Breaking bad news in real conversations · palliative teaching · Dr. Michael Shin

▶ Next: Deliver the headline in real conversations · palliative teaching · Dr. Michael Shin    • Deliver the headline in real conversations...   · ▶ Play all:    • What is palliative care? What the team doe...   How to break bad news, step by step, with SPIKES (Setting, Perception, Invitation, Knowledge, Emotions, Strategy and summary): six fictional role-played scenes with the exact words and real silence after the news; one goes wrong first, in a hallway, then the redo. Then three out-loud practice moments and a one-page card. ▶ The page, with the printable card and the four short songs: https://library.maitrib.ca/atrium/med... 0:00 Cold open: "Whatever it is, just say it." 0:27 SPIKES: Six steps, from Baile and Buckman 1:36 Scene 1 · Setting 2:22 Scene 2 · "What have you been told so far?" 3:14 Scene 3 · The warning shot 3:45 Scene 4 · "They told me I was clear." 4:37 Scene 5 · Strategy and summary 5:31 Scene 6 · When it goes wrong 7:04 Your turn: three practice moments 8:44 Your one-page card 8:58 Sources and credits Tone: steady and plain. No humor; the song below carries the play. Slow pads under the narrator only, real silence after the news. SOURCES SPIKES: Baile WF, Buckman R, et al. The Oncologist 2000. Fast Facts #6 and #11, Delivering Bad News, Parts 1 and 2. Palliative Care Network of Wisconsin (CC BY-NC 4.0); cited by number, no text reproduced. Every scene is fictional; no real patients. Teaching, not medical advice. Voices: ElevenLabs (AI). Pictures: Gemini (AI). Made with AI assistance (Claude). Creative direction by Dr. Michael Shin Clinical review by Dr. Michael Shin: pending MaitriB · Michael Shin