Thank you for participating in the session today.

In RRR we discussed:

• Haematuria – aetiology
• Inflammatory Bowel Disease – Crohn’s Disease
• Child abuse – fractures in immobile infant

The clinical station was assessment of Developmental age of a 3.5 year old child. Do remember at the next diet there will not be a child at the Development station. It is similar to a Virtual station with Examiner being the ‘child’ and you will need to get Dependent cues from them. Role player will be there to get history from. Dr A was in the Hotseat with Dr A and Dr P had the examiner hat. Dr A made a good attempt at assessment. It became apparent Virtual station is more difficult to work through when child is not present. Dr t moved to the hotseat and made a better attempt at the task.

It is important to summarize your assessment – Do NOT just narrate what you have gathered from the examiner instead start with if the development is appropriate or delayed – one domain or more than one – Age – and then give your supporting evidence.

The Learning points are:

• Systematic approach to your examination technique
• General observation at the start – what is the child with and what is he/she doing?
• Directions to ‘child’ have to be clear and simple
• One tool at a time – mention removing it after ‘done’
• Practice Verbalising the assessment examination
• Finish in 7 minutes
• Remember Non Accidental / Unexplained Injury

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

Anil Garg