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Pediatrics

Students participate in a 1/2 day OSCE during the Pediatrics Clerkship. The OSCE is composed of 3 interview stations and one paper case station. The interview is performed with a standardized patient for 15 minutes and 5 minutes is given for feedback from a faculty observer. After the students have rotated through the 4 stations, a debriefing is held between all students and faculty where each case is reviewed, questions and difficulties are addressed and main teaching points are discussed.


OSCE

Station #1: Adolescent
Goals:
· Address confidentiality in an adolescent history
· Obtain an adolescent psychosocial history
· Provide appropriate counseling on health maintenance and disease prevention

Patient Scenario:
You are in the adolescent clinic. You have just met this doctor who is covering for your regular pediatrician and your initial impression is neutral. You have just finished the interview with your mother in the room. Your mother did most of the talking, expressing concern about the recent change in your behavior while your remained relatively quiet and apprehensive. You really want to talk freely about your concerns but only if your mother does not find out what is said.

Student Instructions:
You are a student in the adolescent clinic who will be seeing Jenny for the first time. You have just finished interviewing Jenny with her mother in the room. Jenny seemed a little apprehensive and remained very quiet, telling you only that everything is "fine" and reporting "nothing new". You have just left the room with her mother and are about to return to interview Jenny alone.

Station #2: Asthma
Goals:
· Assess parent's understanding of a child's illness
· Provide education about drug therapy and follow-up
· Write a prescription

Patient Scenario:
Your daughter, Maria, has been hospitalized for three days for an asthma attack. You have been happy with the care she has received by the team and she is now to be discharged. You will be meeting with a new student who has recently been assigned the case to discuss discharge plans.
Student Instructions:
You are the new student coming onto the team and have been assigned this case. You have received the above sign out and now will be meeting the mother for the first time to discuss discharge plans.


Station #3: Developmental Delay
Goals:
· Obtain a developmental history
· Use the Denver II as a resource when assessing development by history alone

Patient Scenario:
You are coming to see a new doctor today for a check up for your 25 month old son, Roberto. For a few months you have felt that he should be talking more than he does. At your recent well child visit, the pediatrician reassured you that this was not a problem ("he is still young" and "he'll catch up"). Although many people tell you that you are overly anxious, especially when it comes to your son, you are still worried about his speech and would like another opinion. You are waiting in the exam room and Roberto is asleep in his stroller.

Student Instructions:
You are a student in the clinic who will be meeting Roberto and his mother for the first time. Roberto is sleeping in the stroller; initial assessment will be by history alone.

Resources:
Faculty
Standardized Patients



 



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