Paeds Cases · preventive-and-community-paediatrics
Sun protection counselling — communication OSCE
OSCE on layered photoprotection counselling, indoor tanning refusal and vitamin D messaging.
osce communication and preventive counselling
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Target exams
MRCPCH ClinicalRACP DCE
Prompt
9-year-old freckled child; family preparing for beach sports week; adolescent sibling used a tanning bed last year.
Objectives
- Elicit real outdoor and tanning behaviours without shaming. [3]
- Teach layered protection with a concrete beach-week plan. [1] [4]
- Clearly advise against indoor tanning for minors. [3] [9]
- Separate vitamin D optimisation from intentional UV exposure. [1]
- Use teach-back and address cost/practical barriers. [13]
Candidate brief
12-minute station. Parent of a freckled 9-year-old is present; adolescent sibling’s tanning-bed use may be disclosed. No acute illness. [3]
Marking anchors
- Opens with outdoor-activity-positive framing. [1]
- Covers shade, timing, clothing/hat, eyes, sunscreen amount/reapplication. [1] [4]
- Rejects indoor tanning with evidence-level plain language. [3] [9]
- Avoids recommending intentional midday unprotected sun for vitamin D. [1]
- Checks understanding with teach-back and documents plan. [3] [13]
Sample lines
"We want your child outside and active. Let's build a plan so they don't burn: shade tent, rash vest, hat, sunglasses, and sunscreen put on thickly and reapplied after swimming." [1] [4]
"Tanning beds are not a safe shortcut — they are linked with higher melanoma risk and are not recommended for young people." [9] [3]
References
- [1]Council on Environmental Health Ultraviolet radiation: a hazard to children and adolescents Pediatrics, 2011.PMID 21357336
- [3]Balk SJ Counseling on Sun Protection and Indoor Tanning Pediatrics, 2017.PMID 29127209
- [4]Balk SJ Sun Protection Pediatrics in review, 2023.PMID 37002351
- [9]Colantonio S The association of indoor tanning and melanoma in adults: systematic review and meta-analysis Journal of the American Academy of Dermatology, 2014.PMID 24629998
- [13]Akca G The Knowledge, Attitudes, and Practices of Parents Regarding Sun Protection for Their Children Advances in skin & wound care, 2024.PMID 38767427