Paeds Vivas · professional-practice-and-evidence
Goals-of-care conversations and advance care planning for children — branching viva
Branching structured oral on goals-of-care conversations and advance care planning for children: the Serious Illness Conversation Guide, age-appropriate tools, prognostic disclosure, resuscitation planning, documentation, disagreement and the evidence base.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar running goals-of-care encounters across a serious-illness service: an adolescent with relapsed cancer, a technology-dependent child with no plan, and a critically ill child in PICU. The examiner will probe the structure of the conversation, the evidence for advance care planning, prognostic disclosure, and the limits of partnership in disagreement and emergency.
Stem
You are running goals-of-care encounters across a serious-illness paediatric service. The examiner will challenge the structure, the evidence, the prognostic disclosure and the limits of the conversation in disagreement and emergency. [1] [2]
References10ShowHide
- [1]Rapoport A Goals of care conversations and advance care planning for paediatric patients living with serious illness. Paediatr Child Health, 2024.PMID 39539786
- [2]DeCourcey DD, Bernacki RE, Nava-Coulter B, Lach S, Xiong N, Wolfe J Feasibility of a Serious Illness Communication Program for Pediatric Advance Care Planning. JAMA Netw Open, 2024.PMID 39058485
- [3]Needle JS, Friebert S, Thompkins JD, Grossoehme DH, Baker JN, Jiang J, Wang J, Lyon ME Effect of the Family-Centered Advance Care Planning for Teens with Cancer Intervention on Sustainability of Congruence About End-of-Life Treatment Preferences: A Randomized Clinical Trial. JAMA Netw Open, 2022.PMID 35819787
- [4]Thompkins JD, Needle J, Baker JN, Briggs L, Cheng YI, Wang J, Friebert S, Lyon ME Pediatric Advance Care Planning and Families' Positive Caregiving Appraisals: An RCT. Pediatrics, 2021.PMID 33958436
- [5]Friebert S, Trujillo Rivera EA, Baker JN, Thompkins JD, Grossoehme D, Needle J, Lyon ME Pediatric Advance Care Planning and Adolescent Preparedness and Quality of Life: An RCT. Pediatrics, 2025.PMID 39821687
- [7]Brunetta J, Fahner J, Legemaat M, van den Bergh E, Krommenhoek K, Prinsze K, Kars M, Michiels E Age-Appropriate Advance Care Planning in Children Diagnosed with a Life-Limiting Condition: A Systematic Review. Children (Basel), 2022.PMID 35740767
- [8]Bennett HE, Duke S, Richardson A Paediatric advance care planning in life-limiting conditions: scoping review of parent experiences. BMJ Support Palliat Care, 2023.PMID 37201934
- [9]Loeffen EAH, Tissing WJE, Schuiling-Otten MA, de Kruiff CC, Kremer LCM, Verhagen AAE Individualised advance care planning in children with life-limiting conditions. Arch Dis Child, 2018.PMID 29127099
- [11]Wiener L, Bedoya S, Battles H, Sender L, Zabokrtsky K, Donovan KA, Thompson LMA, Lubrano di Ciccone BB, Babilonia MB, Fasciano K, Malinowski P, Lyon M, Thompkins J, Heath C, Velazquez D, Long-Traynor K, Fry A, Pao M Voicing their choices: Advance care planning with adolescents and young adults with cancer and other serious conditions. Palliat Support Care, 2022.PMID 35876450
- [12]Linane H, Tanjavur B, Sullivan L A scoping review of guidelines and frameworks for advance care planning for adolescents and young adults with life-limiting or life-threatening conditions. Palliat Med, 2024.PMID 38600067