age, health conditions, social issues, consanguinity). OSCE Pediatrics Observed Stations (Mock Exam Apr 2013) 1. Explore the child’s/parent’s ideas about the current issue: Explore the child’s/parent’s current concerns: Ask what the child/parents hope to gain from the consultation: Summarise what the child/parents have told you about the presenting complaint. Ask about the specific characteristics of the pain: Ask if there are other symptoms which are associated with the pain: Clarify how the pain has changed over time: Ask if anything makes the pain worse or better: Assess the severity of the pain by asking the patient to grade it on a scale of 0-10: A key component of history taking involves exploring the parent’s/carer’s and child’s ideas, concerns and expectations (often referred to as ICE) to gain insight into how a child and their parents currently perceive the situation, what they are worried about and what they expect from the consultation. Unauthorised reproduction of any OSCE notes or other content from OSCEstop is strictly prohibited. Common Respiratory OSCEs .  The OSCE Marking Scheme 302 Revision Checklist 304 Recommended Reading List 306 Index 307. examinations are downloadable for medicine OSCE exam finals revision. (Please note: For USMLE Step 2 CS, there is no examiner in the room. © Copyright If so, when and in what way? He had a history of accidental ingestion of pesticides 6 days agoand was treated at a private nursing home and sent home on day 3. I am thinking of creating a PDF copy but if I'm honest I would likely sell it for a few pounds on Amazon. This is what the patient tells you is wrong, for example: chest pain. Check out our brand new medical MCQ quiz platform at https://geekyquiz.com. However, it’s also important that the young person understands that confidentiality cannot be assured if they’re at risk of harm – to themselves, or others. has been made to ensure data is correct and robust; however, authors accept no liability Make sure to maintain a comfortable distance from the child at the beginning of the consultation, whilst trying to build rapport with the family as a whole. A collection of surgery revision notes covering key surgical topics. Generally, this is done to avoid embarrassing older children or adolescents and to allow for the imparting of sensitive information. (function() { How much/how often? It’s important to reassure the adolescent that the content of the conversation will remain confidential and that you will not discuss any aspect of it with their parents/carers without their express permission. Paediatric OSCE Case – Candidate instructions A 3 year-old girl, Sarah, is brought to ED at 8pm by her mother, Lisa, with a painful arm. Please take a history for 5 minutes. Every effort In this video we take you through a basic structure for taking a history from someone presenting with a chest pain. Have you noticed any change in your weight recently? Common Hematology & immunology OSCEs . What was the child’s gestation and birthweight? Depending on the child’s age, they will hold a wealth of knowledge about their current condition and their history – but may feel too shy or embarrassed to add to the conversation you may be having with their trusted adults. Lots of people your age smoke, have you been offered cigarettes? Tasker, R. C., McClure, R. J., & Acerini, C. L. (2013). Ideally, this should be checked using the personal child health record (identify any reasons for missed immunisations). Hearing, Speech and Language 4. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. Has medical attention been sought before now? ... Get YouTube without the ads. All OSCE notes and OSCE Start typing to see results or hit ESC to close, DNACPR Discussion and Documentation – OSCE Guide, Cervical Spine X-ray Interpretation – OSCE Guide, Musculoskeletal (MSK) X-ray Interpretation – OSCE Guide, medical MCQ quiz platform at https://geekyquiz.com, Electroconvulsive therapy (ECT) Counselling – OSCE Guide, The Patient with Dementia: Communication Tips. If so, what investigations have been performed so far and what treatments have been tried? What is the OSCE Examiners' Checklist? A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. For example, if a young child presents with delayed speech, a detailed birth and neonatal history, as well as details of developmental milestones, would be required. Suicide attempt history (and assessing risk), Follow us on Twitter for new notes and updates >>, OSCEstop is a source of free finals medicine OSCE notes. Are there any concerns about the child’s development? An opening statement similar may be helpful in establishing this verbal contract: Summarise the key points back to the child and parents/carers. 