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.
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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]
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- [1]White PH; Cooley WC Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
- [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
- [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
- [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
- [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