Dear All

Thank you joining our session today.

In RRR we discussed:

• Asthma – differential diagnosis
• ADHD
• Chest pain

Communication scenario was talking with a 15 year old explaining Bone marrow investigation and any other question s RP may have. Dr P took the hotseat while DR D and Dr r had the examiner hats. Dr Shishir from Kuwait and Dr Sonia from Mumbai joined to guide the group with their observations and tips. Dr P did a good ‘job’ of the scenario approaching it in a logical, sequential manner. She worked well with the RP – Dr S, managing a good rapport, addressing most queries in a way that would have satisfied the examiner on the day. there is always room for improvement – hence Dr P could have used more ‘Pauses’ to emphasize the points and give RP opportunity to ask questions. Few jargons slip in hence it is important to be aware of them.

Dr Sonia highlighted the importance of follow the basic guidelines for Communication station to get definite marks even if one is not very sure of the ‘procedure’ . Accept your ignorance.

The Learning points are:

• Build rapport – how? practice with simple easy ice breakers
• Pause – use to good effect
• Chaperone in hospital settings is generally a good practice
• Get to RP’s agenda and do not follow yours.
• Describe the procedure – most RPs will worry about pain – address it.
• Be aware of when NOT to give advice about support groups!
• On the Web – every condition can either kill you or can to 100% cured!
• Leaflets are a reasonable way forward till next meeting / review.

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

Anil Garg