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Paeds Vivasadolescent-and-young-adult-medicine

Paeds Vivas · adolescent-and-young-adult-medicine

Adolescent health in rural and remote settings — branching viva

Branching viva on the rural adolescent access gap, its mechanism, engineered confidentiality, the tiered service model, telehealth equity, and early retrieval activation.

branching clinical structured oral3 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Study tools

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar covering a remote region. The examiner will move from the access-gap mechanism to engineered confidentiality, telehealth equity, a suicidal adolescent in a one-doctor town, and chronic-disease transition.

Stem

The examiner will test whether you can defend rural adolescent care as an equity problem and run it under pressure of distance, workforce and confidentiality. [1] [6]

Paediatrics Fellowship Pro

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

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References6ShowHide
  1. [1]Boyd CP, Aisbett DL, Francis K et al Issues in rural adolescent mental health in Australia Rural and remote health, 2006.PMID 16506881
  2. [2]Goldman-Mellor S, Allen K, Kaplan MS Rural/Urban Disparities in Adolescent Nonfatal Suicidal Ideation and Suicide Attempt: A Population-Based Study Suicide & life-threatening behavior, 2018.PMID 28940747
  3. [3]Mseke EP, Jessup B, Barnett T A systematic review of the preferences of rural and remote youth for mental health service access: Telehealth versus face-to-face consultation The Australian journal of rural health, 2023.PMID 36606417
  4. [4]Chiccarelli E, North S, Pasternak RH Innovative Strategies for Addressing Adolescent Health in Primary Care Through Telehealth Pediatric clinics of North America, 2024.PMID 39003011
  5. [5]Brunner WM, Han Z, Tennyson S et al Impact of Rural School-Based Health Centers on Asthma Management The Journal of pediatrics, 2025.PMID 39491783
  6. [6]MacDowell M, Glasser M, Fitts M et al A national view of rural health workforce issues in the USA Rural and remote health, 2010.PMID 20658893
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