Intruction for Examiner Time! : minute Scenario! T$e mot$er of t$i infant ;ant to 9no; ;$et$er $i/$er development i normal
T$e objective of t$i tation! ,$ -$ .$
To assess the student(s competency in performing a developmental screening in an infant$ To assess the student(s s*ill in presentation of the findings$ To assess the student(s ability to determine the child(s developmental milestones based on the findings
'our Ta9! ,$ -$ .$
Observe the student performing the examination on the child and listen to his/her presentation$ 0ive the appropriate mar*s to the student$ Allocate ix (<) minutes for the student to complete this exercise$ "o not interrupt or prompt the student during this examination and presentation$ f the student has finished performing the examination and presentation before the allocated & minutes" wait for the & minutes time limit before as*ing questions$ 1$ 2hen the student has finished examining the patient and presenting the findings" proceed to questions:
=5! $at developmental miletone $a t$i infant ac$ieved in 5> gro motor? 3> viion and fine motor? @> $earing and peec$? 6> pyc$oocialA =3! T$e c$ild i Bx mont$ old (age of c$ild)? ;$at do you tell t$e mot$er about $i/$er developmentA 3$ &$
f the student has not completed the physical examination by & minutes" the examiner may interrupt the student and as* the student to start his/her presentation$ The examiner may then proceed with the questions$
Page 4 of 6
DDD "O &OT S.0 .P T2E TOT# SCO-E of t$e candidate> DDD Pleae 0ar9 t$e O%# -#TI& after t$e c$ec9 lit>
Station &o>! FFFFFFFFFFFFFFFFF 0ar9ing C$ec9 lit Station
Candidate I"!FFFFFFFFFFFFFFFFFF
(: minute)
Item examine Building Rapport (Total 4marks) 0reet the parents and introduce self As* for parent(s and infant(s name 4xplain to parents procedure to be done and obtain permission 2ash hands %hand rub' Tehni!ues" (Total #$ marks) Assess the psychosocial milestones (5 marks) •
Smile and interact with infant and watch responsiveness$ %include wave
bye5bye/ clap hands/ plays pee*5a5boo in infant 6& months old' Observe for presence of stranger anxiety/ mouthing/hands and feet regard • /whether child holds mil* bottle/ drin*s from cup or hide toy partially/ completely to see whether infant can find it Assess the hearing and speech of the child ( 5 marks) •
Conduct distraction hearing test" at ear level" above and below ear level"
0ar9 allocated 5 5 5 5 @ 3 (#ny 3) @
and at midline %6& months' / observe whether infant responds to sound e$g$ turns eyes towards a sound source /change in activity %7& months' • Observe if infant coos" squeals" babbles" hears and understands Assess the vision and fine motor (5 marks)
3
Offer object to infant to see whether infant reaches and grasp object f infant does not reach for object" place object in infant(s palm and see
3 5
whether he holds it/if infant reaches and grasp object see whether infant can transfer object from one hand to another 8ove object from side to side ,9 degree and see whether infant follows
3
with eyes %7& months)/ n infant who can transfer object" use small object to test for presence of mature pincer grip %6& months' Assess the gross motor %3 mar*s' •
Observe what the infant can do in gross motor before approaching
•
him/her ;oo*/test for head lag/control
•
n prone position see whether infant supports on forearms/palms< crawls
•
n sitting position see whether infant sits with straight bac*/
•
unsupported/pivots n standing position see whether infant is able to bear weight/cruises/wal*s
5 5 5 5 5
Report %n Findings of e&amination (Total ' marks) Report Findings of psychosocial milestones achieved (4 marks) • •
drin*s from cup" demonstrate object permanence Report Findings of hearing and speech (4 marks) • •
>earing: response/distraction test Speech: sounds" words
3 3 (#ny 3) 3 3
0ar9 a;arded
Page 5 of 6 Report Findings of vision and fine motor milestones achieved (4 marks)
3 3
?ollows object/pincer grip =eaches or not reaches for object" holds/transfers Report Findings of gross motor milestones achieved (4 marks) • •
5 5 5 5
>ead control #rone position Sitting position • Standing position • &aminer*s !uestions (Total '$ marks) 2hat are the milestones this child has achieved in • •
3 3 3 3
+ross motor, -ision and fine motor, .earing and speeh, s0hosoial,
This child is @x months old %age of child'" what do you tell mother about his/her developmentB
3
Appropriate /delayed for his age
/84
Total
Any comments: +lo1al Rating" Irrespetive of the marks awarded2 grade the andidate using the ategor0 shown 1elow 10 irling the appropriate features o1served in the student"
#oor /?ail
Distinction
Approach
Eo consent" aw*ward" uses jargon" no interaction or ac*nowledgement of patient$ Feing rough and =ude to the patient or family members$
?ull greeting and introduction" appropriate level of confidence" #utting patient and parents at ease$ 8anner G language adjusted to suit the child
#atient physical comfort
nattentive to patient(s comfort or dignity e$g$ no draping and/or causes pain unnecessarily$
Consistently attentive to patient(s comfort and dignity$ Shows compassion and caring attitude$
Organisation of examination
Scattered" not5systematic" patient moved unnecessarily$ 2rong technique" use o f wrong testing materials" inadequate or incomplete physical examination$
Structured G systematic approach" clear instruction to child" select G use of appropriate testing materials"
#resentation s*ills
Eot systematic and haphaHard$ Out of context with the patient(s real problems$
#resents in a systematic and organiHed manner$ Demonstrate good clinical correlation$
Diagnosis
)nable to identify or incorrect identification of normal and abnormal development" incorrect conclusion
Accurate identification of n ormal and abnormal development" correct conclusion of child(s status
Overall
Gail
Pa
%orderline
"itinction
(Pleae Tic9 H one mot appropriate category for t$e candidate)
Page 6 of 6 Examiner* name FFFFFFFFFFFFFFFFFFFFFFSignature!FFFFFFFFFFFFFFFFF "ate! FFFFFFFFFFFFFFTime!FFFFFFFFFF