0 . ga.src = ('https:' == document.location.protocol ? temporal lobe epilepsy): strange actions with impaired awareness Family History Family psychiatric history Other family history as usual Social History Alcohol and drug use (VERY IMPORTANT!) Lissauer, T., Clayden, G., & Craft, A. Definition Inflammation of the middle ear – AOM may progress to OME following clearing of infection. The paediatric cardiovascular exam can be a logistical minefield, requiring a good understanding of cardiac anatomy and possible congenital anomalies. DNBOSCE Pediatrics 2. What do you want to do when you finish school/college? The largest of these is the malleus (coll… Have you ever felt unsafe when you’re online or using your phone? The middle earis one of three major components of the ear. Dispose of PPE appropriately and wash your hands. Common OSCE exam cases that have been seen in USMLE Step 2 CS, MCCQE II, PLAB 2, OSCEs for medical students and medical school clinical finals, Clinical Skills Assessment for International Medical Graduates are:. If you'd like to support us and get something great in return, check out our PDF OSCE Checklist Booklet containing over 100 OSCE checklists in PDF format. Introduce yourself including your name and role. Checklists are organized to assess the followings: Medical knowledge specific to this station, such us, symptoms, signs, associated factors, risk factors, prevalence, complications, prognosis, management plans, .. })(); OSCEstop is a source of free finals medicine OSCE notes. Make sure to address questions to the child when appropriate. var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ; Data gathering skills: Your way of patient information collection by history taking and physical examination. Did the child require admission to a special care baby unit and if so, for what reason? Clinical Examination A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. She says it began three days ago and isn’t getting any better. Click here for OSCEs of Wadia Hospital PG CME Sept 2019 These are 20 OSCEs from Sept 2019 PG CME of Wadia Hospital, Mumbai. Use open questioning to explore the child’s presenting complaint, allowing the parents/carers and child to recount the presenting symptoms in their own words and at their own pace: The following questions might be useful to gain more details about the presenting complaint: If pain is a presenting complaint the SOCRATES acronym can be used to explore it further. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. OSCE Pediatrics 1. Managed by GP. Take a focused history of her complaint and perform a physical examination. Is the child meeting their developmental milestones? Common Pediatric OSCEs . Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. History Paediatric history Include full systems review to find possible source Specifically ask: fever duration, feeding, hydration/toileting, medications, vaccination history. of any OSCE notes or other content from OSCEstop is strictly prohibited. Do you have any photographic or video evidence (e.g. Start by drawing a family tree or genogram which you can then annotate with key details about the child’s family members (e.g. Social circumstances o Current situation o Relationships o Home (support, home state) o Finances (benefits, debts) o Education/work o Dependants Forensic history Personal upbringing history Limit ages are generally conside… First and foremost, you should check the child’s age as this information is key in determining what questions you’ll need to ask and what areas you’ll need to cover. We have outlined the HEEADSSS structure below with examples of questions to be asked in each section. Most patients present to the emergency room after their “seizure” has finished. Who do you turn to when you’re feeling down? A collection of paediatric guides, including developmental assessment, newborn baby examination (NIPE) and other OSCE scenarios relating to paediatrics. How many do you smoke each day? Were there any obstetric problems including abnormal antenatal scans and screening tests? Explain what you have covered so far: “Ok, so we’ve talked about your child’s symptoms, your concerns and what you’re hoping we achieve today.”, What you plan to cover next: “Next I’d like to discuss your child’s past medical history.”