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.
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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]
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Paediatrics Fellowship Pro
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 atlas.
References6Show ledgerHide ledger
- [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]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]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]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]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]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