Dear All

Thank you for participating in the session.

In RRR Dr Shishir discussed:

• Chronic Fatigue Syndrome
• H Pylori
• Tics

The Development station was a 4 year old with evidence of left hemiparesis. Task we practised were both Fine motor assessment and then Gross motor. Dr R was in the hotseat for Fine motor assessment while Dr J took the hotseat for Gross motor. The both made very good attempt at assessment and completed the task in the required time. 

The Learning points are:

• Development station is ‘Virtual’ with no Child physically present.
• Information is provided by video as a basic guide.
• Consider your communication skills – introduction, permission and rapport
• Imaging the set up – and lead the scene.
• Structured exam – practice – practice – practice
• Choose the tools appropriately
• Initial observation followed by sitting down across a table – if appropriate.
• Instructions need to be simple and accurate – non confusing
• Handedness is very important to determine
• One tool at a time and REMEMBER to REMOVE the tool after task before next tool
• ‘Push the child to level they cannot demonstrate – to determine upper age limit
• MDT – know the members and their roles
• Know how to refer child to various health professionals

Nest session we have a member, who recently became a Member of RCPCH, will join us to answer queries on nuts & bolts of exam as organized at present

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

Anil Garg