Dear All

Thank you for attending the session today and your active participation.

In RRR we discussed:

• Huntington’s Chorea
• Autosomal Dominant conditions
• Congenital Hip Dysplasia

We then had a PowerPoint presentation by AG highlighting What & How to … in the history station. There are different aspects that need to be kept to be covered while taking history at the various stations in the exam – 4 different aspects and aims. How to approach and manage information gathering.

We then had a H&M scenario – 7 year old with increased visits to A&E over past three months. Dr K was an excellent Role Player. Dr D took the hotseat and made a very good attempt at gathering the required information. The others in the group made very positive observations.

The Learning points are:

• Structured to history taking is important
• Do not jump back and forth
• Timeline of the disease is important
• Check co-morbidities & treatment
• Drug history – reasonably detailed is necessary – onset of treatment etc
• Drug compliance is important in case of worsening symptoms
• It could be omitting medication or out growing current dosage
• Offer to discuss treatment with consultant and come back to update RP.
• Open questions to begin – then can use closed questions
• Do not lead RP into answers that you wish.
• Social history is important – do not overlook.

Please visit www.mrcpchonline.org to add your comments or anything I may have missed. Videos will be available in next 48 hours.

Anil Garg