Paediatric feeding disorder: nutritional and gastrointestinal management — branching viva

Station opening

Examiner: "Define paediatric feeding disorder and outline the principles of its nutritional and gastrointestinal management." [1]

Strong candidate (must-hit)

• Defines paediatric feeding disorder using the 2019 Goday consensus as impaired oral intake that is not age-appropriate, associated with medical, nutritional, feeding skill and/or psychosocial dysfunction, on the WHO International Classification of Functioning, Disability and Health framework; frames the management as a stepped multidisciplinary plan that treats the medical driver first (reflux, constipation, eosinophilic oesophagitis, allergy), builds feeding skill, applies structured behavioural intervention, supports nutrition with fortification or oral supplements, and escalates to enteral feeding with an active tube-weaning plan; states that assessing all four domains in parallel is the single most important principle. [1] [4]

Weak candidate

• "Feeding disorder is when a child won't eat, and I would refer them to a dietitian and a psychologist." [1]