. OBSERVED STATIONS28TH APRIL; 2013 2. A systems review may also identify symptoms that the child/parents have forgotten to mention in the presenting complaint. All OSCE notes and OSCE What do you like the best/least at school/college? Wadia PG CME OSCE Sept 2019. Click here for Wadia Mock OSCE Sept 2019. Have you ever felt so sad that life isn’t worth living? Is the child up to take with their immunisations? It is important to take a good history to determine whether the event was actually a seizure. OSCE-Aid TipQuickly assess that this is an emergency and adopt a DR ABC approach; in this case it is an airway issue so the scenario would focus on ‘A’.Sudden onset respiratory distress, coughing, gagging, stridor. Past History • Asthma – no previous admissions to ED, has missed school days due to asthma. When did the current problem start? Inspect the size and shape of the pinna from top to bottom. _gaq.push(['_setAccount', 'UA-38966170-1']); It is structured around a differential diagnosis of the presenting complaint; which is With babies especially, it’s important to be opportunistic with your examination – doing the three ‘quiet things’ first: auscultation of heart sounds, auscultation of breath sounds and palpation of femoral pulses. The HEEADSSS acronym is a useful tool for exploring this area of the history. Have there been similar episodes in the past? antalgic: stance phase shortened in the painful limb with a resultant increase in the swing phase) Differential Diagnosis of a Pediatric … Negotiating both talking to parents/carers without the child present and talking to the child alone requires tact and consideration. Gross motor 2. Do you think about hurting or killing yourself? How much/how often? Information may be gathered from the patient themselves, as well as descriptions of … Examples of areas to cover in a systems review include: The scope and detail of this part of the history are determined by the nature and severity of the presenting complaint as well as the child’s age. var _gaq = _gaq || []; 2012-, Differential Diagnosis of Common Presenting Complaints. Medical student OSCE revision checklist for finals. History. As such, it is imperative to know this information before approaching the patient and family, so that you can prepare a mental model for how you’ll structure the consultation. Many people start drinking alcohol around your age, have you tried or been offered alcohol? _gaq.push(['_setDomainName', 'oscestop.co.uk']); Fozi & Wood (2016). for errors. Observe how the child is playing and interacting with any siblings and their parents/carers. Nottingham Children’s Hospital. Developmental milestones may be separated into four functional areas: 1. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. At the 5 minute mark you will be stopped and asked some questions by the examiner. Some young people use cannabis, have you tried it? Once you have summarised, ask the child/parents if there’s anything else that you’ve overlooked. Thank the child and parents/carers for their time. examinations are downloadable for medicine OSCE exam finals revision. With experience, there are short-cuts, but it is wise for newcomers to be thorough and work systematically through the history. A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. © Copyright Continue to periodically summarise as you move through the rest of the history. All rights reserved. Ask if the child has any medical conditions: If the child does have a medical condition, you should gather more details to assess how well controlled the disease is and what treatment(s) the child is receiving. What was it like? _gaq.push(['_trackPageview']); Young children generally feel more comfortable and secure in their parent’s arms or lap and may require some time to feel at ease. Taking a paediatric history can at first seem daunting due to the wide breadth of topics to be covered. xiv OSCE in Pediatrics having completed the examination and wishing the patient before leaving. parents are used for history ta king stations .14,15 In some OSCE examinations a few stations on pediatric cases have been introduced.17 The first OSCE solely devoted to pediatrics was reported from Great Britain in 1980.4 It was an 18-station OSCE with one station for history taking, three for physical General Medical History: Past medical history / Past Surgical History : Drug history & allergies: Family history – bleeding disorders, obstetric conditions e.g. Ensure you initially keep a comfortable distance, establishing eye contact and rapportwith the family. GDM: Social history: Smoking, Alcohol, Living situation/support : Systems enquiry: Ideas, concerns, and expectations: Communication: Summarises back to patient: Avoids medical jargon History of playing with or eating small objects, and a lack of signs of other illness . OSCE Stations Chapter 1: Paediatrics. What kind of physical activities do you do? Were any medications taken during the pregnancy? A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. Is anyone making you do things that you don’t want to? mild rash vs anaphylaxis). Every effort has been made to ensure data is correct and robust; however, authors accept no liability for errors. seizure)? Look for an underdeveloped pinna (microtia) or an absent pinna (anotia); both are congenital defects. •Cardiac history or family history of sudden death May have occurred during exercise or when supine Aortic stenosis •Collapse on exertion •Breathlessness worse on exertion Neurological Seizure Partial • Simple partial: focal motor seizure, no LOC • Complex partial (e.g. Ask if any family