Paeds Vivas · child-safety-and-social-paediatrics
Multidisciplinary child-protection case conference — viva
Branching structured oral on the multidisciplinary child-protection case conference: conference types and statutory purpose, the paediatrician's written report and verbal presentation, information-sharing principles, decision-making biases, and the prepare-present-plan algorithm.
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Target exams
RACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A case conference has been convened for a toddler with inflicted injuries; the candidate must explain the purpose and types of the conference, the paediatrician's preparation and report, the information-sharing principles, the management of decision-making biases, and the plan implementation and review process.
Opening question
You are the paediatric registrar. A 2-year-old has been admitted with an inflicted burn and healing fractures found on skeletal survey. The child-protection authority has convened an initial multidisciplinary case conference and invited you. Walk me through your understanding of the conference and your preparation. [5] [11]
References5ShowHide
- [1]Gilbert R, Kemp A, Thoburn J, Sidebotham P, Radford L, Glaser D, MacMillan HL Recognising and responding to child maltreatment. Lancet, 2009.PMID 19056119
- [2]Cowley LE, Maguire SA, Farewell DM, Kemp AM Factors influencing child protection professionals' decision-making and multidisciplinary collaboration in suspected abusive head trauma cases: a qualitative study. Child Abuse & Neglect, 2018.PMID 29913434
- [3]Jent JF, Eaton CK, Knickerbocker L, et al. Multidisciplinary Child Protection Decision Making About Physical Abuse: Determining Substantiation Thresholds and Biases. Children and Youth Services Review, 2011.PMID 21804681
- [5]Lo WC, Fung GP, Cheung PC Factors associated with multidisciplinary case conference outcomes in children admitted to a regional hospital in Hong Kong with suspected child abuse: a retrospective case series with internal comparison. Hong Kong Medical Journal, 2017.PMID 28416733
- [11]Kirk CB, Lucas-Herald A, Mok J Child protection medical assessments: why do we do them? Archives of Disease in Childhood, 2010.PMID 19846995