Dear All

Thank you for participating in the session today.

Dr P joined us today and gave us a flavour of the recent exam in Singapore. How it feels after the exam starts and how we work on our reflexes. Her main mantra is to Practice – Practice & Practice. Reading books and new material is not going to be helpful. Our daily clinical practice is going to come to our help and guide through the exam. Thank you Dr P.

The Clinical scenario was History of a 12 year old, with coeliac disease whose mother was worried about sending him on a 3 days school trip. Dr N took the hotseat and made attempt at gathering details of the history. He finished with more than 3 minutes to spare. There were points missed as the spare time signified and other members help fill in some of the missing gaps.

The Learning points are;

• Do not forget introductions – Communication skills important
• Build rapport
• Be Fluent and confident
• Check of Role Player’s concerns
• Explore details – it is important to gather information
• Note Information difference between History & Communication
• Do not park every query / concern RP mentions
• Do not take short cuts and cover all essential points in history
• Co-morbidities – check
• Do not assume RP’s wishes or agenda – ASK
• If important illness in mentioned – explore some details
• RP -will not give the information unless you ask.

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

Anil Garg