Paeds Cases · growth-development-and-behaviour
Family-centred goal setting — communication OSCE
OSCE on co-producing developmental goals with F-words language and fewer SMART targets.
osce communication and developmental counselling
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Target exams
MRCPCH ClinicalRACP DCE
Prompt
Caregivers of a 6-year-old with developmental disability; conflicting therapy goals; want a clear plan.
Objectives
- Demonstrate PFCC partnership language. [1]
- Elicit family priorities using F-words prompts. [11]
- Co-write two measurable goals and a review plan. [5]
- Identify structural barriers without blame. [13]
Candidate brief
12-minute station. Caregivers present. Multiple therapy letters conflict. Child not in acute danger. [1]
Expected actions
- Open with respect and shared agenda. [1]
- Ask what would make the next months successful for child and family. [11]
- Map Function/Family/Fitness/Fun/Friends/Future briefly. [11]
- Reduce to two co-owned SMART goals; mention GAS/COPM only if helpful. [5]
- Name a key contact and review date; written plain-language summary. [1]
- Ask about transport, cost, appointment load and housing barriers. [13]
- Teach-back: caregivers restate the two goals and next step. [1]
Marking
Pass: partnership tone, F-words/priority elicitation, few co-owned goals, barrier check, review plan. [1] [11]
Fail: lecture-only plan; twelve goals; blame for non-compliance; no review ownership. [13]
References
- [1]COMMITTEE ON HOSPITAL CARE and INSTITUTE FOR PATIENT- AND FAMILY-CENTERED CARE Patient- and family-centered care and the pediatrician's role. Pediatrics, 2012.PMID 22291118
- [5]Carman S Lower limb orthopedic surgery in children and adolescents with cerebral palsy is well captured using individualized Goal Attainment Scale (GAS) and Canadian Occupational Performance Measure (COPM) goals. Disability and rehabilitation, 2025.PMID 40257191
- [11]Canlas K Families' perspectives and experiences in using the F-words for Child Development in daily life and services. Disability and rehabilitation, 2026.PMID 42400954
- [13]King G Does the healthcare system support family-centred service?: linking structural issues in healthcare service delivery to parents' relational experiences of care. Disability and rehabilitation, 2026.PMID 41879330