Paeds Vivas · preventive-and-community-paediatrics
Rural, regional and remote child-health inequities — branching viva
Viva on rural inequity mechanisms, readiness, telehealth versus retrieval and medical-home design.
On this page & tools
Target exams
Opening
Examiner: A rural ED rings you about a febrile infant with delayed capillary refill. Distance to paediatrics is hours. How do you structure the first minute of the call? [6]
Candidate model: Confirm identity and location; threat scan (airway, breathing, circulation, consciousness, glucose); local capability inventory; concurrent advice to treat and activate retrieval early if trajectory or capacity is unsafe; prefer video if available. [6] [14] [26]
You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.
References11Show ledgerHide ledger
- [1]Shipman SA Geographic maldistribution of primary care for children. Pediatrics, 2011.PMID 21172992
- [6]Gausche-Hill M A national assessment of pediatric readiness of emergency departments. JAMA pediatrics, 2015.PMID 25867088
- [7]Newgard CD Emergency Department Pediatric Readiness and Short-term and Long-term Mortality Among Children Receiving Emergency Care. JAMA network open, 2023.PMID 36637819
- [12]Curfman AL Telehealth: Improving Access to and Quality of Pediatric Health Care. Pediatrics, 2021.PMID 34462339
- [14]Marcin JP Impact of Tele-Emergency Consultations on Pediatric Interfacility Transfers: A Cluster-Randomized Crossover Trial. JAMA network open, 2023.PMID 36780158
- [15]Marcin JP Telemedicine vs Telephone Consultations and Medication Prescribing Errors Among Referring Physicians: A Cluster Randomized Crossover Trial. JAMA network open, 2024.PMID 38421649
- [19]Haggerty JL Continuity of care: a multidisciplinary review. BMJ (Clinical research ed.), 2003.PMID 14630762
- [21]Christakis DA Association of lower continuity of care with greater risk of emergency department use and hospitalization in children. Pediatrics, 2001.PMID 11230593
- [22]Council on Children with Disabilities and Medical Home Implementation Project Advisory Committee Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems. Pediatrics, 2014.PMID 24777209
- [24]Bugeja L Drowning deaths of zero- to five-year-old children in Victorian dams, 1989-2001. The Australian journal of rural health, 2005.PMID 16171505
- [26]McCarron M A 10-year review of paediatric trauma inter-hospital retrieval patient outcomes in New South Wales (NSW), Australia. Injury, 2026.PMID 41887088