Our next Clinical course is from 24/04/2020 to 26/04/2020.

Day 1 – AMRI Hospital

Days 2 & 3: SANJIBAN Hospital

KOLKATA, INDIA

Dear all

I can imagine butterflies in your stomach but you are all very well prepared and have given your utmost.

On the day:

• Keep your NERVES

• Read the Task Carefully

• Smile and be Warm to children, parents and Role players – no matter – to get full marks or those for Communication – rapport.

• Thank them at the end of the station.

• Keep it SIMPLE.

• COMMON things FIRST.

• Do NOT walk into a station with a FIXED diagnosis in mind.

• HAVE A DECENT SLEEP BEFORE  THE EXAM.

I will be thinking of all of you.

BEST OF LUCK.

Anil Garg

I wish all the candidates taking the exam in Ahmedabad later this week best of success.

Keep cool, keep your nerve, listen to the task carefully and SMILE & LOOK CONFIDENT.

We completed the development station today and it was tough.

The main concerns that were highlighted were limited time and the range of questions that need to be asked and others we can get bogged down in and miss important information.

We came up with the following questions:

Powerpoint presentation to highlight approach to clinical stations.

Concentrated on general physical examination that is expected for all stations and chest scars identification.

How to put scars in clinical context and give a valid description showing clinical reasoning. 

Important to fully expose the part to observe for any scars. Do not peek by lifting only. HOWEVER if the patient is uncomfortable in full exposure of refuses then accept and can ask:

‘WHAT WILL NOTE IF I COULD SEE – ANY SCARS OR OTHER MARKS’

You may be surprised at the information you may be given and learn of more scars and signs than you might have noted yourself.

Great learning today. I have been going about hnm all wrong. It is impossible to cover all these headings. We have to be very selective n focussed.

Dr NR 8 Jan 2020

Yes.So true.Thats my learning point today

Dr SJ 8 Jan 2020

It Certainly is for me too..thank u sir

Dr AM 8 Jan 2020

Observations from some participants following today’s session.

Discussed 2 Histories – child with Coelic disease – non compliance & headache – migraine hemiplegic.

What I found useful in this course was that no matter what I have practiced with friends the tension I feel when I have to present to you I presume will be exactly like the exam day as you have been an examiner for so many years.

Dr SM. 07 January 2020

Video clip of a 2 day old floppy baby with nasogastric tube in place.

Differential diagnosis –

neuromuscular disorder

Birth asphyxia

Sepsis.

Interesting discussion on how to present differential diagnosis and management.

Keep the differential diagnosis – broad / general – unless absolutely obvious. Support you differential diagnosis with signs you have noted on the video clip. Mention investigations with what results you are expecting to confirm or refute the diagnosis.