Dear All

Thank you for participating in the session today. We had a Double session and I will post the feedback and Learning points in 2 separate posts.

In RRR we discussed:

• Spastic diplegia – aetiology and DD from Hemiplegia
• Biliary atresia – diagnosis and complications of treatment
• Facture humerus in 6 month old – Differential

The Communication scenario was discussion with parents of 4 month old premature baby born at 26 weeks. Parents want a ‘hospital’ type apnoea monitor. Dr J brought Role player to life projecting the concerns of a worried frustrated mother. Dr S took the Hotseat, Dr A & Dr A had the examiner hats. Dr S attempted the scenario very well and completed the task covering relevant points. Examiners made good observations and gave appropriate feedback on how interaction could be improved. Other members also gave useful tips.

the Learning points are:

• Read the information provided very carefully
• Remember 2 minutes and 30 seconds rule
• Avoid Monologue – has to be a Dialogue
• Situational awareness
• Chaperone, protected time away from disturbance
• Get to Role Players agenda – check their concerns
• Do NOT give inaccurate information – if not sure – say will check
• Explain physiology is simple terms – avoid Jargon.
• ‘Corrected gestation’ explain in common simple language
• Break through symptoms – treatment failure: compliance
• Optimize dosage of treatment being given
• Use Video recording as management option
• Beware of what you are saying – we all have our ‘habits & pet phrases”.

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

Anil Garg