Dear All

Thank you for participating int he session today.

In RRR we discussed:

• Prolonged fever – causes
• Stridor in 6 month old
• Growth failure

Communication scenario was of a newborn with ToF  Oesophageal atresia with fistula, task was to explain to parents and take consent for transfer for surgery. Dr N was in the hotseat and AG was the role player, Dr j, Dr N & Dr m with examiner hats. Dr N did a fiar job os tackling the task. There were a number o learning points picked by colleague examiners. AG then revered the Role – Dr N being the Role player and AG being the candidate demonstrating how it could be done differently – remembering that there is no perfect way of attempting the task.

The Learning points are:

• Stay CALM when speaking & listening
• Broad categories initially when answering a question
• Common things are common hence mention first
• Note the settings and surroundings in information provided
• In Communication – check PRIOR knowledge
• this will give you clue as to where to pitch your reply
• be CAREFUL of words you use that may be untrue
• Can use information provided and use your imagination – be realistic
• Be a positive doctor
• Drawing seems to be a common tendency – AVOID in my opinion
• Explain Normal briefly FIRST and then abnormal – how is it different
• Summarize at 6 minutes

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

Anil Garg