Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Immunisation schedule and child surveillance
• Asymptomatic Bacteriuria
• Secondary enuresis

Communication scenario was of a 2.5 yr old child admitted with unexplained bruising. to discuss concerns and management plan with carer. Dr M took the hotseat and Dr I was an excellent Role Player who was in angry mode. Dr M made a very good attempt and the feedback as examiners from Dr S & DR S was very relevant and picked up all the points. Other colleagues also gave good observation points.

Dr Sumit gave very useful tips. ” We would like to do the tests to know what has caused …. to the child. You would also like to know what has happened to ‘child’ – wouldn’t you?’ It is a very useful sentence that may be used during communication in a number of scenarios.

The learning points are:

• Read the information provided very carefully. Notes names – if provided.
• Let the Role Player have their say and note their points. Let them take their time.
• Ask who all look after child first instead of ‘accusing’ of causing ‘injury’.
• Do NOT be afraid to mention ‘ Unexplained Injury’ / ‘Non Accidental Injury’
• Do NOT beat around the bush.
• Child needs to have SAFEGARDING PROCEDURES & PLACE OF SAFETY.
• Cannot be allowed to go home – by LAW.
• Know what investigations are required in NAI settings.
• ASK of siblings at home – may need to be cared for – BROWNIE POINT+.
• Summarize at 6 mins – three to four sentences are usually enough.
• In RRR – simple things are common
• Read up and check local guideline at your OWN work place.

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

Volunteer for Role Player for next week.

Anil Garg