulin, immunosuppressant)
• Unknown home regimen in a technology-dependent or critically ill child
• Therapeutic duplication of high-alert or sedating medicines
• Liquid concentration unknown with volume-only dosing
• Temporary inpatient medicines left on the discharge list
• Caregiver cannot demonstrate the correct dose after counselling
• Language discordance without professional interpreter for medication teaching

Life stages

Care settings

Clinical exam formats

Board mappings

• General and Community Paediatrics
• Clinical Pharmacology and Therapeutics
• Current 2026 PREP curriculum — Learning Objective 1.2.2: Communicate with parents or carers
• Current 2026 PREP curriculum — Learning Objective 2.2.1: Recognise, prioritise and manage an acutely ill infant, child or young person
• Renewed curriculum for first-year trainees from 2027 — Learning goal 5: Clinical assessment – essential general paediatrics
• Renewed curriculum for first-year trainees from 2027 — Learning goal 6: Clinical management – essential general paediatrics
• Renewed curriculum for first-year trainees from 2027 — Learning goal 12: Communication with patients, families, and health professionals
• Renewed curriculum for first-year trainees from 2027 — Learning goal 14: Regional, rural, and remote paediatric care
• Renewed curriculum for first-year trainees from 2027 — Learning goal 15: Essential general paediatrics
• Clinical Applications
• Patient safety and quality
• Long Cases
• Short Cases
• 4. Professional skills and knowledge: Patient management
• 7. Patient safety, including safe prescribing
• 2. Professional skills and knowledge: Communication
• 6. Leadership and team working
• Foundation of Practice (FOP)
• Applied Knowledge in Practice (AKP)
• History
• Communication
• Clinical
• General Pediatrics Content Outline — Domain 24: Patient Safety, Quality Improvement, and Research Methods
• General Pediatrics Content Outline — Domain 1: Preventive Pediatrics/Well-Child Care
• General Pediatrics EPA 8: Executing Clinical Handovers Within or Across Settings
• General Pediatrics EPA 10: Leading Interprofessional Teams to Provide Collaborative, Family-Centered Care
• Patient Care 5: Patient Management
• Systems-Based Practice 1: Patient Safety and Quality Improvement
• Systems-Based Practice 3: System Navigation for Patient Centered Care – Coordination of Care
• Systems-Based Practice 4: System Navigation for Patient-Centered Care – Transitions in Care
• Interpersonal and Communication Skills 1: Patient- and Family-Centered Communication
• Interpersonal and Communication Skills 2: Interprofessional and Team Communication
• Medical Expert
• Collaborator
• Leader
• Communicator
• Pediatrics: Foundations EPA #10 — Transferring clinical information between health care providers during handover
• Pediatrics: Core EPA #11 — Coordinating transitions of care for patients with medical or psychosocial complexity