Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Floppy larynx
• Pulled elbow
• Hearing inattention in 6 year old

The Clinical station was CVS. Presentation was of a 14 year old universal cues of central thoracotomy, multiple peripheral emboli, ejection systolic murmur. Dr S took the hotseat and made a very good attempt at describing the clinical examination. There were some obvious omissions and learning points. Dr W and Dr P gave their summary and Dr S presented very important tips to follow in the  exam.

• Looking for ‘Safe’ registrars who can diagnose and categorize urgency of children
• Exam is to check you have clear understanding of basic knowledge.
• 8 out of 10 diagnosis can be deducted from universal cues.
• 4 mins- note name / task / cues when watching

Other Learning points are:

• Tiem management – is the most IMPORTANT
• Universal Cues are IMPORTANT – need to be picked during EXAMINATION
• Work on examiner has not seen universal cues – describe in your technique
• Practice to finish exam in 5 minutes
• Summarize in 3-4 sentences – max.
• Do NOT narrate back what examiner has just told you.
• In With children scenario: your diagnosis supported by your findings

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

Anil Garg