MRCPCH Clinical Course: Communication + H&M 1-2-1

Thank you for participating in the session today. 

In Rapid Random Review (RRR) we discussed:

  • Urine specimen collection in 5 yr old
  • Hypoglycaemia in newborn
  • Acute Liver Failure – causes

In History we discussed two scenarios:1: 10 year old Asthmatic boy with poor compliance due to family social circumstances & 2nd: 15 year old Diabetic young person with lethargy, malaise for 2-3 months, weight loss and altered bowel habits, HbA1c: 10.5 and Coeliac screen +ve on tests organised by GP.

Communication was Discussion on feeding options for with a lady about to deliver at 30 wks who wishes to breast feed. Dr L was the Role Player and DR PH was in the Hotseat with DR SK with Examiner hat. The scenario was attempted very well and generated some : –

Learning points:

  • Practice speaking and talking in Small 30 sec Bytes
  • Be Open to RP’s concerns – their agenda
  • Do NOT force and stick to your agenda only
  • Do NOT forget the TASK in the interaction
  • Team work – Nurses, pharmacy, cleaner are all important members of team providing care – respect all
  • Phrasing of information is VERY important
  • Eye contact essential
  • Summarize at 6 mins – need 4-5 sentences ONLY
  • Do Not repeat everything discussed
  • Listening skills – practice in Real life also NOT only exam

Please Visit www.mrcpchconline.org to add your comments or points I may have missed.

Anil Garg