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Paeds SAQsrural-remote-and-contextual-paediatrics

Paeds SAQs · rural-remote-and-contextual-paediatrics

Telepaediatrics and remote specialist support — formative SAQs

Formative SAQs on telepaediatrics and remote specialist support.

20 marks30 min
On this page & tools

Target exams

RACP General PaediatricsMRCPCH ClinicalRACP DWE

Target exams

RACP General PaediatricsMRCPCH ClinicalRACP DWE
Prompt
Telepaediatrics and remote specialist support: definition, escalation and equity

SAQ 1 (10)

A remote clinic asks for urgent video review of a neonate with respiratory distress while the retrieval team is two hours away. [1] [2]

a) Define the problem in one sentence and state the first safety priorities. (3 marks) [1]

b) Classify the situation using urgency, setting and equity axes. (3 marks) [1] [2]

c) List red flags that force immediate escalation or retrieval. (2 marks) [1]

d) Document the handover elements you would include in an SBAR call. (2 marks) [2]

SAQ 2 (10)

Local capability is limited and the family faces transport and cultural barriers. [1] [3]

a) Explain how you adapt the pathway honestly to local resources without delaying essentials. (3 marks) [1]

b) Describe cultural safety and interpreter actions you would take. (3 marks) [2]

c) Outline the stay-versus-go decision framework. (2 marks) [1]

d) Give safety-net and follow-up instructions for the family. (2 marks) [3]

References

  1. [1]Smith AC et al. Queensland Telepaediatric Service: A Review of the First 15 Years of Service. Front Digit Health, 2020.PMID 34713059
  2. [2]Smith AC et al. Clinical services and professional support: a review of mobile telepaediatric services in Queensland. Stud Health Technol Inform, 2010.PMID 21191168
  3. [3]Singh M et al. Four years of experience of telemedicine for paediatric care in three Punjab hospitals, North India: achievements and lessons. Postgrad Med J, 2010.PMID 20870650
  4. [4]Haynes SC et al. Video vs Telephone Consultations for Pediatric Quality of Care in Emergency Departments. Pediatrics, 2026.PMID 42409386
  5. [5]D'Arienzo D et al. The Role of Telemedicine on Interhospital Transfer Outcomes : A Systematic Review. Ann Intern Med, 2026.PMID 42407081
  6. [6]Shamsi A et al. Between Hope and Skepticism: Parent and Provider Expectations of Artificial Intelligence as a Bridge to Human-Centered Care for Children With Chronic Illness. Health Expect, 2026.PMID 42231841