Paeds Vivas · clinical-assessment-and-reasoning
Shared-care planning across primary, secondary and tertiary care — branching viva
Branching viva on shared-care definitions, parent intermediaries, closed-loop co-management, oncology hub-and-spoke and transition.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar responsible for multi-level care design across clinic, ED and ward interfaces. The examiner will challenge definitions, co-management and disposition.
Stem
The examiner will move from definitions to a fragmented multi-specialty child, then to oncology shared care and transition. [2] [9]
References14ShowHide
- [1]Stille CJ, Primack WA, McLaughlin TJ, et al. Parents as information intermediaries between primary care and specialty physicians Pediatrics, 2007.PMID 18055672
- [2]Stille CJ, McLaughlin TJ, Primack WA, et al. Determinants and impact of generalist-specialist communication about pediatric outpatient referrals Pediatrics, 2006.PMID 17015522
- [3]Cooley WC Redefining primary pediatric care for children with special health care needs: the primary care medical home Curr Opin Pediatr, 2004.PMID 15548933
- [4]Seth R Children with Cancer: Shared Care and Transition of Care Indian J Pediatr, 2023.PMID 37368222
- [5]Slater P, Hastings Y, Nicholson J, et al. Fifteen years of shared care for paediatric oncology, haematology and palliative patients across Queensland: The role of Regional Case Managers Aust J Rural Health, 2023.PMID 36577741
- [6]Auger KA, Simon TD, Cooperberg D, et al. Summary of STARNet: Seamless Transitions and (Re)admissions Network Pediatrics, 2015.PMID 25489017
- [7]Council on Children with Disabilities Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems Pediatrics, 2014.PMID 24777209
- [8]McAllister JW, Presler E, Cooley WC Practice-based care coordination: a medical home essential Pediatrics, 2007.PMID 17766512
- [9]Kuo DZ, McAllister JW, Rossignol L, et al. Care Coordination for Children With Medical Complexity: Whose Care Is It, Anyway? Pediatrics, 2018.PMID 29496973
- [10]White PH, Cooley WC Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home Pediatrics, 2018.PMID 30348754
- [11]Conners GP, Kressly SJ, Perrin JM, et al. Nonemergency Acute Care: When It's Not the Medical Home Pediatrics, 2017.PMID 28557775
- [12]Cohen E, Quartarone S, Orkin J, et al. Effectiveness of Structured Care Coordination for Children With Medical Complexity: The Complex Care for Kids Ontario (CCKO) Randomized Clinical Trial JAMA Pediatr, 2023.PMID 36939728
- [13]Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program N Engl J Med, 2014.PMID 25372088
- [14]Stille CJ, Frantz J, Vogel LC, et al. Building communication between professionals at children's specialty hospitals and the medical home Clin Pediatr (Phila), 2009.PMID 19286621