Dear All

Thank you participating in the session.

In RRR we discussed:

• Recurrent wheeze in 4.5 yr old
• Nephrotic syndrome
• Stridor in 2.5 yr old.

The Communication scenario was addressing concerns of parents of a 4 hour old baby noted to be dusky with possible diagnosis of heart disease. Dr D took the hotseat while Dr S was concerned Role player. Dr D conducted herself very well even with an upset father. Other colleagues gave relevant comments.

The Learning points are:

• Communication is about RP’s agenda – NOT yours.
• Follow Shishir’s 2 min rule and speak with 30 sec AG’s rule
• Check RP’s understanding of what is ‘going on?’
• Examine the child with parents to discuss abnormal cues
• Much better than drawing on a piece of paper in most circumstance
• BE reassuring – I have managed similar conditions before
• “With treatment child should be fine.”
• Read the scenario very carefully
• Focus on the task
• Develop a differential on initial information and think broadly.
• Do NOT apologize too many times – seems odd when you are the observer.
• What is going on is NOT your fault or doing
• You do feel for the ‘parent’ and hence feel Sorry / empathic for them.
• Work in small groups and practice, practice & Practice

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

Anil Garg