Dear All

WE ARE OFFERING ONE TIME REGISTRATION / FEEs TILL YOU PASS & BECOME MEMBER OF RCPCH. PLEASE CONACT US FOR DETAILS. Please inform your friends who are preparing for MRCPCH.

Thank you for participating in the session.

In RRR we discussed:

• Intussusception
• Haematuria
• Hirschsprung’s disease

We discussed a communication station – speaking with a parent concerned his child has meningitis as another child in his class. Child has URTI. Dr S took the hotseat with Dr Ag being the Role player and Dr F & Dr S had examiner hats. Dr S attempted the scenario well with good observation and feedback from the examiners.

The Learning points are:

• Introductions – do not confuse names, gender & relationship
• Check prior knowledge
• Do not assume background information provided – check RP’s understanding or concerns
• If RP keeps returning to same point – review your strategy
• Explain with Sign’s noted to convince RP of your point of view
• Ask RP – ‘What they would like done?’ often gives clues.
• Be accommodative to ‘parent’s concerns and options’.
• Do not offer ‘antibiotics’ if not indicated – would be penalized
• ‘Open Access’ for Review prn offers good way forward in reaching consent among all in the situation
• Avoid jargon

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

Anil Garg