Paeds Vivas · professional-practice-and-evidence
Paediatric consultation with child, young person and family — branching viva
Structured oral on the triadic, developmentally-adapted paediatric consultation: Calgary-Cambridge structure, the age ladder, adolescent confidentiality and HEEADSSS, breaking bad news, and safety-netting.
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Study tools
Target exams
RACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A 3-year-old, a 14-year-old and a complex-chronic 8-year-old are each brought to your clinic. The examiner asks you to talk through how you would structure and adapt each consultation.
Opening
A paediatric consultation is a triad — clinician, child and family — and the child is a person and an informant, not a prop. I structure every encounter with Calgary-Cambridge, adapted to developmental stage, and I hear the child's voice alongside the parental account before I close. [1] [2]
References4ShowHide
- [1]Levetown M and American Academy of Pediatrics Committee on Bioethics Communicating with children and families: from everyday interactions to skill in conveying distressing information. Pediatrics, 2008.PMID 18450887
- [2]Howells RJ, Davies HA, Silverman JD, Archer JC, Mellon AF Assessment of doctors' consultation skills in the paediatric setting: the Paediatric Consultation Assessment Tool. Archives of disease in childhood, 2010.PMID 19019880
- [3]Ho J, Fong CK, Iskander A, Towns S, Steinbeck K Digital psychosocial assessment: An efficient and effective screening tool. Journal of paediatrics and child health, 2020.PMID 31883286
- [4]Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer. The oncologist, 2000.PMID 10964998