Paeds Vivas · clinical-assessment-and-reasoning
Telehealth assessment and remote examination of children — branching viva
Branching viva on paediatric telehealth suitability, remote exam limits, EMS activation, stewardship and equity.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar covering acute video triage and a rural ED teleconsult. The examiner will challenge modality choice, remote examination limits, emergency activation and antibiotic stewardship.
Stem
A 20-month-old with fever and reduced feeding is on a medical-home video link. Separately, a rural ED wants advice about a pale infant. [1] [15]
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References15Show ledgerHide ledger
- [1]Curfman A Pediatric Telehealth in the COVID-19 Pandemic Era and Beyond Pediatrics, 2021.PMID 34215677
- [2]Curfman AL Telehealth: Improving Access to and Quality of Pediatric Health Care Pediatrics, 2021.PMID 34462339
- [3]Ray KN Antibiotic Prescribing During Pediatric Direct-to-Consumer Telemedicine Visits Pediatrics, 2019.PMID 30962253
- [4]Wittman SR Antibiotic Receipt for Pediatric Telemedicine Visits With Primary Care vs Direct-to-Consumer Vendors JAMA Netw Open, 2024.PMID 38483387
- [5]Marcin JP Impact of Tele-Emergency Consultations on Pediatric Interfacility Transfers: A Cluster-Randomized Crossover Trial JAMA Netw Open, 2023.PMID 36780158
- [6]Marcin JP Telemedicine vs Telephone Consultations and Medication Prescribing Errors Among Referring Physicians: A Cluster Randomized Crossover Trial JAMA Netw Open, 2024.PMID 38421649
- [7]Elliott T Conducting a Professional Telemedicine Visit Using High-Quality Webside Manner Curr Allergy Asthma Rep, 2022.PMID 35072928
- [8]Erkkola-Anttinen N Smartphone Otoscopy Performed by Parents Telemed J E Health, 2019.PMID 30040525
- [9]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
- [10]Samuels-Kalow M Like a dialogue: Teach-back in the emergency department Patient Educ Couns, 2016.PMID 26597382
- [11]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis Br J Gen Pract, 2025.PMID 39117428
- [12]Katz AL Informed Consent in Decision-Making in Pediatric Practice Pediatrics, 2016.PMID 27456510
- [13]Haynes SC Video vs Telephone Consultations for Pediatric Quality of Care in Emergency Departments Pediatrics, 2026.PMID 42409386
- [14]Foster C Remote Monitoring of Patient- and Family-Generated Health Data in Pediatrics Pediatrics, 2022.PMID 35102417
- [15]Schinasi DA Telehealth in pediatric emergency medicine Curr Probl Pediatr Adolesc Health Care, 2021.PMID 33551336