Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Stages of play
• Language – receptive / expressive
• MDT

The Development assessment task was to determine Developmental age of a 3.5 year old child with facies of trisomy 21. Dr V took the hotseat with Dr F in Examiner seat. Dr V completed the task well and in good time. Summary was discussed and input from all members discussed.

The Learning points are:

• There will not be child in the Development station – hence need to verbalize
• Age assessment – start with what is the expected maximum for age
• You can then move down or up depending on response
• Can he hop on one leg / ride a tricycle
• Can she make a tower of 9 cubes / draw a square
• This will give the upper age limit
• Have a template in your mind to follow
• Be systematic
• In history – always ask – How parents / carer coping?

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

Anil Garg