Dear All

Thank you for participating in the session today.

In Rapid Random Review – RRR – we discussed:

• Anaphylaxsis
• Fragile X syndrome
• Achondroplasia

The history Mini Mock was 7 year old with increased visits to A&E in past 3 months. Dr P was in the Hotseat with Dr S & Dr P had co helpers of the hot seat. Dr P made a good attempt and covered most of the points in history that were required. Good introduction,asking for details with open and closed questions. More time was spent on getting history around delivery and neonatal care. Some points were overlooked – medication in details, social history and details of care being provided for the child. Dr S picked up those points and Dr P gave useful suggestions. Summary presentation to Examiner – Dr Shishir was good.

The Learning points are:

• Develop a template of bullet points needed in history
• Define time to spend on each bullet point
• This will give structure to your history taking exercise
• Remember you can always go back to the point – if time remaining
• Important to cover all important bases and not omit any.
• Have differential diagnosis with initial information provided
• DD will guide your history to an extent.
• Compliance – not RP will admit to not taking medicine at first
• Explore with more searhing details – essential
• Do NOT forget your communication skills – empathy
• Remember you are a ‘to-be-Registrar’ – use other seniors
• MDT – local support networks in your community / hospital

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

MRCPCH A to Z ~ OnlineFOP TAS AKP CLINICALS – working together to reach your goalwww.mrcpchonline.org



Anil Garg