Dear All

Thank you for participating in the session today.

In RRR we discussed:

  • TB – features & management
  • Nephrotic syndrome
  • Kawasaki’s disease

The Communication scenario was of a 1 day old baby with ambiguous genitalia born to a couple from Afghanistan. Dr S was a good role player. Dr M was in the hot seat and had a good shot at the task of informing parents of diagnosis and management. It was a difficult scenario and feedback peers was to the point.

The learning points are:

  • Who all in general identify / assign sex of a child? Only doctors don’t!
  • Check prior knowledge – give enough opportunity to Role player
  • Ambiguous or abnormality – better to ‘demonstrate’ than to just ‘say’ abnormality
  • Let’s see the baby together – the ‘Genitalia’ – does it look like boy or a girl?
  • this will move scenario much further than in explaining.
  • Can and should be used for any abnormality – can draw – if appropriate
  • Do not use boy or girl in subsequent discussion – ‘child / baby’.
  • Appropriate management – target next 7-10 days initially.
  • Usually what we do in first meeting – More if asked by role player.
  • Being a Role Player is an EYE OPENER. Get idea of what is expected from Hot Seat

Visit to add your comments or points I may have missed.

Anil Garg