Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Hypothyroidism
• Hypoglycaemia
• Delayed puberty

Mini Mock – Dr S was in the hotseat with Dr P & DR R in supporting seats. Video clip demonstrated a 2 hour old newborn Very mucusy, respiratory distress, Ventilated, CXR with multiple bifid thoracic vertebrae and NG tube curled in pharynx. Diagnosis was arrived at quickly but the supporting history questions and examination needed team work. Management Dr Shishir discussed and explained.

Learning points:

• Watch video carefully
• Examine for findings not see in video i.e. examine for anal opening
• CXR – develop your own method so as not to miss findings
• Check for all’artefacts’ see on film and work out if correctly placed
• Be prepared to talk to parents – information in small bytes.
• Do not overload them with information.

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

Anil Garg

Dear All

Thank you for participating in the session today.

In Rapid Random Review – RRR –  we discussed:

• Cow’s Milk Protein Allergy
• Epiglotitis
• Brusing & Purpura – causes

Mini Mock Exam Video station – Dr P was in the Hotseat with Dr P & Dr R in support seats. Scenario was of a 9 month old with worsening respiratory distress over 24 hours, initially he is sitting with audible coupy cough and stridor, towards end alarms can be heard and child lies back in father’s arms. Dr P picked up the initial signs and differential diagnosis developed by all was similar and close with Croup being the first diagnosis. History and Exam was appropriate. They all however over looked the child flopped back into father’s arms and loud alarms – which was crucial.

The Learnig Points are:

• Watch the full video very carefully.
• You will have enough time ot watch it twice or three times.
• Note down signs and on second view – IGNORE THEM and concentrate on REST of the FIELD for other cues.
• Your have to be structured in your history & exam technique
• Develop skills for targeted questions
• Investigation – with results – here CXR will exclude other DDs.
• All of us know the definitive diagnosis but structured discussion needs to be developed.

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

Anil Garg

Dear All

Thank you for participating in the session today.

In Rapid Random Review (RRR) we discussed:

• Acute Asthma management
• Haemophilia A
• Chronic renal Failure – presentation

Clinical Video station we practised differently. This was due to difficulty we have noticed in defining differetial diagnosis, history questions and Examination specific points, were having members. Management has not been such an issue. Video Scenario was of a 7 year old, reviewed in OPD follwoing 8 weeks after an episode of 4 weeks of hospitalization. Ataxia, high stepping gait and weakness were clinically evident in the signs. Dr S was in the hotseat with DR P, Dr R and Dr PD able to contribute. We asked for their Differential diagnosis and talked thorough how to develop the questions and examination based on that.

Dr Shishir towards the end gave an over view synopsis of how diagnosis of  Gulliam Barre Syndrome is reached with evidence available and management.

The Learning points are:

• Ask ‘Was the child well before the current symptoms’ to give a time line for DD.
• Totally New Learning – need to practice more
• Still struggling with Video and need more practice
• All members developed similar DD but subsequent was a problem.
• Specific History and Examination points to ‘help’ with each differential
• Remeber it is NOT a history station – you cannot ask many details
• Investigations – mention with EXPECTED results and not just a list
• Communication – very important to generate targetted questions
• Over all we are improving but need more practice

Please visit www.mrcpchonline.org



to add your comments or points I may have missed.

Anil Garg

Sir, but I like to admit, that I had previously taken part in other learning platform, but I found your way of teaching much more appealing and useful. I don’t know whether I will succeed or not, but some betterment is expected at the least. Good night Sir. 🙏

Dr PD, India. 10 July 2025

Dear All

Thank you for particpating in the session today.

In RRR we discussed:

• Modalities of Therapy in malignancy
• Side Effects of Chemotherapy
• Measles – complications

the Video clip deonstrated a 14 year old girl with erythematous, papular, unilateral, dermatome confined rash. Dr P was in the hotseat and managed to note the slient clinical signs. Dr r was with examiner hat and Dr P was an oberver today. A proper differential could not be developed hence th ehistory questions and examination could be done better. The diagnosis was shingles – differential of causes had to be worked out! On second guided review a Hickman catheter could be seen. 

The Learning points are:

• See the video carefully till the end.
• On second view – shut out what you have noted – look for other clues
• If diagnosis is certain – think of causes for it.
• Develop a history question for each diagnosis & same for examination
• This should help you narrow the diagnosis
• Management – broad princilples first

Please visit www.mrcpchonline.org to add

your comments or points I may have missed.

Anil Garg

In a 1-2-1 session yesterday came up with a valuable advice for Communication station –

I have always maintained – Read the Task carefully. This lead some candidates to read the information provided before getting to the TASK – in the order information is provided.

This has at times led to candidate not paying adequate attention to Task given thus leading to wrong emphasis during discussion and less than optimim marks.

My NEW advice is: READ the TASK FIRST. Before reading the information above. This will gie you better focus and a better result.

Dear All

After a long holiday visiting India and attending the Kuhumb mela at Prayagraj we are going back to our previous schedule. During this period was irregular interaction with our members / candidates preparing for the exam. Very proud to learn the 3 of 4 who attended the Baptist Face to Face course, Bengaluru have been successful at the last diet. Congratulations to them all. 

We now look forward to working with doctors working for the May exam and then for November exam.

We are also starting Theory Course for FOP and TAS from next month.

Look forward to your input.

Anil Garg

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

We had a very successful 2 days Intensive Revision course with MOCK EXAM at Baptist Hospital, Bangluru.

We will WORK and MENTOR with our delegates till their exam at the end of the month.

Our association will continue way beyond their exams.