Dear All

Thank you for participating in the session.

In RRR we discussed:

• Meningitis – history points
• Haemophilia – severity assessment
• Genetic counselling

The Communication station scenario was of a 15 year old young person who had taken an overdose of Paracetamol and was refusing treatment. Dr S was in the Hotseat, Dr P a very able Role Player and Dr M with Examiner hat. Dr S made a very good attempt. Dr M gave good feedback and suggested how the interaction could be improved.

There are a number of Learning points:

• Communication is a Dialogue and not Monologue
• Let the RP speak – Golden MINUTE – remember
• Role Players Agenda is more important than Yours
• Get to RP’s agenda but do not forget your Task
• You need to ‘break’ the barrier often put up by RP.
• Try and explore WWHY they are refusing
• No History – does not mean you cannot ask and details at all.
• Empathy, being familiar with their circumstance and possibly been in similar situation ourselves can often break the barrier.
• If you cannot engage RP – you cannot get your task done
• Avoid jargon – get to RP’s level / understanding
• Summary needs to be brief 4-5 sentences max.
• ‘Not to push my agenda’.

please visit www.mrcpchonline.org to add your comments 

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

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or points I may have missed.

Anil Garg