Name: Preventive paediatrics and the well-child visit — branching viva
Creator: MedVellum
Published: 2026-07-11
Keywords: Preventive paediatrics and the well-child visit — branching viva, Vivas, preventive-and-community-paediatrics, RACP General Paediatrics, RACP DCE, MRCPCH Clinical, RCPSC Pediatrics, paediatrics fellowship exam, RACP General Paediatrics exam prep, RACP DWE paediatrics, RACP DCE paediatrics, RCPCH Progress+ curriculum, MRCPCH revision, ABP pediatrics certification, ACGME pediatrics, RCPSC pediatrics exam, general paediatrics viva, paediatrics long case, multi-board paediatrics atlas

Prompt

You are in a community paediatric clinic running health-supervision visits. The examiner will challenge definitions, prioritisation and safety conversion.

Stem

The examiner starts with a “routine” nine-month visit and then adds social and safety complexity. ^[1] ^[3]

References14Show

[24]Berman RS, Patel MR, Belamarich PF, et al. Screening for Poverty and Poverty-Related Social Determinants of Health. Pediatrics in review, 2018.PMID 29716966
[19]White PH, Cooley WC Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
[1]Committee on Practice and Ambulatory Medicine 2023 Recommendations for Preventive Pediatric Health Care. Pediatrics, 2023.PMID 36938620
[3]Lipkin PH, Macias MM Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
[5]Earls MF, Yogman MW, Mattson G, et al. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice. Pediatrics, 2019.PMID 30559120
[7]Schuster MA, Duan N, Regalado M, et al. Anticipatory guidance: what information do parents receive? What information do they want? Archives of pediatrics & adolescent medicine, 2000.PMID 11115301
[8]Coker TR, Moreno C, Shekelle PG, et al. Well-child care clinical practice redesign for serving low-income children. Pediatrics, 2014.PMID 24936004
[9]Duncan PM, Pirretti A, Earls MF, et al. Improving delivery of Bright Futures preventive services at the 9- and 24-month well child visit. Pediatrics, 2015.PMID 25548322
[11]Garner AS, Shonkoff JP Early childhood adversity, toxic stress, and the role of the pediatrician: translating developmental science into lifelong health. Pediatrics, 2012.PMID 22201148
[16]Medical Home Initiatives for Children With Special Needs Project Advisory Committee The medical home. Pediatrics, 2002.PMID 12093969
[18]Agostino H, Toulany A Considerations for privacy and confidentiality in adolescent health care service delivery. Paediatrics & child health, 2023.PMID 37205141
[20]Szilagyi, Moira A Health Care Issues for Children and Adolescents in Foster Care and Kinship Care. Pediatrics, 2015.PMID 26416941
[21]Turchi, Renee M Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems. Pediatrics, 2014.PMID 24777209
[23]Council on Community Pediatrics Poverty and Child Health in the United States. Pediatrics, 2016.PMID 26962238

Stem

The examiner starts with a “routine” nine-month visit and then adds social and safety complexity. ^[1] ^[3]

References14Show

[24]Berman RS, Patel MR, Belamarich PF, et al. Screening for Poverty and Poverty-Related Social Determinants of Health. Pediatrics in review, 2018.PMID 29716966
[19]White PH, Cooley WC Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
[1]Committee on Practice and Ambulatory Medicine 2023 Recommendations for Preventive Pediatric Health Care. Pediatrics, 2023.PMID 36938620
[3]Lipkin PH, Macias MM Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
[5]Earls MF, Yogman MW, Mattson G, et al. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice. Pediatrics, 2019.PMID 30559120
[7]Schuster MA, Duan N, Regalado M, et al. Anticipatory guidance: what information do parents receive? What information do they want? Archives of pediatrics & adolescent medicine, 2000.PMID 11115301
[8]Coker TR, Moreno C, Shekelle PG, et al. Well-child care clinical practice redesign for serving low-income children. Pediatrics, 2014.PMID 24936004
[9]Duncan PM, Pirretti A, Earls MF, et al. Improving delivery of Bright Futures preventive services at the 9- and 24-month well child visit. Pediatrics, 2015.PMID 25548322
[11]Garner AS, Shonkoff JP Early childhood adversity, toxic stress, and the role of the pediatrician: translating developmental science into lifelong health. Pediatrics, 2012.PMID 22201148
[16]Medical Home Initiatives for Children With Special Needs Project Advisory Committee The medical home. Pediatrics, 2002.PMID 12093969
[18]Agostino H, Toulany A Considerations for privacy and confidentiality in adolescent health care service delivery. Paediatrics & child health, 2023.PMID 37205141
[20]Szilagyi, Moira A Health Care Issues for Children and Adolescents in Foster Care and Kinship Care. Pediatrics, 2015.PMID 26416941
[21]Turchi, Renee M Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems. Pediatrics, 2014.PMID 24777209
[23]Council on Community Pediatrics Poverty and Child Health in the United States. Pediatrics, 2016.PMID 26962238