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Paeds Vivasadolescent-and-young-adult-medicine

Paeds Vivas · adolescent-and-young-adult-medicine

Transition readiness and transfer from paediatric to adult care — branching viva

Viva on structured transition, readiness assessment, the transfer package and rescue of the lost young adult.

branching clinical structured oral2 min readVerification in progress

Target exams

RACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Study tools

Target exams

RACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Clinic: 17-year-old with type 1 diabetes, fully paediatric-managed; no transition plan; family present; adult endocrinology not yet identified.

Opening (candidate)

I would frame transition as a multi-year process, not a birthday discharge. I would start now: introduce a transition policy, track and assess readiness, build self-management skills, produce a portable summary and a diabetes emergency plan, identify and introduce adult endocrinology with a warm handoff, and confirm the first adult visit happened. [1] [4]

Paediatrics Fellowship Pro

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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 library.

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References5ShowHide
  1. [1]White PH; Cooley WC Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
  2. [3]Sawicki GS; Lukens-Bull K; Yin X; Demars N; Huang IC; Livingood W; Reiss J; Wood D Measuring the transition readiness of youth with special healthcare needs: validation of the TRAQ--Transition Readiness Assessment Questionnaire. Journal of pediatric psychology, 2011.PMID 20040605
  3. [4]Suris JC; Akre C Key elements for, and indicators of, a successful transition: an international Delphi study. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2015.PMID 26003575
  4. [6]Gabriel P; McManus M; Rogers G; White P Outcome Evidence for Structured Pediatric to Adult Health Care Transition Interventions: A Systematic Review. The Journal of pediatrics, 2017.PMID 28668449
  5. [12]Lotstein DS; Seid M; Klingensmith G; Case D; Lawrence JM; Pihoker C; Writing Group for the SEARCH for Diabetes in Youth Study Transition from pediatric to adult care for youth diagnosed with type 1 diabetes in adolescence. Pediatrics, 2013.PMID 23530167
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