Clinical Scenarios

Clinical Scenario

Baby/Child/Youth Preventive Care


Objectives

By the end of Family Medicine Clerkship, students will be able to:

1. Conduct an age-appropriate well child visit that includes physical exam, growth, nutrition and development.
2. Address parental concerns, social context, and safety and provide relevant anticipatory guidance
(eg. Dental caries, family adjustment and sleeping position).
3. Assess vaccination status and counsel parents on the risks and benefits of vaccinations.
4. Use an evidence-based tool to help guide a well child visit.
5. Identify patients who require further assessment.
6. Inform caregivers of appropriate routine follow up intervals.

Clinical Cards

Microcases

https://cards.ucalgary.ca/deck/377

References

Recommended Resources Addressing the Objectives

Rourke Baby Record (RBR) evidence-based developmental history/exam/investigation checklist for babies 0-1month, 2-6month, 9-15 month, 18month-5yr Also includes vaccination track record + anticipatory guidance information

Objectives covered: All


http://www.rourkebabyrecord.ca/pdf/RBR2014Nat_Eng.pdf
Rourke L, Leduc D, Rourke J. Rourke Baby Record: Evidence-Based Infant/Child Health Maintenance. 2014; Available at: http://www.rourkebabyrecord.ca/pdf/RBR2014Nat_Eng.pdf. Accessed Aug/01, 2014.
No PMID


Foundational Knowledge

The well child exam: what, when, and why? (3 pages) Dated, but great resource for getting a basic framework of baby/child/youth preventive care.

Objectives covered: 2, 3, 6


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2327329/pdf/canfamphys00203-0075.pdf
Feldman W. The well child exam: what, when, and why? Can Fam Physician 1985 Jan;31:73-75.
PMID:21279145


Additional Resources


Good information on immunizations:

http://thehub.utoronto.ca/family/immunization/