Dear All
Thank you for participating in the session and making it so interesting.
In RRR we discussed:

• 8 month old presenting with URTI like symptoms and breathing difficulty. Management of Acute Bronchiolitis
• Rickets: Causes, diagnosis and management.

We then had a PowerPoint presentation by AG on the History station with tips on do’s and Don’t’s. What all to ask and be careful not to get into communication station mode.
The History station was to take history from parent of 7 year old with 2nd afebrile fit. Dr M & Dr I were in the hot seat at the two sessions and made good attempt. There are always learning points and the only time that matters is the Exam time – others are all learning opportunities. Everyone else also contributed to the history – points they would like to have included – more importantly – How to ask the questions!
We could not finish the discussion with examiner due to time constraints – will do it on Thursday

Learning points:

• Be empathic – if bad news being described – acknowledge difficulty to role player / parent
• Do not ask to repeat information given – as will be considered NOT paying attention
• H/O chickenpox in immunocompromised children
• HEADSS – in Teenage / adolescent
• Questions should follow a logical sequence
• Look at the role player – do not bury your head in the paper.

Please visit www.mrcpchonline.org to add you comments or any point I may have missed.
Anil Garg