Dear All

Thank you for join the session today.

In Rapid Random Review we discussed:

• Floppy baby
• Lactulose intolerance
• Intra Ventricular Haemorrhage

Mini Mock – History and Managment was of a 8 year old presenting with soiling with a very distressed parent. Dr P took the Hotseat, Dr I was the Role Player with Dr P with examiner hat. Dr P made a very good attempt starting very well. In the middle she lost track of time and her ‘questions’ hence ending with not enough time to finish all her queries. Dr P picked up the points missed. Work has to done on accurately framing the questions so they are not too long, understandable and easily answerable.

Dr I mentioned coming across a similar scenario in her exam. Role player was very aggressive and kept repaeting her question. When mentioned diarrhoea – RP really went ‘hystrical’. Examiner was similing watching this!!

Dr Shishir gave very valuable advice on Dietary history – ‘What did the child have in previous 24 hours’ will you a pattern of diet.

The Learning points are:

• Think and plan for 5-10 seconds before opening your mouth to answer
• Stuttering during your answer is worse that Starting ‘late’
• It is focussed – you cannot cover Everything
• Have differential follwoing the stem and let it guide your questioning
• Time line is essential for a structures and ‘comprehensive’ history
• Social history is VERY important
• 1 min each for 3 points give more marks that 5 mins on 1 with no time for others
• Open questions follwoing summary of ‘information’ provided
• 24 hour method for dietary history.
• Acknowledge concerns – PARK – saying you WILL discuss at the end 
• Can have a discussion without Invstigation results – as in OPD / Clinic

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

Anil Garg