Thank you for your participation in today’s session.

Rapid Random Review were:

• Sickle Cell Disease
• Polygenic Inheritance – explain to Medical student / FY1
• Congenital Heart Disease – explain to Role player

The clinical station was CVS. Universal cues were: Stroller, Webbed neck, median sternotomy, Systolic diastolic murmur, LVH on ECG. Dependent cues were to be obtained while conducting the examination. Dr A took the hot seat and after feedback conducted the examination and summary better.
Learning points:

• General physical examination is a MUST & a part of systemic examination
• Verbalizing is significantly more difficult then examining in ‘real.
• Structured approach is essential
• Be Very careful with your words
• “I will put the child at ease” – question – ‘How? ‘Ask of his favourite TV show’.
• Rapport building: by interacting and asking what he will do at school?
• Think of Dependent cues as you proceed
• Practice to complete the examination is 5 minutes
• Summarize in 30 seconds – max 45 seconds – be precise
• Time management is Essential for scoring marks
• Practice, Practice, Practice.

Please visit www.mrcpchonline.org to add your comments or points I may have missed.

Anil Garg