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← How to Break Bad News: The SPIKES Protocol

Lesson

Walkthrough: all of SPIKES in one conversation

See all six steps in one coherent, live conversation and learn to recognize them in someone else's words — before you lead your own.

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Why read someone else's conversation

An example before practice

Before you lead a difficult conversation yourself, it helps to see one in full at least once — with all six steps in their natural order. Below is the transcript of an appointment: an oncologist gives a patient the result of her biopsy. Read like an annotator: next to each of the doctor's lines, put a letter in your head — S, P, I, K, E, or S. This exact skill — recognizing the step in a live sentence — is what you'll need in the simulator in the next unit.
Lesson notes
An example before practice
Before you lead a difficult conversation yourself, it helps to see one in full at least once — with all six steps in their natural order. Below is the transcript of an appointment: an oncologist gives a patient the result of her biopsy. Read like an annotator: next to each of the doctor's lines, put a letter in your head — S, P, I, K, E, or S. This exact skill — recognizing the step in a live sentence — is what you'll need in the simulator in the next unit.
Walkthrough: all of SPIKES in one conversation — How to Break Bad News: The SPIKES Protocol