Paeds Vivas · professional-practice-and-evidence
Confidentiality with children and adolescents — branching viva
Branching viva on conditional confidentiality, Gillick/Fraser capacity, the three override thresholds, parental requests, electronic-record breaches and safeguarding overrides.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in adolescent clinic. The examiner will move from the opening confidentiality statement to capacity, an override scenario, a parental request and an electronic-record breach.
Stem
The examiner will test whether you can run a confidentiality-competent adolescent consultation under pressure and make a defensible override decision. [1] [6]
References8ShowHide
- [1]Chung RJ, Lee JB, Alderman EM, et al Confidentiality in the Care of Adolescents: Policy Statement. Pediatrics, 2024.PMID 38646690
- [2]Ford CA, Millstein SG Delivery of confidentiality assurances to adolescents by primary care physicians. Archives of pediatrics & adolescent medicine, 1997.PMID 9158445
- [3]Miller VA, Friedrich E, García-España JF, et al. Adolescents Spending Time Alone With Pediatricians During Routine Visits: Perspectives of Parents in a Primary Care Clinic. The Journal of adolescent health, 2018.PMID 29887486
- [4]Pasternak RH, Alderman EM, English A 21st Century Cures Act ONC Rule: Implications for Adolescent Care and Confidentiality Protections. Pediatrics, 2023.PMID 37010402
- [5]McKay EA, Brar P, Mehus CJ, et al. Parents' Perspectives on Confidentiality in Clinical Preventive Services for Adolescents. The Journal of adolescent health, 2025.PMID 40580168
- [6]Berlan ED, Bravender T Confidentiality, consent, and caring for the adolescent patient. Current opinion in pediatrics, 2009.PMID 19474734
- [9]Larcher V, Hutchinson A How should paediatricians assess Gillick competence? Archives of disease in childhood, 2010.PMID 19948515
- [13]Silber TJ Adolescent brain development and the mature minor doctrine. Adolescent medicine: state of the art reviews, 2011.PMID 22106735