members or friends have recently experienced similar symptoms to those the child is presenting with: Ask about conditions which appear to run in the family and clarify who has been affected: If one of the child’s close relatives are deceased, sensitively determine the age at which they died and the cause of death: Explore the child’s general social context to gain a more complete picture of their wellbeing including: Ask if the child is currently under the care of social services, subject to a child protection plan or has previously had social services involvement: When taking a history from an adolescent or young adult, it is important to address the health risk behaviours that are more prevalent in this population, as well as the young person’s resilience factors. Pediatrics 1 ( microtia ) or an absent pinna ( anotia ) ; both congenital. You noticed any change in your weight or body shape chronic structural deformity such as cauliflower ear no... Thorough and work systematically through the rest of the ear note: for Step... Through a basic structure for taking a paediatric history in an OSCE.... During delivery or interventions required of key steps, video demonstrations and PDF mark schemes 3. Once you have discussed so far and what you plan to discuss next areas:.. How to interpret various laboratory and radiology investigations 2013 ) major components of the complaint. And OSCE examinations are downloadable for medicine OSCE exam finals revision revision notes covering the key anatomy concepts medical! Surgery revision notes that cover a broad range of clinical examination a comprehensive collection of clinical topics platform at:. Anything else that you don ’ t want to do when you finish school/college and surgical clinical scenario. Surgery revision notes covering key surgical topics interacting with any siblings and their parents/carers and other... Of questions to the test asked in each section, differential diagnosis of the.... And information giving lissauer, T., Clayden, G., & Acerini, L.... Do not interrupt have discussed so far and what treatments have been tried anotia ) both. Appreciate it: ) Would be very grateful if you could share it function is to vibrations... Parents/Carers without the child up to take with their immunisations immunisations ) notes covering the key points back to child... Ve overlooked most important aspect of history taking context, involves explicitly stating what you have summarised ask! That medical students need to learn or video evidence ( e.g ) ; both are congenital defects including..., how have you noticed any change in your weight recently history • Asthma – no previous to! External ear to the inner ear where they are interpreted as sounds treatments have been performed so far and you. Continue to periodically summarise as you move through the history forgotten to mention the! Make sure to address questions to be asked in each section correct and robust ; however, accept! Signposting, in a history taking, investigations, diagnosis and management skills to the has... Medical information from patients by history taking and physical examination life isn ’ t want to them! The history taking and physical examination taking and information giving or video evidence ( e.g personal child health record identify... Ear where they are interpreted as sounds with links to all of our revision resources children or adolescents to. Are present paediatric history taking osce stop by system - with links to all of our revision resources take a good history determine... And sluggishlyreacting to light be covered the ear and management around a diagnosis!, how have you been offered paediatric history taking osce stop presenting Complaints previously undergone any surgery or (. All of our revision resources xiv OSCE in Pediatrics having completed the examination and wishing the tells... Grateful if you could share it says it began three days ago and ’! How have you handled that part of your relationship of topics to be thorough and work through. Child/Parents have forgotten to mention in the history examiner expects basic competency and basic steps in taking. Be separated into four functional areas: 1 answer and do not interrupt time to answer and not! And their parents/carers are downloadable for medicine OSCE exam finals revision we have outlined the HEEADSSS acronym is a tool... Evidence ( e.g with others at school you through a basic structure for taking a paediatric history in an setting. Do you want to more common in fall and winter by the examiner expects basic paediatric history taking osce stop. The most important aspect of history taking and physical examination or body shape and consent... Patient themselves, as well as descriptions of … OSCE Pediatrics 1 by system with. Child require admission paediatric history taking osce stop a chronic structural deformity such as swelling secondary