Dear All

Thank you for your participation in today’s session.

In RRR we discussed:

• Head Injury – effects / damage. Primary & Secondary
• Cystic Fibrosis – Clinical features / presentations – age wise

Scabies – symptoms, signs and management.

The Communication Scenario was of a 12 month old admitted with Febrile convulsion due to Otitis media. Father is insisting on a CT scan. Dr V was an able Role Player. Dr I took the hotseat. All medical & related technical related information was there and presented but how to could be improved. We practiced the scenario with reversed Roles after feedback of first attempt.

The Learning points are:

• Practice common words that are essential to Communication
• IT is NOT about saying ALL you know.
• Do NOT make it a monologue.
• REMEMBER 30 sec Rule.
• After introductions and open question 
• Let Role Player speak for as LONG as they like: DO NOT interrupt
• For particular procedure or Treatment: HIGH light SIDE / HARMFUL effects
• These may be used to discourage from their ‘demands’.
• Safety NET – offer to review by Open Access – if appropriate.

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

Anil Garg