Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Limp in 3 years old boy – Cong Hip Dislocation (- painful / painless screening)
• Neonatal seizures – management
• Ataxia 5 years old boy

History station was history from a 15 year old with Diabetes Type 1, with high HbA1c who has recently joined doctor’s ‘practice’. Dr S was in the hotseat and Dr s was a very able Role player, Dr T & Dr M had the examiner hats. Dr S made a good attempt at completing the task. He had ample time. There were some errors which were picked by examiners and other members.

The Learning points are:

• Develop a template for History and all other stations
• Divide time into 4 /5 bits – make bullet points
• Think of 2-3 differentials as cause for presentation
• Use provided information to open up the discussion
• Start with greetings and Open questions – let role player speak
• This will help get RP’s agenda and not negotiate Your agenda / diagnosis
• Use Close questions towards end to complete the information
• Chronic disease with given diagnosis – explore social issues
• Do NOT slip into Communication mode and waste your time
• Practice acknowledging and ‘Parking’ RP’s queries effectively
• Practice, Practice, Practice with in your groups

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

Anil Garg