Independent NAC OSCE preparation by BoardQBank
Important: Exam dates, fees and policies can change. Verify time-sensitive details on the official Medical Council of Canada website.
Child health module

Pediatrics

Age-appropriate assessment, caregiver communication and recognition of the unwell child.

Module objectives

By the end of this module, you should be able to gather focused information, identify the most likely and most dangerous diagnoses, choose appropriate investigations, begin safe management and communicate the plan clearly.

Core presentations

Fever in infants and children

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Respiratory distress and wheeze

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Dehydration, vomiting and diarrhea

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Rash and infectious presentations

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Growth and developmental concerns

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Newborn feeding and jaundice

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Immunization counselling

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Adolescent confidentiality

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Child maltreatment and safeguarding

Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.

Expected station skills

  • Observe before touching
  • Age-specific vital-sign interpretation
  • Hydration and work-of-breathing assessment
  • Communicate with child and caregiver
  • Weight-based safe planning
Module drill: For each presentation, state the leading diagnosis, the dangerous alternative, one discriminating question, one discriminating examination finding and the first action if the patient is unstable.

Red flags and escalation

  • Toxic appearance
  • Non-blanching rash
  • Apnea or cyanosis
  • Poor perfusion
  • Altered consciousness
  • Safeguarding concern

Station rehearsal template

  1. Read the task and identify the required output.
  2. Open professionally and establish the agenda.
  3. Gather focused positive and negative findings.
  4. Summarize and prioritize the differential.
  5. State investigations and management in a safe sequence.
  6. Address the patient’s concerns and understanding.
  7. Close with disposition, follow-up and safety-netting.

Suggested complete 11-minute stations