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Role Play Scenario 2
You are an FY2 doctor on a general medical ward, and your consultant has asked you to discuss the following investigation results with Mrs Smith.
CT Chest, Abdomen, Pelvis Summary
There is evidence of cancer spread from the ovaries to the lungs, liver and stomach suggesting of advanced end-stage malignancy. Palliative input to be considered.
Average Candidate Approach
Unfortunately Mrs Smith, the scan results are not promising, and they show that you have advanced end-stage cancer. I believe that it would be beneficial to involve the palliative team.
Unfortunately Mrs Smith, the scan results are not promising, and they show that you have advanced end-stage cancer. I believe that it would be beneficial to involve the palliative team.
Excellent Candidate Approach -SPIKES
S – Setting up the interview (preparing yourself and the consultation setting)
P – Perception (Understanding the patient’s perception of their condition and it’s seriousness)
I – Invitation (Wait for the patient to invite you to deliver the bad news)
K – Knowledge (Knowledge and information transfer to the patient)
E – Empathy and emotional support
S – Summary and strategy for the future
S – Setting up the interview (preparing yourself and the consultation setting)
P – Perception (Understanding the patient’s perception of their condition and it’s seriousness)
I – Invitation (Wait for the patient to invite you to deliver the bad news)
K – Knowledge (Knowledge and information transfer to the patient)
E – Empathy and emotional support
S – Summary and strategy for the future