Dear All

Thank you for participating in the Mini Mock session today.

In RRR we discussed:

• Cong Dislocation of Hip – presentation and management
• Respiratory Distress Syndrome –
• Addisons Disease – presentation and diagnosis

The Mini Mock Exam was on the Developemnt station. Mother of 4 year old NA is concerned about his fine motor skills.

Task was: Take a focussed History first and second part – Do a fine motor assessment.

Dr A took the hot seat, AG was the Examiner, Dr V provided tips on how to improve one’s performance. Dr A managed a good VIRTUAL development assessment in 8 minutes. There were some minor learning points to secure more marks.

The Learning Points are:

• In 4 minutes write down points you have to enquire – mnemonics
• Observe the child from the moment you enter the room
• Visualize a small desk and chair for Child in the exam room
• Avoid sitting on the floor – it will be difficult to mange
• Select the toys you will need for your task
• Sit across the child – on floor – so you are at eye level
• Offer ONE TOOL at A TIME – hide others from line of vision
• Note handedness
• REMOVE your Tool after use. SAY it – tool REMOVED.
• ‘Push child till a task cannot be done – gives Upper limit for age.
• Development – summary – is OVER ALL age. NOT Left or Right side.
• Child may not be able to complete tasks with both limbs due to a muscular problem and NOT a development delay.
• Mention Positives first – be a Positive doctor
• With ‘treatment’ there is always scope of improvement – may not be ‘Normal’.

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

Anil Garg