We discussed approach to Clinical stations in the exam and also had practice in the hotseat sessions.

Clinical stations require:

• Not to be nervous 
• Smooth flowing examination technique
• Inspection / Observation – Palpation – Percussion – Auscultation
• Observations start as soon as you enter the room.
• General Physical examination is part of EVERY station – and is not mentioned specifically
• Observe the surroundings / environment while child gets ‘undressed’ exposes the ‘part’.
• Gait and Gower’s is done now – if required.
• Observe the child – scars on chest with arms above the head – walk around
• Kneel down to look for scars on the legs.
• Then – ask the child to go on to the couch and carry on with systematic examination.
• In discussion – give diagnosis first or differential with supporting +ve & -ves
• Do NOT comment or explain what has not been asked – to avoid a mistake
• Practice to finish the exam in 5 minutes

Specific systems require basic knowledge of physiology on finger tips and do not get mixed up.

Anil Garg