Dear All

Thank you for participating in the session.

In this session we completed Communication scenarios for Intensive revision for forthcoming exam. “Audit – Ethics – 24 week preterm birth – Breaking bad news” suspected Cyanotic Heart Disease’.

In RRR we discussed:

• Teratogens – proven and suspected
• Scalded Skin Syndrome
• UTI – prevention advice

Communication Mini Mock was – Newborn baby dusky at 4 hours, suspected cyanotic heart disease – discuss with parents. Dr S was in the Hotseat, AG – Roleplayer, Dr Shishir and Dr Laxmi with the examiner hats. Dr S made a good start with introductions and giving RP opportunity to mention their concerns – he should have ‘congratulated’ the parents on new arrival. Dr A picked up on points that could be done different and Dr Shishir gave a structured feedback on what could be done to secure more marks.

The Learning points are:

• Read the task carefully
• Plan for first 2 minutes of what you wish to say
• Less / avoid medical jargon
• KISS – Keep It Simple St*****.
• Do NOT ignore RP’s concerns – acknowledge and Park if necessary
• “Is my child going to die?” – be a positive doctor – realistic
• “No – With Treatment he should be fine. Needs monitoring”.
• Drawing diagrams is difficult so try and avoid the temptation – explain verbally
• Practice the Learning points in your Day to Day practice
• Practice with colleague, record and watch.

The video recording will be available to watch. Please visit http://www.mrcpchonline.org to add your comments or points I may have missed.

Anil Garg