Paeds Vivas · child-safety-and-social-paediatrics
Mandatory reporting and jurisdictional child-protection frameworks — viva
Branching structured oral on mandatory reporting and jurisdictional child-protection frameworks: the reasonable-belief threshold, the recognise-to-report pathway, jurisdictional variation in obligations, barriers to reporting, and communication with children and families.
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Target exams
RACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A 6-month-old infant presents with a femur fracture and a changing history; the candidate must explain the mandatory-reporting threshold, the investigations, the documentation standard, the consultation pathway and the family communication.
Opening question
A 6-month-old infant is brought to the emergency department with a swollen thigh. X-ray shows a spiral femur fracture. The parents say the infant rolled off a change table, but the infant is not yet rolling. Walk me through your mandatory-reporting obligations and the pathway you would follow. [13] [8]
References5ShowHide
- [1]Mathews B, Kenny MC Mandatory reporting legislation in the United States, Canada, and Australia: a cross-jurisdictional review of key features, differences, and issues. Child Maltreatment, 2008.PMID 18174348
- [8]Gilbert R, Kemp A, Thoburn J, Sidebotham P, Radford L, Glaser D, MacMillan HL Recognising and responding to child maltreatment. Lancet, 2009.PMID 19056119
- [13]Lindberg DM, Beaty B, Juarez-Colunga E, Wood JN, Runyan DK Testing for abuse in children with sentinel injuries. Pediatrics, 2015.PMID 26438705
- [6]Flaherty EG, Sege R Barriers to physician identification and reporting of child abuse. Pediatric Annals, 2005.PMID 15948346
- [16]Morrison SE, Bruce C, Wilson S Children's disclosure of sexual abuse: a systematic review of qualitative research exploring barriers and facilitators. Journal of Child Sexual Abuse, 2018.PMID 29488844