Paeds Vivas · adolescent-and-young-adult-medicine
Consent and confidential care for adolescents — branching viva
Branching viva on informed consent, decision-making capacity, conditional confidentiality, lawful override and electronic-record confidentiality.
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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 moves from consent principles to a capacity assessment, a confidentiality override, and an electronic-record confidentiality hazard.
Stem
The examiner will test whether you can run a consent and confidentiality encounter under pressure. [5] [4]
References9ShowHide
- [1]Ford CA Influence of physician confidentiality assurances on adolescents' willingness to disclose information and seek future health care. A randomized controlled trial. JAMA, 1997.PMID 9307357
- [2]Ford CA Delivery of confidentiality assurances to adolescents by primary care physicians. Archives of pediatrics & adolescent medicine, 1997.PMID 9158445
- [3]Miller VA Adolescents Spending Time Alone With Pediatricians During Routine Visits: Perspectives of Parents in a Primary Care Clinic. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2018.PMID 29887486
- [4]Chung RJ Confidentiality in the Care of Adolescents: Policy Statement. Pediatrics, 2024.PMID 38646690
- [5]Katz AL Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 2016.PMID 27456510
- [6]Weithorn LA When Does A Minor's Legal Competence To Make Health Care Decisions Matter? Pediatrics, 2020.PMID 32737229
- [7]Steinberg L Does recent research on adolescent brain development inform the mature minor doctrine? Journal of medicine and philosophy, 2013.PMID 23607975
- [8]Salter EK Conflating Capacity & Authority: Why We're Asking the Wrong Question in the Adolescent Decision-Making Debate. The Hastings Center report, 2017.PMID 28074581
- [9]English A Adolescent Consent and Confidentiality: Complexities in Context of the 21st Century Cures Act. Pediatrics, 2022.PMID 35531643