Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Ambiguous genitalia
• Persistent stridor in 6 month old
• ABC – often mention but What & How?

The Clinical station – we started on History and Management Dr P in the Hotseat and Dr S with Role player Hat. Scenario background was review of 10 yrs old child with worsening asthma symptoms. Discussion with parent to ascertain their concerns and answer their questions. Dr J and Dr V had the examiner hats. Dr P made a very good attempt at obtaining the relevant history and gave a neat summary to examiner. There were a number points that could have been asked noted by the examiners and other Group members.

The Learning points are:

• It is FOCUSSED history – you cannot cover everything
• Read the information provided VERY carefully
• Plan bullet points for your history in the 4 minutes while waiting
• Structured history – do not be haphazard
• Presenting Concerns – essential to identify
• Family dynamics
• Social history – essential.
• Find out Local support where you practice and answer questions in context
• You should try and UK ‘support’ to your local practices – difficult!
• Remember: Worsening symptoms most likely is due to Noncompliance
• People do not own up to noncompliance with first ‘inquiry’.
• Summarize in few sentences at 9 minutes
• When summarizing to Examiner – present like a post graduate
• Your impression with supporting facts from your history exercise.

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

Anil Garg