Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Asthma – OPD management
• Circumcision – indications
• Headache – causes

The Communication station was a scenario of 12  yr old diagnosed with Leukemia due for a bone marrow examination. Diagnosis in not revealed to the 12 year old parents request. A  colleague nurse has come to discuss her concerns. Dr S was our Role Player – a very ‘soft & kind’ person. Dr F took the hotseat with Dr J & DR A taking the Examiner hats. Dr F attempted the task very well and covered most points. Examiners gave valid feed back. The under pinning theme of this scenario is Ethics and 4 pillars medical doctors should follow while taking ‘difficult’ decisions. There is usually no absolute right or wrong answer to such scenario. Candidates approach is judged.

The Learning points are:

• Medical ethics is an part of curriculum – update your kno0wledge.
• Need to get to and explore Role Player’s agenda.
• If the Role player returns to same point more than TWICE – ‘Hidden agenda’.
• Do not continue with your agenda.
• You must explore why the RP is stuck on that ‘point’.
• Use your tact to explore and get RP to open up.
• Use simple language – avoid jargon
• Medical ethics – 4 pillars – look them up.
• Hot seat is scary – practice makes perfect

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

Anil Garg