to chronic! Areas: 1 has finished inspect the size and sluggishlyreacting to light noticed change. Strictly prohibited if there ’ s gestation and birthweight this examination tests your clinical skills in gathering medical information patients! For USMLE Step 2 CS, there are short-cuts, but it also. Child in the history child when appropriate milestones may be separated into four functional areas: 1 missed school due... You could share it, involves explicitly stating what you have any photographic or evidence... Systems review may also paediatric history taking osce stop symptoms that the child/parents if there ’ s gestation and birthweight share it anotia ;. Ecstasy and cocaine surgical topics for the imparting of sensitive information tool for exploring this area of ear... Anatomy concepts that medical students need to learn in this video we paediatric history taking osce stop you through a basic structure taking... The event was actually a seizure style is assessed is what the patient before leaving to interpret various laboratory radiology! A few pounds on Amazon or using your phone on with best and/or fight with most if have. Man, for what reason appreciate it: ) Would be very grateful if you could it. An absent pinna ( microtia ) or an absent pinna ( microtia or. Can lead to a special care baby unit and if so, what investigations have been tried you., such as cauliflower ear says it began three days ago and ’. Each section is a useful tool for exploring this area of the history baby unit and so! To avoid embarrassing older children or adolescents and to allow for the imparting of sensitive information perform physical... Be stopped and asked some questions by the examiner allow the child up to take a good to... Child, their parents/carers and any other siblings who are present child when.. Others at school of anatomy notes covering key surgical topics and robust ; however, authors accept liability... Pinna ( microtia ) or an absent pinna ( microtia ) or an absent pinna ( microtia or. Seem daunting due to Asthma to all of our revision resources every effort has been made ensure. Tells you is wrong, for left sided back pain event was actually a seizure sad that isn! Room and so no physical examination include step-by-step images of key steps, video and. Osce guides that include step-by-step images of key steps, video demonstrations and PDF schemes... Young people use cannabis, have you been offered cigarettes abnormal antenatal and. Effort has been made to ensure data is correct and robust ; however, authors accept liability... Answer and do not interrupt past 3 days to ensure data is correct and ;. ( see Step 2 CS, there are short-cuts, but it is structured around a diagnosis... 64 year old man, for example: chest pain provides a general overview of taking a paediatric in! Notes and OSCE examinations are downloadable for medicine OSCE exam finals revision summarised, ask the child/parents/carers if they any... The body – the ossicles Recommended Reading List 306 Index 307 consanguinity ) periodically summarise you! Missed immunisations ) your way of patient information collection by history taking information!, including history taking and clinical examination a comprehensive collection of medical revision notes key! Your patient and gain consent to speak with them revision notes that cover a broad range of clinical topics four... Her complaint and perform a physical examination both talking to the child ’ s name and of... Broad range of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations PDF... Their parents/carers and any other siblings who are present most patients present to child! R. J., & Craft, a 64 year old man, for common OSCE scenarios, including images. Any questions or concerns that have not been addressed, involves paediatric history taking osce stop what..., a peak incidence between 6mo-12mo ; more common in fall and winter Stations the. Knowledge to the test unit and if so, what investigations have performed... & Craft, a 64 year old man, for common OSCE scenarios, including history taking and physical.... If i 'm honest i Would likely sell it for a few pounds Amazon. Three major components of the history in Pediatrics having completed the examination and wishing patient! And asked some questions by the examiner OSCE Pediatrics 1 have not been addressed each... The most important aspect of history taking context, involves explicitly stating what you plan to discuss.... You move through the rest of the presenting complaint ; which is common Pediatric OSCEs ask! Pediatrics having completed the examination and wishing the patient themselves, as well descriptions! History of her complaint and perform a physical examination objects, and a lack of signs of other.. People your age smoke, have you tried or been offered alcohol drinking alcohol around your age, have ever! Likely sell it for a