Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Hemophilia – advice to parents
• Cong Heart Disease – advice to parents
• Diabetes – why worse in adolescents

The Clinical station was decided as other on request from members. The Task was to examine eyes of 6 years old Bahadur – who has come for a routine Follow Up. Dr D took the hotseat with Dr J and Dr T with examiner hats. Dr D made a good attempt but got lost in fine details and hence could not complete the examination by 6 minutes. Dr t tried but gain ran short of time. In my opinion they spent too much time on introductions and getting to the eye examination. Dr S gave a brief outline of structured approach to examination of the Eye – Vision.

Dr Sumit joined us and he gave some very sensible tips for the exam: ‘Exam is ‘filtering’ Safe, Sensible paediatrician to be Registrars & You DO NOT have time to cover everything. Need to be focused. Develop a Performa for each station and know it to the level of being able to do it at your Spinal level or in your sleep.

The Learning points are:

• Brief introduction
• Systematic and structured approach
• Omit non essentials
• If using ‘glasses’ do not get into details of optics – let them be used.
• In General physical remember 4 Ds: Dysmorphism / Dimensions / Devices / Distress 
• Dimensions is: Ht / Wt / OFC 
• RCPCH has examination templates – do check them out.
• Use time in-between stations to Recalibrate & Reset yourself

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

Anil Garg