Te Tiriti-informed well-child visit — communication OSCE

Objectives

1. Use Hui Process engagement without tokenism. [2]
2. Practise cultural safety (whānau-defined) rather than competence theatre. [1]
3. Complete enrolment and immunisation access actions. [17] [11]
4. Counsel smoke and safe sleep, including culturally designed options where available, without shame. [7] [9]

Candidate brief

12-minute station. Māmā and pēpē present. No acute illness. You are the paediatric doctor. [11]

Expected actions

• Greet, introduce role, ask how to address people present, connect before the problem list. [2]
• Ask about past care experiences that should shape today’s visit. [1]
• Confirm enrolment status and fix it actively; offer indicated immunisation. [17]
• Take a real sleep and smoke history; avoid shaming. [9]
• Teach room-share, firm flat bare surface, smoke-free environment; discuss wahakura/pēpi-pod style supports where available. [7]
• Teach-back the plan; name owner and follow-up. [11]
• Offer Māori health worker/kaiāwhina support if wanted. [11]

Marking

Pass: relationship-first engagement, cultural safety language, concrete equity actions (enrolment, immunisation, smoke/sleep), teach-back, no stereotyping. [1] [2]
Fail: “non-compliant Māori” framing; competence checklist without listening; ignoring smoke; delaying indicated vaccines for no reason; shame that blocks disclosure. [1] [9]