Adult congenital heart disease transition — branching viva

Branch 1 — Define the task

Examiner: She is about to leave paediatric care. What is your overall goal, and what is the difference between transition and transfer? ^[3]

Candidate: My goal is to get her safely into lifelong adult ACHD care without a gap. Transition is the planned, staged process of preparing her and her family for that move — building her knowledge of her own anatomy, her self-management, and her self-advocacy over years. Transfer is only the single event of her first adult appointment. The danger is treating the transfer as the whole task and discharging her with a letter; that is how young people fall out of care. I want a deliberate process ending in a confirmed appointment at a named adult centre, ideally near her new university city. ^{[3] [1]}