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 to add your comments or points I have missed.

Anil Garg