Dear All

Thank you for participating in the session today.

In RRR we discussed:

• T o Fistula – Acute management
• Inflammatory Bowel Disease – diagnosis & management
• Erb’s Palsy

We then had a discussion on how to communicate with a parent whose extreme premature baby – now well and fit for discharge – was being discharged a day before due to need of NICU cot. Hidden agenda and possible pit falls. How to avoid your agenda vs Role player’s agenda.

Mock Video Exam was a video clip of 2 hour old baby, mucusy, with secretions and respiratory difficulty. Dr S took the hot seat with Dr Shishir being the examiner. There were some initial concerns on how to approach such a station, how to formulate a differential diagnosis, how to decide on history questions to ask and what to examine. Discussion was good.

The Learning points are:

• Develop a differential diagnosis
• Do not go in for only one diagnosis
• Ask questions to support or refute your differential
• Remember it is NOT a history station hence targeted closed questions
• Management – describe for the scenario / child under review
• Not Generic management as given in the books.
• Sepsis is an import factor in neonatal care.

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

Anil Garg