Thank you for joining the sessions today.
We started our summer semester. We discussed New – Old Clinical examination. How the Clinical exam has moved from ‘Old standard’ to Covid modification moving on to Fully virtual to gradual face to face, with no children to now children at all Clinical stations except Development station. We still need skills acquired during Covid virtual phase of Universal and Dependent cues.
We use these in our Interactive Zoom Sessions guide your practice and help you develop your own rhythm for each station by taking the Hotseat and examiner seats – all are observers and give their observations.
In RRR we discussed:
- Non Epileptic Seizures – types
- Cong Adrenal Hyperplasia
- Paracetamol poisoning: effects and prognosis
The Clinical station described a 2 year whose parents are worried about his walking. Video gave cues that will be available during examination you should observe during the 6 minutes. Dr A took the hotseat and Dr L & Dr P had the examiner hats. Dr A made a good attempt at conducting the examination but here was confusion on the technique. Dr P gave a very good description of how to proceed during this station. He gave a mnemonic: D-W-A-R-F-S – I will request him to send the full version in our WhatsApp group.
Dr Shishir monitored the Clinical examination and gave another important mnemonic: A-F-P-M-D-S-S. I will request him also to give details of his thinking process helping us not forget.
The Learning points are:
- Structured Examination technique is a MUST
- Observation will get you 70-80% of information
- Age appropriate examination
- Cannot examine a toddler and a teenager the same way.
- Do Not upset the child.
- Move away if you note Child is getting upset.
- ‘The child was uncooperative’ – NO
- I could not get the child to do …..’ sounds better.
- Parents will like you more for your thoughtfulness – also in regular practice.
- Write your own ‘Performa of how’ for each station / system.
- Mnemonics – are an important part to keep our practice smooth.
Please visit www.mrcpchonline.org to add your comments or points I may have missed.