Dear All

Thank you for your participation today.

In RRR we discussed:

• Genetic counselling – Trisomy 21.
• Screening in Newborn
• Competent parent ( parenting).

The Clinical station was of a 1.5 yr old presenting with parent’s complaint of walking difficulty. Big head, scar in the cervical spine and normal walk for 18 month old. Dr I opted for the hotseat. The examination was thorough but could be streamlined better – a little more structured.

Learning points:

• Important to be structured
• Make an A4 sheet plan for each major domain / station.
• Complete the examination is 5-6 mins max.
• Do NOT upset the child. Step BACK if child upset.
• Make an attempt to calm the child BUT do NOT force yourself on the child
• It is not important to persevere with examination – more important your attitude.
• Technical Terms are NOT a NO NO but if essential – EXPLAIN what you mean
• Use CORRCT terms for description.

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

Anil Garg