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Palliative Medicine #1 – End of Life Conversations

Palliative Medicine #1 – End of Life Conversations

Back to Multidiscipline Courses

This is a three hour course designed to give residents, fellows and Nurse Practitioner students an opportunity to practice delivering bad news to standardized patients using the “Setting, Permission, Information, Knowledge, Empathy, and Summary,” (SPIKES) format. In this safe, “low stakes” environment, participants are expected to verbally and non-verbally respond to and encourage patient emotion. Participants’ communication skills which are needed to build a therapeutic relationship with patients are expected to be refined throughout the simulation.

Learning Objectives

  • Practice delivering bad news to a standardized patient
  • Practice non-verbal and verbal communication skills to create a rapport with patients
  • Encourage learners to think ahead to the eventual diagnosis when presented with ominous symptoms and begin to prepare the patient for the potential results of proposed testing
     

Expected Outcomes

  • Understand and implement the structured SPIKES format for delivering bad news (Setting, Permission, Information, Knowledge, Empathy, and Summary)
  • Be more comfortable exploring the patient’s concerns and expressions of emotion
  • Be more apt to counsel and educate patients using everyday language, avoiding medical jargon
     

Audience

  • Residents, fellows and Nurse Practitioner students