Paeds Cases · growth-development-and-behaviour
School supports for a child with disability — communication OSCE
OSCE on functional school planning, letter content and emergency preparedness with family.
osce communication and preventive counselling
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Target exams
MRCPCH ClinicalRACP DCE
Prompt
9-year-old with cerebral palsy; parents request a school letter for toileting help, fatigue and seizure plan.
Objectives
- Elicit a functional school-day history with the child and family. [3]
- Explain what will go into the school letter. [2]
- Confirm emergency-plan elements and training needs. [6]
- Agree review and school-contact plan. [2]
Candidate brief
12-minute station. Parent and child present. No acute emergency. [2]
Expected actions
- Greet child first; invite their view of school. [3]
- Map mobility, toileting, fatigue, learning, friendships, seizures. [2]
- Avoid diagnosis-only language; discuss participation goals. [2]
- Explain letter contents: supports, risks, emergency steps, contacts, review. [2]
- Confirm who at school is trained and where the plan lives. [6]
- Discuss equipment/AAC only with implementation plan if relevant. [7]
- Teach-back: what school will receive and when to seek ED care. [3]
Marking
Pass: child-inclusive history; functional letter plan; emergency preparedness; shared goals. [2] [6]
Fail: diagnosis dump only; excludes child; no emergency plan; invents education-law orders. [2]
References
- [2]Noritz G Providing a Primary Care Medical Home for Children and Youth With Cerebral Palsy Pediatrics, 2022.PMID 36404756
- [3]Committee on Hospital Care Patient- and family-centered care and the pediatrician's role Pediatrics, 2012.PMID 22291118
- [6]American College of Emergency Physicians Emergency information form for children with special health care needs Annals of emergency medicine, 2010.PMID 20728781
- [7]Karlsson P Stakeholders' views of the introduction of assistive technology in the classroom Child: care, health and development, 2017.PMID 28419501