Children having tests, treatments, examinations and interventions; proposing an approach to minimise anxiety, distress, restraint and harm

This Grand Round will provide a critical overview of what we know about holding children for clinical procedures, considering the child, parent, health professional and system factors which can influence procedural practice. Lucy will discuss an approach to challenge accepted narratives within practice and adopt a more child-centred rights-based approach to reduce harm and the use of restrictive practice during procedures.

100 years of insulin at The Royal Children’s Hospital – pigs, pumps and pluripotent potential

One hundred years ago the first insulin injection was given at RCH. Overnight, type 1 diabetes went from a fatal to a ‘manageable’ condition. Since that time, diabetes management has developed and evolved to a point where in the near future it is hoped that exogenous insulin will represent a treatment failure rather than a therapeutic mainstay. This Grand Round will trace the history of insulin therapy and diabetes management at RCH, and discuss the likely direction of new therapies in the upcoming decades.

Exploring the role of rehabilitation services in the management of Functional Neurological Disorders

The approach and attitude towards Functional Neurological Disorders (FND) has changed over the last decade and anecdotally at least, we seem to be seeing more cases in our day-to-day practice.  Patients with functional symptoms present to many disciplines and functional symptoms can co-exist with organic pathology. There is now evidence to show earlier diagnosis and treatment can lead to more positive outcomes.   

Lessons learned from the review of child deaths in Victoria in 2021

The independent Consultative Council on Obstetric and Paediatric Mortality and Morbidity (CCOPMM) reviews cases of maternal, perinatal, and paediatric mortality and morbidity. Child deaths have been reviewed since 1985. The child and adolescent subcommittee of CCOPMM reviews deaths and develops recommendations and good practice points for practitioners and health systems.  

The Allied Health + Digital Health Intersection

In recognition of Allied Health Professions Day 2023, this year’s RCH Allied Health Grand Round explores future opportunities for Allied Health to harness and build upon digital learning and capability in the delivery of high-quality patient care. Going beyond the electronic medical record, our line-up of expert presenters will highlight the scope of digital health possibilities within allied health practice with a key focus on the themes of collaboration and co-design, audience reach and sustainability.

Vernon Collins Oration 2023 — Liana Buchanan, Children’s rights: progress and challenges

In this year’s oration, Liana Buchanan, will draw on what she sees in her role as Principle Commissioner and share her perspectives on the progress we have made for children in this state and the work yet to be done. We like to consider ourselves a society that values and nurtures children, but how well does that self-concept translate into practice, policy and investment? How well do we fare when it comes to realising children’s rights in Victoria?

VicHip: What makes this clinical registry so powerful?

The Victorian hip dysplasia registry (VicHip) is part of a transformative effort in Victoria to improve the diagnosis and treatment of hip dysplasia. In this Grand Round, four VicHip team members will speak about their approach, which includes a streamlined process for clinicians, integrated data systems, and stakeholder engagement and research. If you’re a health professional, researcher or parent looking for more information, tools and publications about hip dysplasia, this session will be a valuable resource.

The impact of a rare disease program on the Melbourne Children’s campus

Rare Diseases Now (RDNow) was established in 2019 with funding from The Royal Children’s Hospital Foundation to provide an advanced, clinically integrated diagnostic pathway for children with rare diseases (RD). We have delivered value to children and families by providing access to frontier multi-omics technologies, working on solutions to optimise rare disease care and upskilling the workforce.  In this Grand Round we will describe the impact of our work at the individual, team and national levels and show how the Melbourne Children’s Campus is positioned as a global leader in rare disease care.​