Antenatally diagnosed fetal conditions: paediatric planning — branching viva

Station opening

Examiner: "The fetal echocardiogram confirms hypoplastic left heart syndrome with a normal karyotype. What is your planning role?" [1]

Strong candidate (must-hit)

• Confirms the diagnosis and judges it time-critical and ductal-dependent; the paediatrician's role is to translate the diagnosis into a postnatal plan — place, time and capability of delivery. [1] [2]
• Plans a cardiac-centre delivery with prostaglandin E1 ready from birth, and the staged surgical strategy with neurodevelopmental follow-up. [1] [19]

Weak candidate

• "That is cardiology; I will see the baby on the ward after surgery." [1]
• Memorises a prostaglandin dose but cannot say why timing matters or who briefs the team. [19]