School-age health supervision — OSCE

Objectives

1. Open a school-age visit with child voice and clear agenda. [1]
2. Prioritise measures and screens (growth/BMI, sleep, vision pathway, learning). [3] [8]
3. Counsel without stigma and safety-net with a shared plan. [16]
4. Handle sports-form questions with PPE risk awareness. [15]

Candidate brief

12-minute station. Parent and child present for “sports form and behaviour at school.” Growth chart shows rising BMI. Sleep is 8 hours with screens. No cardiac symptoms on history cards provided after you ask. [1]

Expected actions

• Greet child by name; ask school/friends/sleep before parent monologue. [1]
• Explain you will complete health supervision, not only a signature. [1]
• Discuss BMI trend using neutral health language; avoid shame. [3] [16]
• Set sleep goal toward AASM school-age needs; remove bedtime devices. [8]
• Plan vision check and teacher information before ADHD conclusions. [5]
• Give activity guidance (~60 min/day MVPA concept) as play. [6]
• Mention teeth/fluoride/dental home briefly. [9]
• For sport: screen exertional symptoms/family cardiac history; clear only if appropriate. [15]
• Safety-net: earlier review if mood drops, headaches with reading, or school crisis. [1]

Examiner prompts

• “Parent: just sign the form.” → Reframe visit. [1]
• “Is this ADHD medication day?” → Structured evaluation first. [5]
• “Are you calling my child fat?” → Stigma-aware repair. [16]

Marking foci

• Child-centred communication [1]
• Correct preventive priorities [1]
• Non-stigmatising BMI counselling [16]
• Safe sports clearance reasoning [15]
• Clear follow-up plan [1]