Dear All

Thank you for participating in the session today.

I would like to begin with Congratulating 8 members who have confirmed that they have become Members of the RCPCH. We are proud of their success and wish them a very bright future as caring paediatricians.

In RRR we discussed:

• Poisoning – causes in children
• Thrombocytopenia – purpura
• Diabetes – symptoms & signs

The Communication scenario was of a 2.5 years old admitted with multiple bruises. Mother had left abruptly after leaving the child in hospital accident and emergency. Dr F was again our very able Role Player. Dr J & Dr S had the examiner hats while Dr A took the Hotseat. A very good attempt was made at talking with the Role Player, most points were covered but over all discussion could have been done differently. Examiners did pick up what could be done different.

The Learning points are:

• Read the provided information carefully and use it as your support
• Remember – a dialogue will get you the necessary information
• Give Role Player chance to speak to get their agenda – do NOT follow yours
• Remember the task and mention with in first 2 minutes
• You do not have to tell all you know of the condition
• Child care involves certain legal duties – do check local T&Cs
• A child should not be discharged into an environment of potential harm
• IN UK – the law provides for Childs needs come first
• This can take you out of ‘US & Them’ conflict with parents
• We both want and work for the Child’s best interests
• If Role Player gives a piece of information – DO NOT ignore it
• Summarize at 6 minutes

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

Anil Garg