306 - Breaking Bad News

:star: :star: :star:


  • Rush medical school in Chicago
  • Bad news: drastic negative change in future of patient
  • Students evaluated on how they break bad news
  • Rob Buckman trains as doctor after being a comedian
    • He got sick and it really helped when doctor empathized with him. Got an autoimmune disease.
    • Then he started to get better and wanted to fix doctor patient relations
  • Bad news: SPIKES
    • Setting: make it calming
    • Perception: “how are you currently feeling about this situation?”
    • Invitation: “at what level do you want to know?
    • Knowledge: “what would you like to know?”
    • Emotions: “how does this make you feel?”
    • Strategy and summary: come up with action items, invite questions, make sure they know what happens next