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

Anil Garg