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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

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

  1. Elicit a functional school-day history with the child and family. [3]
  2. Explain what will go into the school letter. [2]
  3. Confirm emergency-plan elements and training needs. [6]
  4. 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

  1. [2]Noritz G Providing a Primary Care Medical Home for Children and Youth With Cerebral Palsy Pediatrics, 2022.PMID 36404756
  2. [3]Committee on Hospital Care Patient- and family-centered care and the pediatrician's role Pediatrics, 2012.PMID 22291118
  3. [6]American College of Emergency Physicians Emergency information form for children with special health care needs Annals of emergency medicine, 2010.PMID 20728781
  4. [7]Karlsson P Stakeholders' views of the introduction of assistive technology in the classroom Child: care, health and development, 2017.PMID 28419501