Dear All

Thank you for participating in the session today. We had a double session so as to be able to cover aspects of this station better.

In RRR we discussed:

• Radiological investigations of UTI
• Cephalhematoma
• Haemolytic anaemia

Dr AG gave a brief update on the Development station. It is still a ‘virtual’ station i.e. there are no children at the station. Do’s and Don’ts of history to emphasize, How to conduct assessment of ‘child’ during the exam.

Mini Mock – Dr F was in the hotseat with Dr R and Dr I with examiner hats and Dr AG Role played the examiner. Dr F conducted a fluent systematic examination picking up most of the clinical findings. Examiners picked up a few points that could have been done differently.

The Learning points are:

• Set the scene – arrange a table and two small chairs
• Observe General surroundings and child or the video clip provided
• Sit on the floor at the level of the child – say how you will proceed with the exam
• Use ONE TOOL at a time
• Remove tool / toy after you have finished – out of sight
• Start with ‘handedness’ of the child
• Demonstrate what you will like the child to do  – ‘draw a circle’ he may not understand
• Demonstrate and then observe what child does
• Recall development salient points for the age give on the child
• Examine / ask what child is able to accomplish – till he cannot
• Check Hearing and Vision in the history time i.e. any concerns

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

Anil Garg