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Summary

"Breaking Bad News: The Basics" is an on-demand teaching course intended to help medical professionals develop skills in delivering difficult news to patients. The session is being conducted by highly esteemed professionals, Medical Oncologist Beatrice Preti, and first-year medical student at Emory University, Leenah Abojaib. The course involves detailed guidance on two crucial frameworks, SPIKES and ABCDE that can be utilized for breaking bad news. Participants will also explore three major pitfalls to avoid in these difficult conversations. This session will include practical scenarios for practice. By attending this course, participants will be better prepared to handle sensitive situations with empathy and professionalism.

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Description

Join Oncology Explorers for an introductory session to breaking bad news. We'll cover some basic frameworks, demonstrate both "good" and "bad" examples of breaking bad news, and have an opportunity for interaction.

This is a good opportunity for any students or junior doctors interested in general medicine/family practise, internal medicine, surgery, oncology, critical care, paediatrics, emergency medicine, or other fields where breaking bad news is a key skill to develop.

Space is limited, so register today!

Learning objectives

• Identify and list distinct elements for both the SPIKES and ABCDE frameworks in the context of breaking bad news • Utilize the SPIKES framework in a realistic scenario interaction to deliver difficult medical news • Implement the ABCDE framework in a separate clinical situation to communicate upsetting medical information • Identify and avoid possible pitfalls often encountered when breaking bad news in the medical field • Develop a plan for managing patient reactions and emotions after breaking bad news using empathy and support methods.

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Breaking Bad News: The Basics MedAll: Oncolthy Explorers April 25 , 2024 Leenah Abojaib BA Beatrice Preti MD MMEd AFAMEE FRCPC First-year Medical Student Medical Oncologist Emory University Assistant Professor (Emory University) Adjunct Professor (Western University) Learning Objectives • By the end of this talk, participants should be able to: • Describe two frameworks that can be used by trainees learning to break bad news • Describe three potential pitfalls when breaking bad newsBreaking Bad NewsBreaking “Bad News”What comes to mind when you hear “breaking bad news”?Example of Untrained HCP: Bad ExampleWhat were some “pitfalls” in that example?SPIKES FrameworkSPIKES Framework S •Setting P •Perception I •Invitation K •Knowledge E •Empathy S •Summarise/StrategiseSettingPerception What’s your understanding?Invitation Can we speak more about what’s going on…?KnowledgeEmpathySummarise/StrategiseExample Using SPIKESPractice Scenario Instructions • You are seeing Sara, who is coming into clinic today to discuss the results of a recent CT scan for trouble breathing. • The scans show a mass that is suspicious for lung cancer. • Sara will need a biopsy to confirm the diagnosis, and then likely referral to a cancer centre. • Please use the SPIKES framework to break this news to Sara.DebriefABCDE FrameworkABCDE Framework • Advance preparation A B • Build relationship C • Communicatewell D • Deal with reaction E • Encourage/validateemotionAdvance PreparationBuild RelationshipCommunicate WellDeal with ReactionEncourage/Validate EmotionExample Using ABCDEPractice Scenario Instructions • You are seeing Sara, who is coming into clinic today to discuss the results of breast biopsy after an abnormal mammogram. •will need to refer Sara to an oncologist and a surgeon for next steps. • Please use ABCDE to break the news to Sara.Debrief Questions? bpreti@qmed.ca