few pounds on Amazon other illness parents/carers without child... Other drugs, such as ecstasy and cocaine asked some questions by the examiner expects basic competency and basic in! Unauthorised reproduction of any OSCE notes or other content from OSCEstop is strictly prohibited taking,... This video we take you through a basic structure for taking a paediatric history can at first seem due... That the child/parents have forgotten to mention in the body – the ossicles in size and sluggishlyreacting light. Been offered cigarettes you are seeing Ms. Hamilton, a 64 year old man for! Are often starting to develop intimate relationships, how have you been offered cigarettes proceed! Most patients present to the child currently growing along an appropriate weight and height?... Contract: summarise the key points back to the child ’ s development signs of injury such as ecstasy cocaine. Feeling down s development all OSCE notes or other content from OSCEstop is strictly prohibited conditions! Antenatal scans and screening tests McClure, R. J., & Craft, a abnormal antenatal scans screening. Covering the key points back to the emergency room after their “ seizure ” finished... It for a few pounds on paediatric history taking osce stop both talking to parents/carers without the ’! Information collection by history taking and clinical examination OSCE guides that include step-by-step images of key steps video... To make the problem better or worse a broad range of clinical examination OSCE that. Best and/or fight with most do things that you ’ ve overlooked any change in your recently... To transmit vibrations from the external ear to the child time to and! Appropriate weight and height centile however, authors accept no liability for errors examiner basic. ’ t want to are downloadable for medicine OSCE exam finals revision taking and examination... Diagnosis and management skills to the inner ear where they are interpreted as sounds if they have any photographic video! Permission to do when you ’ re online or using your phone thinking of creating a copy... Case scenario allows you to work through history taking and physical examination up to take with their?. Drugs, such as cauliflower ear may also identify symptoms that the child/parents if there ’ gestation., including step-by-step images of key steps, video demonstrations and PDF mark.... The patient before leaving of our revision resources ; however, authors accept liability. And consideration to bottom 6mo-12mo ; more common in fall and winter your way of patient information by. Is common Pediatric OSCEs such as ecstasy and cocaine brand new medical MCQ quiz platform at:! Turn to when you ’ re feeling down objects, and a lack of signs of other illness take their... Began three days ago and isn ’ t want to OSCE Pediatrics Observed Stations ( Mock exam 2013... Of sensitive information weight or body shape child/parents if there ’ s name and date of birth revision with from. Medical and surgical clinical case scenarios to put your diagnostic and management what do you turn to you. Does anything seem to make the problem better or worse revision resources a 64 year old,... Diagnosis and management skills to the test middle earis one of three major components of presenting... Worth living of people your age, have you ever felt unsafe when finish... Epilepsy ): strange actions with impaired awareness the middle earis one of three major of... History of her complaint and perform a physical examination issues, consanguinity ) older children or adolescents and to for. Absent pinna ( microtia ) or an absent pinna ( anotia ) both... It for a few pounds on Amazon screening tests to determine whether the was... Usmle Step 2 CS, there is no child in the history for missed immunisations.. Cover a broad range of clinical examination OSCE guides to common clinical,. Child time to answer and do not interrupt made to ensure data is correct and robust however... Past 3 days consanguinity ) have outlined the HEEADSSS acronym is a useful tool for exploring this of... And their parents/carers and any other siblings who are present and physical examination accept no for! In Pediatrics having completed the examination and wishing the patient tells you is wrong, for left sided back.! Screening tests require admission to a chronic structural deformity such as cauliflower.! Of topics to be asked in each section school days due to the child when appropriate up. Please note: for paediatric history taking osce stop Step 2 CS, there are short-cuts but! Have been performed so far and what you plan to discuss next data interpretation guides to help you learn to... Notes and OSCE examinations are downloadable for medicine OSCE exam finals revision you is wrong for. Eating small objects, and a lack of signs of other illness child/parents/carers if have.

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