Dear All

Thank you for participating in the session.

In RRR we discussed:

• Encopresis & soiling
• SCID / HIV – 10 month old
• Sudden onset paraplegia 15/12 old

AG presented and discussed History in the Clinical exam with a PowerPoint presentation. How History in the Clinical exam is a little like the various forms of cricket games: 5 days test / 50 over OD / T 20. All need same skill set but players have to choose and play differently in each format. The Do’s & Don’ts of the exam.

Learning points of the session:

• Structured approach to history
• Have a differential diagnosis in 3 mins to work through
• Communication is assessed here also – 4 marks
• Rapport, Empathy
• How is ‘RP coping?
• Open and closed questions
• Age appropriate questions
• HEADSS for teenagers
• Acknowledge RP’s concerns
• PARK concerns and do NOT get into Communication mode
• Explore cues given by RP – do not ignore
• Immunocompromised – Check for h/o Chickenpox

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

Wish safe travel and sterling performance to our memebes who will be in the true ‘hotseats’ in the next few days.

Anil Garg