Dear All

Thank you for participating in the session today.

In RRR we discussed:

• SVT – presentation: Newborn and young child
• Prematurity – problems
• Shock: Signs & Symptoms: Compensated – Decompensated

Communication scenario was 4 year old, child with Coeliac disease has weight loss, Hb: 101gm/L and Strongly +ve endomyseal antibodies. Task was to speak with a parent. Dr S was in the hotseat and Dr U a very capable Role Player. Dr F & Dr A had examiner hats. Dr U made a very good attempt at the task. Few points were noted and explained by the  examiners.

The Learning points are:

• Check background – information provided carefully
• Note names of RP and child – if provided – try and NOT confuse
• Check RP’s prior information
• Let RP speak and do not interrupt
• Address their concerns or use information provided to Challange their action
• “You say child is sticking to gluten free diet but Tests are abnormal – suggesting otherwise
• If needed explain ‘disease’ pathology’ in simple words
• Remember you do not have to Tell / Say Everything you know!
• Avoid jargon

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

Anil Garg