Dear All

Thank you for participating in the session today.

In RRR we discussed:

• 3 day old baby with irregular respiration
• Haemolytic Uraemic Syndrome
• Update of recent exam

Dr A joined us and gave an update of the experience of recent exam. ‘Examiners were very nice, not like examiners we have seen in our ‘Indian exams. they were quite friendly except for one. Much better than Dr AG’. We also had an update of how the various stations were covered, the good – the bad and not so bad’.

The Clinical station was a 4 year old who presented with difficulty in walking and frequent falls. Task was Neurology examination of Lower Limbs. Dr J took the hotseat and covered the examination well but took much longer than the scheduled time. Discussion was good. Dr S made good observations.

The Learning points are:

• Examination should be slick and methodical
• Time is limited – practice to finish in 5 minutes
• Introductions and permission
• Request Exposure the part to be examined at start
• Get to level of child – you will be kneeling or squatting on floor
• In Neurology exam remember 6 Ss
• Symmetry – Squint – Shunt – Spine – Scars – Shoes
• Start with standing -Walking – sitting – couch

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

Anil Garg