It has been a pleasure working with so many of you over the years.

It is time to hang my ‘stethescope’ and move on to a new chaprter.

Thank you all for your support and I wish you all brilliant future careers from all our team.

Anil Garg

Dear All

Our next session will commence at end of this month.

Online – Interactive sessions with Mini Mock Exams at each session – Modules to work with in your own time – Peer support.

For further information – contact: mrcpchclinical@outlook.com.

Anil Garg

Dear All

Thank you for participating in the session today. We covered what our members had request prior to their exam shortly. 

Also this is out second last session of the current course.

The communication scenario was regarding a 1 day old baby with ambiguous genitalia and task was to explain to parents and discuss management. 

Video station was a of a 6 month baby with excessive weight gain and tonic movement of all 4 limbs progressively increasing.

We had good practice session for both and good discussion.

The Learning points are:

• A newborn baby is Good news and do NOT make it SAD just because all is not ‘perfect’.
• Congratulate parents and discuss what is ‘different’ from other babies and how it could be ‘fixed’.
• Read ALL the information given very carefully as each word in the description is important.
• Avoid jargon – have to use a medical term – explain it.
• Keep it simple – like speaking to a 10 years old.
• Examine baby together with ‘parent’ to acknowledge / highlight difference from normal.
• Describing in abstract if difficult and difficult to understand.
• Do Not over think – Common things are common.
• Be a positive doctor – bearer of Good news.Please visit www.mrcpchclinicals.org to add your comments or points I may have missed.

Anil Garg

Dear All

Thank you for attending the session today.

We Discussed How’s, Do’s & don’ts of the Video Station.

AG discussed in details with a PowerPoint presentation. Following we discussed video clip of “a 2 day old newborn with a headbox, features of lip smacking, eyes twitching, left are moving in rhythmic pattern with right arm immobile on the mattress.”

Each of the members took turns to identify the clinical signs and develop a differential diagnosis. 

How to ask relevant ‘History’ questions was demonstrated and practiced following by ‘What would you like to examine?”

Management discussion was guided for how to present to secure maximum marks.

The Learning points are:

• Don’t ONLY look at the obvious
• Look beyond what is ‘jumping’ at your’
• Look at surroundings carefully also
• Develop a Differential diagnosis – NOT only ONE
• Questions need to be Framed carefully with lot of thought
• Be sure of how the information will help you in deciding
• Management – in Broad principals first.
• We did not cover Rapid Randoms today.

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 Reviews we discussed:

• Haemolytic Uraemic Syndrome
• Cow’s Milk Protein Allergy
• Acute Liver Failure – causes

Communication scenario was about a 2 day old baby with rising bilirubin requiring an exchange transfusion. task was to explain to parents and seek consent for Exchange transfusion. Dr S took the hotseat with Dr R in the Examiner mode. Dr S made a good attempt at communicating with the parent but got bogged down with parent / role player refusing to move forward when given a vague jargonistic answer to how their child was. Dr Shishir provided valuable advice on tackling a Communication station. 

AG provided some background physiological information and correct use of ‘language’ to transmit with minimal confusion and avoiding lengthy ‘fillers’ we commonly tend to use at the beginning of our journey.

The Learning points are:

• Read scenario carefully
• Read the Task carefully TWICE.
• Plan for First 2 minutes – Shishir’s Rule
• Respond to Role player’s queries and agenda
• Acknowledge RP’s Queries and Learn to Park – do not get distracted.
• Use simple language – avoid jargon 
• 30 sec rule – do not speak for more than 30 secs!
• Do not give non committal answers.

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 – a double session at the start of our current course for February 2026 exam.

AG gave general introduction and over view of the MRCPCH Clinical exam and how it is changing. It is still not back to it’s original form i.e. children are not present at all stations where they were previously – noticeably the Development Station. This station essentially remains ‘Virtual’ with candidate having to verbalize their assessment of ‘cirtual’ child to the examiner. This can be a benefit in certain circumstances. 

Important to practice to timelines of the exam and work through toa ‘focused’ exam versus a full examination at clinical stations.

Discussed Communication – most important skill in my opinion with marks to be gathered all across the exam and not only the 2 dedicated stations. Essential to keep Role player’s agenda in mind.

30 second Rule – speak in 30 sec bytes and 2 mins Shishir’s Rule of planning only for that time while practicing the Communication station.

We will take on Rapid Randoms Reviews, Hot seat and Examiner hats from next week.

Learning points are:

• Mark allocation for various stations
• 30 second and 2 min Rules
• Be prepared to adapt your approach with circumstances
• Pause – use it as an important tool
• Ring’s true to my previous attempt

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

Anil Garg

Preparatory / Revision course starting 19 Dec 2025.

Respected sir,

I passed my exam with a score of 75 marks. I can’t thank you in words for how much your classes and mentorship have guided me through this exam. I owe this result to you. Thank you so much sir.

Dr LR – India. 25th November 2025

Sir I have passed the Clinicals.

Dr PH Kolkata -25 November 2025

[25/11/2025, 09:53:08] SK:-Kolkata

Good morning sir
I am very happy to say that i have passed the clinical exams
Your guidance was very helpful to me
Thank you so much
[25/11/2025, 10:09:04] Anil: Congratulations Shruti. You make us proud. Very glad and wish you a brilliant career.

Dear All

Thank you for attending the final session of our current course preparing for the exam in few days.

In Q&As we discussed common concerns candidates have and how to mitigate the risk and avoid losing marks. When to say ‘I do not know – will check and get back to you” and when to ‘ throw the question back at the Role player for their response”. 

To draw a diagram to explain your point or better to describe it so you are in constant connect with the Role player. 

We wish Best of Luck to all our members and all others who are sitting the exam.

Look forwad to hearing from you after your exam.

It has been a pleasure working with you all. 

We will meet again in January 2026.

Anil Garg & Shishir & Other team members