Growth measurement, charting and interpretation — viva · Paeds Vivas

Prompt

Bedside interpretation station for Growth measurement, charting and interpretation.

Stem

Examiner-led viva. [1]

Examiner: What is your opening approach? [1]

Strong answer: Measure correctly, age-adjust or chart correctly, interpret trend, act on threat. [1]

References

[1]Kuczmarski RJ 2000 CDC Growth Charts for the United States: methods and development. Vital and health statistics. Series 11, Data from the National Health Survey, 2002.PMID 12043359
[2]Fleming S Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: a systematic review of observational studies. Lancet (London, England), 2011.PMID 21411136
[3]Kuo DZ Recognition and Management of Medical Complexity. Pediatrics, 2016.PMID 27940731
[4]Mills E Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study. The Lancet. Child & adolescent health, 2025.PMID 40451224
[5]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI evidence synthesis, 2020.PMID 32813387
[6]Starmer AJ Changes in medical errors after implementation of a handoff program. The New England journal of medicine, 2014.PMID 25372088
[7]Katz AL Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 2016.PMID 27456510
[8]Forkey H Trauma-Informed Care. Pediatrics, 2021.PMID 34312292
[9]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis. The British journal of general practice : the journal of the Royal College of General Practitioners, 2025.PMID 39117428
[10]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861

Stem

Examiner-led viva. [1]

Examiner: What is your opening approach? [1]

Strong answer: Measure correctly, age-adjust or chart correctly, interpret trend, act on threat. [1]

References

[1]Kuczmarski RJ 2000 CDC Growth Charts for the United States: methods and development. Vital and health statistics. Series 11, Data from the National Health Survey, 2002.PMID 12043359
[2]Fleming S Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: a systematic review of observational studies. Lancet (London, England), 2011.PMID 21411136
[3]Kuo DZ Recognition and Management of Medical Complexity. Pediatrics, 2016.PMID 27940731
[4]Mills E Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study. The Lancet. Child & adolescent health, 2025.PMID 40451224
[5]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI evidence synthesis, 2020.PMID 32813387
[6]Starmer AJ Changes in medical errors after implementation of a handoff program. The New England journal of medicine, 2014.PMID 25372088
[7]Katz AL Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 2016.PMID 27456510
[8]Forkey H Trauma-Informed Care. Pediatrics, 2021.PMID 34312292
[9]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis. The British journal of general practice : the journal of the Royal College of General Practitioners, 2025.PMID 39117428
[10]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861