Paeds Vivas · growth-development-and-behaviour
Children with disability in school and community settings — branching viva
Structured oral on school letters, ICF function, emergency plans and transition.
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Stem
You are in a general paediatric clinic. [2]
Examiner: What belongs in a school medical letter? [2]
Strong answer: Function across the school day, risks, specific supports, emergency steps, contacts and review date — not a diagnosis dump or legal placement order. [2]
Examiner: How do you assess the child for school planning? [3]
Strong answer: Map mobility, communication, toileting, learning, fatigue, behaviour, friendships and environment with child and family present. Family-centred partnership. [3]
Examiner: The child has a seizure at school. What should already be in place? [6]
Strong answer: Individual emergency plan, trained staff, accessible medication, emergency information summary for complex needs, clear contacts. Use standard first-aid/ALS algorithms. [6]
Examiner: The family is labelled non-compliant for absences. Response? [1]
Strong answer: Reframe systems barriers for CMC — medical, transport, toileting, bullying, coordination — and rebuild a shared plan. [1]
Examiner: The child is 15. What about transition? [5]
Strong answer: Start structured medical-home transition work years before transfer; include self-advocacy, portable summary and adult-provider pathway. [5]
References5ShowHide
- [1]Cohen E Children with medical complexity: an emerging population for clinical and research initiatives Pediatrics, 2011.PMID 21339266
- [2]Noritz G Providing a Primary Care Medical Home for Children and Youth With Cerebral Palsy Pediatrics, 2022.PMID 36404756
- [3]Committee on Hospital Care Patient- and family-centered care and the pediatrician's role Pediatrics, 2012.PMID 22291118
- [5]White PH Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home Pediatrics, 2018.PMID 30348754
- [6]American College of Emergency Physicians Emergency information form for children with special health care needs Annals of emergency medicine, 2010.PMID 20728781