Dear All

Thank you for participating in our Double session today.

In RRR we discussed:

• GMFCS – classification
• Development deficit – domains
• Screentime – effects on children

Development – AG presented Do’s and Don’ts for this station. What to focus on in the history and why social history is very important. Dr Leuvenya gave new timeline for the station:

• 4 mins to review information
• 9 mins for History from Role Player
• 1 mins for Summary
• 9 mins for Assessment
• 3 mins for Discussion

Dr M was in the Hot seat for history and Dr L was for Assessment. 4 years old NH is reviewed for parental concern of being slow in fine manipulation as compared to peers. Both made very good attempts at the respective parts on the station. Examiners Dr D and Dr M made appropriate comments on parts that could be done different.

The Learning points are:

• History should be systematic and structured
• While waiting 4 minutes: note down skeleton on what you need to ask
• Check ‘other’ domains briefly to assess if also deficient
• Time management is VERY important
• Confirm activities child can do now.
• Social and family history
• Know Milestone ‘inside out’ till of 5 years
• Use One Tool at a time
• Push ‘child’ to point they cannot do – gives upper age range.
• Mention – removing each after you are through with it
• Summary – give your impression followed by supporting evidence
• Know Management options

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

Anil Garg