Transition planning clinic — OSCE

Station brief (8–10 minutes)

Counsel the young person and her family. Outline a structured transition plan to adult diabetes care. Address her anxiety about being "dumped" at 18. Do not invent jurisdiction-specific legal ages or benefit rates. [1]

Tasks for the candidate

1. Address the young person first and acknowledge the fear of being abandoned at 18. [1]
2. Explain transition as a multi-year process, not a birthday discharge. [1]
3. Lay out practical next steps: readiness assessment, portable summary, diabetes emergency plan, finding adult endocrinology, and a warm handoff. [1] [3]
4. Prepare the family: a timeline, gradual shift of visit leadership, and their continuing role. [5]
5. Safety-net: what happens if she misses an appointment or adult care is not yet secured before transfer. [1] [6]

Expected performance

Must hit. Process not dump; young person addressed and included; portable summary plus emergency plan; named adult home identified and confirmed; family prepared; unsafe to discharge without receiving care. [1] [5]

Merit. Uses the readiness score as a teaching map rather than a gate; describes a warm handoff and post-transfer follow-up; commits to active re-engagement if she is lost to follow-up. [3] [6]

Fail. Birthday discharge only; ignores the young person's anxiety; invents legal cut-offs; no emergency plan; no named adult provider. [1]

Sample candidate structure

"Transition is a process we start now, not something that happens to you on your birthday. We will build your skills, write a clear summary and a diabetes sick-day plan, find an adult diabetes team and introduce you to them together, and make sure your first appointment there actually happens before we step back. If you ever miss an appointment, we will come and find you, because losing touch is the one thing we are trying to prevent." [1] [5] [6]