Paeds Vivas · adolescent-and-young-adult-medicine
Adolescent consultation, HEEADSSS and confidentiality — branching viva
Branching structured oral on visit structure, time alone, conditional confidentiality, HEEADSSS domains, validated screens, a suicide disclosure, a portal breach, and transition.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in adolescent clinic. The examiner will move from visit structure to confidentiality, HEEADSSS, a positive screen, a suicide disclosure, a portal breach, and transition.
Stem
The examiner will test whether you can run a youth-friendly, confidential adolescent consultation under pressure, and act on what you find. [1] [4]
References8ShowHide
- [1]Cohen E HEADSS, a psychosocial risk assessment instrument: implications for designing effective intervention programs for runaway youth. Journal of adolescent health : official publication of the Society for Adolescent Medicine, 1991.PMID 1772892
- [2]Ford CA Delivery of confidentiality assurances to adolescents by primary care physicians. Archives of pediatrics & adolescent medicine, 1997.PMID 9158445
- [3]Miller VA Adolescents Spending Time Alone With Pediatricians During Routine Visits: Perspectives of Parents in a Primary Care Clinic. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2018.PMID 29887486
- [4]Chung RJ Confidentiality in the Care of Adolescents: Policy Statement. Pediatrics, 2024.PMID 38646690
- [5]Mangione CM, Barry MJ, Nicholson WK, et al. Screening for Depression and Suicide Risk in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA, 2022.PMID 36219440
- [6]Knight JR Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. Archives of pediatrics & adolescent medicine, 2002.PMID 12038895
- [7]White PH Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
- [8]Pasternak RH 21st Century Cures Act ONC Rule: Implications for Adolescent Care and Confidentiality Protections. Pediatrics, 2023.PMID 37010402