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.