Paeds Vivas · clinical-assessment-and-reasoning
Paediatric history and age-adapted consultation — branching viva
Branching viva on multi-party paediatric history, adolescent confidentiality, interpreters, trauma-informed technique, teach-back and safety-netting.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar seeing a sequence of linked consultation problems: a toddler with fever, then an adolescent with mixed medical and psychosocial concerns in the same shift structure. The examiner will challenge communication ethics, history structure and discharge safety.
Stem
You are in a mixed acute paediatric setting. The examiner will move you through history technique, ethics and disposition. [2] [14]
References17ShowHide
- [1]Coble C Teaching SSHADESS Versus HEADSS to Medical Students: An Association With Improved Communication Skills and Increased Psychosocial Factor Assessments Acad Pediatr, 2023.PMID 36130691
- [2]Svetaz MV Adolescent Health: Communication With Adolescent Patients FP Essent, 2021.PMID 34410092
- [3]Katz AL Informed Consent in Decision-Making in Pediatric Practice Pediatrics, 2016.PMID 27456510
- [4]COMMITTEE ON BIOETHICS Informed Consent in Decision-Making in Pediatric Practice Pediatrics, 2016.PMID 27456514
- [5]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review JBI Evid Synth, 2020.PMID 32813387
- [6]Gutman CK Professional Interpreter Use and Discharge Communication in the Pediatric Emergency Department Acad Pediatr, 2018.PMID 30048713
- [7]Samuels-Kalow M Like a dialogue: Teach-back in the emergency department Patient Educ Couns, 2016.PMID 26597382
- [8]Naureckas Li C Medication Education for Dosing Safety: A Randomized Controlled Trial Ann Emerg Med, 2020.PMID 32807539
- [9]Samuels-Kalow ME Analysis of a Medication Safety Intervention in the Pediatric Emergency Department JAMA Netw Open, 2024.PMID 38214929
- [10]Mills E Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study Lancet Child Adolesc Health, 2025.PMID 40451224
- [11]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis Br J Gen Pract, 2025.PMID 39117428
- [12]Starmer AJ Changes in medical errors after implementation of a handoff program N Engl J Med, 2014.PMID 25372088
- [13]Kuo DZ Recognition and Management of Medical Complexity Pediatrics, 2016.PMID 27940731
- [14]Davidson JE Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU Crit Care Med, 2017.PMID 27984278
- [15]Forkey H Trauma-Informed Care Pediatrics, 2021.PMID 34312292
- [16]Duffee J Trauma-Informed Care in Child Health Systems Pediatrics, 2021.PMID 34312294
- [17]Forkey H Trauma-Informed Strategies in Pediatric Primary Care Pediatr Clin North Am, 2024.PMID 39433381