Infant health supervision 6–12 months OSCE — well visit and conversion

Station A — 9-month health supervision (10 minutes)

Candidate task: Conduct a focused health-supervision visit with a simulated caregiver. The infant is generally well. Feeding is mostly bottles of cow’s milk with few solids. The family just moved to a house with stairs. [1] [3]

Examiner checklist

• Opens with caregiver concerns and doorway wellness check. [1]
• Measures and plots growth, or clearly states weight, length and OFC. [1]
• Performs developmental surveillance with questions and an observation plan. [4]
• Identifies iron-risk feeding; advises against cow’s milk as main drink before 12 months; promotes iron-rich solids. [3] [2]
• Reinforces safe sleep. [5]
• Covers injury prevention for stairs and mobility, plus rear-facing car-seat principles. [6]
• Covers oral-health basics. [7]
• Screens family psychosocial context, mood and food security. [8]
• Gives a shared plan, early review if needed, and safety-net symptoms. [1]

Critical fails

Missing the iron-risk pattern entirely; no safety-net or follow-up; dismissing all development solely because the caregiver is not worried. [3] [4]

Station B — Converted acute visit (5–7 minutes)

Setup: A 12-month-old booked for vaccines is lethargic and mottled at check-in. [1]

Candidate task

State immediate actions and what you defer. [1]

Expected performance

Recognises conversion from preventive to emergency care; uses ABCDE language, calls for help, considers glucose, and follows local sepsis pathway wording; defers vaccines; communicates clearly with the caregiver; documents that visit type changed. [1]

Critical fails

Proceeding to inject vaccines first; discharging with viral reassurance only without assessment. [1]