Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Acute Renal Failure – definition & causes
• Sarcoma – diagnosis & management
• Hoarseness in a 4 year old

In our Clinical session we continued with Development station / scenario from Tuesday. Dr P gave history summary. Dr K took the Hotseat for Assessment of NH, 4 year old. He made a good attempt but there were a few points that could be improved: Rapport with child and General observation. Dr A took the second attempt and improved on managing the assessment. He overlooked a fact – one tool at a time and complete one tool before moving on to next. His summary was good.

The Learning points are:

• There will not be children at this station at this diet
• Examiner will be your ‘Role Player’ giving dependent cues.
• General observation is ESSENTIAL for Development station too.
• Introductions same as in other stations
• Rapport building with ‘child’ with few easy ice breakers
• Observe child’s: ‘Aids’, Posture, initial Interaction, Eye contact
• CLEAR instructions – targeted – child can understand
• Fine motor: Start with ‘handedness’. 
• Select your Tools: Cubes, Paper & Crayon, Book, Beads etc
• Use ONE TOOL at a time.
• Check the task till he cannot demonstrate – Upper functional age limit.
• Remove it from vision once finished with it.
• be Systematic – do not move forward and back
• Summarize with your Assessment of skill level and not list

Dr Shishir joined us and gave vital tips on Developemnt and Communication.

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

Anil Garg