Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Trisomy 21: late complications
• Neonatal sepsis: clinical features
• Recurrent wheeze in 3 year old – causes

The Clinical station we discussed was of Communication: newborn baby noted to be dusky at 4 hours by ward sister in postnatal ward. Possible diagnosis ? TGA. Discuss with parents. Dr R took the hotseat, Dr P & Dr L took the examiner hats. Dr R made a very good attempt and covered most of the important points. Dr Shishir provided examiner feedback with practical tips.

The Learning points are:

• Read the stem / information provided VERY carefully
• Each word has been written with relevance
• Plan your strategy for first 2 minutes – Shishir’s Rule
• Read the task and mention in first 2 minutes
• Use SIMPLE language – else describe medical words used
• Build rapport by starting with points of common interest
• Chaperone – always consider and have in hospital settings
• 30 second rule – Information in small bytes
• Give Bad news – mention in clear words – follow by pause.
• Wait for response of Role Player and then respond accordingly
• Describe Normal before describing Abnormality
• Summarize at 6 minutes – almost a must

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

Anil Garg