Thank you for participating in the session today.
In RRR we discussed:
- Fragile X
- Haemolytic Uraemic Syndrome
- Vomiting in an infant
The Communication scenario was a new born baby noted to be dusky at 4 hours of age. Registrar’s – (candidate’s) clinical assessment is the likely diagnosis is Transposition of Great Arteries (TGA). Task is to explain to mother and get consent for urgent treatment and transfer toa surgical unit. Dr A was a very good role player as the mother. Dr P and Dr P wore the examiner hat and Dr D was in the hotseat. The attempt was good and most points were covered in the attempt. There were a few questions that came up:
- Should we discuss with Consultant before or after speaking with RP?
- How to avoid medical jargon?
- Why it happened i.e. the malformation / defect?
The Learning points are:
- Read the stem VERY carefully and note all the information provided.
- Keep your explanations simple.
- You can escalate your ‘complexity’ depending on response.
- Do not for 30 sec rule – hence keep them brief
- Get a chaperone – ward sister is generally very good
- Do not bring in details that do not add to communication
- Too many details only create confusion.
- You should speak to RP first and then inform Consultant in this scenario
- Sometimes Medical jargon cannot be avoided else discussion can reduce to ‘Baby talk’.
- With use of Medical terms – ALWAYS explain what the term means.
- We do not know why it happened. Sometimes nature ‘goes wrong’. Development of a human baby from a single cell is an extremely complex process that we do not understand. It is NOBODY’s fault.Do
- NOT give wrong information.
- Always be a positive and reassuring doctor – NOT Doom & Gloom
Please visit www.mrcpchonline.org to add your comments or points I may have missed.