Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Temper tantrums
• Non organic failure to thrive
• Septicemia

The Mini Mock Exam today was based on History & Management Station. A 16 year old presenting with recent onset headaches and one sided weakness. Dr R took the hotseat, Dr F was Role player and Dr S & Dr Shishir Examiner. Dr R took a detailed history and completed the task in time. Most points were covered but some that were missed were picked up by the examiners. Dr Shishir gave suggestions on how to prepare a skeleton of the history in the four minutes while reading the information provided. This ensure significant points are not overlooked in the ‘heat’ of the exam interaction with RPs.

The Learning points are:

• Have a systematic plan for History gathering
• Not & Explore points mentioned in the information provided
• Have a differential diagnosis of 3 even if one diagnosis stands out
• Systemic screening review is essential
• HEADSS for teenagers + Menstrual history
• You cannot cover every detail of history
• Do not Slip into Communication mode – acknowledge and park queries
• Summary at 10 minute knock – 4-5 sentences only

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

Anil Garg