Health literacy and accessible paediatric information — branching viva

Branching structured oral on health literacy universal precautions, teach-back, plain language, millilitre dosing with oral syringes and pictograms, accessible discharge communication, language access and system design across paediatric care.

branching clinical structured oral3 min readVerification in progress

Prompt

You are the paediatric registrar fielding back-to-back communication challenges: a teaspoon-unit prescription, a complex discharge, a language-discordant family, and a clinic director proposing literacy screening. The examiner will probe the principles, the evidence and the limits of accessible information.

Stem

You are managing communication across a busy paediatric service. The examiner will test the principles, the evidence and the limits of making information genuinely accessible to every family. [1] [7]

Paediatrics Fellowship Pro

You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References8Show ledger

[1]DeWalt DA, Hink A Health literacy and child health outcomes: a systematic review of the literature. Pediatrics, 2009.PMID 19861480
[2]Yin HS, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study. Pediatrics, 2017.PMID 28759396
[3]Yin HS, Parker RM, Sanders LM, et al. Effect of Medication Label Units of Measure on Parent Choice of Dosing Tool: A Randomized Experiment. Academic pediatrics, 2016.PMID 27155289
[5]Schillinger D, Piette J, Grumbach K, Wang F, Wilson C, Daher C, Leong-Grotz K, Castro C, Bindman AB Closing the loop: physician communication with diabetic patients who have low health literacy. Archives of internal medicine, 2003.PMID 12523921
[7]DeWalt DA, Broucksou KA, Hawk V, et al. Developing and testing the health literacy universal precautions toolkit. Nursing outlook, 2011.PMID 21402204
[8]Glick AF, Farkas JS, Rosenberg RE, et al. Accuracy of Parent Perception of Comprehension of Discharge Instructions: Role of Plan Complexity and Health Literacy. Academic pediatrics, 2020.PMID 31954854
[10]Rajbhandari P, VanGeest J, Grossoehme DH, et al. Hospitalists' Practices and Barriers to Health-Literate Communication in Pediatric Inpatient Care. Hospital pediatrics, 2026.PMID 41921989
[12]Khan A, Yin HS, Brach C, et al. Association Between Parent Comfort With English and Adverse Events Among Hospitalized Children. JAMA pediatrics, 2020.PMID 33074313