Paeds Vivas · professional-practice-and-evidence
Shared decision-making and assent in children — branching viva
Branching structured oral on shared decision-making, consent versus assent, decision aids, child participation, capacity and disagreement across acute and chronic paediatric scenarios.
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RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar running back-to-back decision encounters: a preference-sensitive imaging choice, an ADHD treatment start, and an adolescent disagreeing over a biologic. The examiner will probe the ethics of assent, the structure of shared decision-making, and the limits of partnership in emergencies.
Stem
You are running decision encounters across an acute and chronic paediatric service. The examiner will challenge the ethics, the structure and the limits of partnership. [4] [1]
References10ShowHide
- [1]COMMITTEE ON BIOETHICS Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 2016.PMID 27456514
- [2]Katz AL Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 2016.PMID 27456510
- [3]Levetown M Communicating with children and families: from everyday interactions to skill in conveying distressing information. Pediatrics, 2008.PMID 18450887
- [4]Wyatt KD, List B, Brinkman WB, Prutsky Lopez G, Asi N, Erwin P, Wang Z, Domecq Garces JP, Montori VM, LeBlanc A Shared Decision Making in Pediatrics: A Systematic Review and Meta-analysis. Academic pediatrics, 2015.PMID 25983006
- [5]Dodds CM, Britto MT, Denson LA, Lovell DJ, Saeed S, Lipstein EA Physicians' Perceptions of Shared Decision Making in Chronic Disease and Its Barriers and Facilitators. The Journal of pediatrics, 2016.PMID 26817588
- [6]Coyne I, O'Mathúna DP, Gibson F, et al. Interventions for promoting participation in shared decision-making for children with cancer. Cochrane Database of Systematic Reviews, 2016.PMID 27898175
- [7]Brinkman WB, Hartl Majcher J, Poling LM, Shi G, Zender M Shared decision-making to improve attention-deficit hyperactivity disorder care. Patient education and counseling, 2013.PMID 23669153
- [9]Hess EP, Homme JL, Kharbanda AB, Tzimenatos L Effect of the Head Computed Tomography Choice Decision Aid in Parents of Children With Minor Head Trauma: A Cluster Randomized Trial. JAMA network open, 2018.PMID 30646167
- [10]Quaye AA, Coyne I, Söderbäck M, et al. Children's active participation in decision-making processes during hospitalisation: An observational study. Journal of clinical nursing, 2019.PMID 31430412
- [11]Skains RM, Kuppermann N, Homme JL, Kharbanda AB What is the effect of a decision aid in potentially vulnerable parents? Insights from the head CT choice randomized trial. Health expectations, 2020.PMID 31758633