Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Hypothyroidism in 12 year old
• Recurrent infections in 6 years old
• Primary & Secondary survey following RTA

History station was of a 12 year old girl with two recent episodes of fainting and falling at school. Dr K was our Role Player as young person’s father, Dr S was in the hotseat while Dr F & Dr V had examiner hats. Dr S took a comprehensive history with in the time limit. She parked RP’s Query very well avoiding falling into Communication mode. Very brief – 4 -5  sentences summary at 9 minutes warning  helps take stock of what you have covered so far and what further needs to be explored.

The Learning Points are:

• Have & Follow your template: Do not forget Social history
• Have a Differential diagnosis 2-3 and work accordingly
• Keep your language SIMPLE
• Time management is a MUST
• Clarify ‘identity’ of RP at introductions – patient / parent
• Paraphrase given information to open discussion
• ‘Tell me more ….’ sounds easier than ‘Elaborate’ .. both mean same
• Let RP speak – you can use Leading questions
• Check ‘How RP is coping / is being affected?’
• At 9 minutes – a brief summary helps take stock of situation
• Explore ‘hidden’ agenda – usually some point is likely
• HEADS – ask Role player – if required – do not ignore being ‘shy’

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

Anil Garg