Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Failure to thrive
• Limp in 5 year old
• Medical problems of Prematurity

The Mini Mock Exam MRCPCHCLINICALS –  Scenario: Lady has gone into premature labour at 29 weeks and expected to deliver. The task was to speak to lady & her partner and explain medical problems of a premature baby born at 29 weeks. Dr Shishir was in the Role player & examiner seat. Dr Anil Garg was also with examiner hat. Dr M made a very good attempt at addressing the concerns. However got entangled with details of Respiratory problems getting into CPAP, Surfactant and Ventilators which grew progressively complicated. DR Shishir gave a very formative suggestions and feedback on how to introduce and state problems at start and then give Role Player’s questions and agenda. 

The Learning points are:

• Introduce and Welcome greeting to parent
• Avoid jargon
• Keep points simple
• Avoid frightening the RP BUT be honest
• Focus on initial problems first
• Later problems can be addressed as and when required
• To many details will only confuse and frighten
• You have to be reassuring doctor
• Summarize at 6 minutes
• ‘What else’ can lead after summary
• Remain calm

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

Anil Garg

MRCPCH Clinicals Onlineworking together to reach your goalwww.mrcpchonline.org

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