Culturally safe Indigenous child health visit — communication OSCE

Objectives

1. Build rapport and invite family supports without stereotyping. [1]
2. Reframe “non-compliance” as access/trust barriers. [8]
3. Create an ear/hearing plan with practical follow-up. [12]
4. Offer partnership with community-controlled care and use teach-back. [8]

Candidate brief

12-minute station. Grandmother and child present. No emergency. Prior notes label the family non-compliant after missed audiology. [1]

Expected actions

• Introduce self; ask preferred names; invite support person/liaison if wanted. [1]
• Acknowledge prior difficult care experiences without becoming defensive. [8]
• Take ear, hearing, school, housing, transport and smoke history as medical data. [6]
• Avoid shaming language; name structural barriers explicitly. [8]
• Explain OM and hearing risk in plain language; plan examination/treatment and audiology with transport support. [12]
• Offer ACCHO/Indigenous-led primary care partnership. [8]
• Teach-back: treatment, hearing test logistics, red flags, follow-up date. [1]

Marking

Pass: respectful rapport; structural reframe of missed care; clear ear/hearing plan; partnership offer; teach-back. [1] [12]
Fail: shaming; stereotype-based care; no hearing plan; dismissing community-controlled partnership; no safety-net. [8]