Dear All

Thank you for participating in the session today.

We covered a lot of ground today starting with RRR followed by Communication scenario with Dr P as RP and AG being the candidate, discussed Video Station – what to expect, Dos & Don’ts and then in the end managed to squeeze in a video clip of a 2 day old baby to be discussed at next session on Tuesday.

In RRR we discussed:

• Disadvantages of Brest feeding
• Neonatal seizures – causes
• VSD – symptoms & signs

Communication was repeat of previous scenario – Newborn with birth asphyxia requiring cooling – to discuss with parents. Dr P was the Role Player while AG took the Candidate role. The points identified by members are:

• Confirm and check identity & relationship of RP
• Initial rapport – congratulation – check about partner
• Pause with body language to convey your engagement in process
• Optimistic approach and factually correct – no false promise on prognosis
• Realistic Optimism
• Address concerns of RP – not your agenda
• Explained Cooling and need in simple language
• Very simple language – no jargon
• Dialogue – not a monologue
• Let RP verbalize their concerns
• Do not get anxious

Video station approach, Formulate Differential diagnosis, Questions to ask and broad management principles.

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

Anil Garg