Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Phases of shock
• Joint pains in a well child
• Early asthma – diagnosis & management

In the Development station we practiced observing assessment of two children with different tasks:

• Fine motor assessment in a 3 year old boy with Rt hemiparesis.
• Development age assessment in 3 years old with Trisomy 21.

Dr D verbalised the exam with Dr L being the examiner for first case and Dr r verbalised and Dr S was the examiner in the second case. They both made very good attempt and described what they will do. Their summary was also accurate.

The Learning points are:

• Do not forget your Introductions & consent
• General observation in first 15 seconds
• Structured Examination technique
• Stick to it – do not get fazed by ‘child’
• Proceed in the four domains or one domain in details
• Speech is receptive & expressive
• Scissors use – seek permission
• Push child till task they are unable to demonstrate – upper limit.
• In Summary – ‘I was unable to demonstrate particular ‘task’ and not ‘Child could not do”.
• Remember ‘Opportunistic examination’.
• Presence of mind is most essential.

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

Anil Garg