Training and Practice Activities of Hematology and Medical Oncology Diplomates

Shea, Judy A.; Webster, George D.

doi:10.1001/archinte.1990.00390130127020

Cited by 3 publications

(1 citation statement)

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“…Current ASCO guidelines for curriculum development do not yet include recommendations for training in essential communication skills [73]. However, a study by Shea of 2,516 oncologists showed interest in additional training in this area [74]. Shea's findings regarding communication skills were echoed by our ASCO survey participants, many of whom reported a lack of confidence in ability to break bad news.…”

Section: Discussionmentioning

confidence: 83%

SPIKES—A Six-Step Protocol for Delivering Bad News: Application to the Patient with Cancer

et al. 2000

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We describe a protocol for disclosing unfavorable information-"breaking bad news"-to cancer patients about their illness. Straightforward and practical, the protocol meets the requirements defined by published research on this topic. The protocol (SPIKES) consists of six steps. The goal is to enable the clinician to fulfill the four most important objectives of the interview disclosing bad news: gathering information from the patient, transmitting the medical information, providing support to the patient, and eliciting the patient's collaboration in developing a strategy or treatment plan for the future. Oncologists, oncology trainees, and medical students who have been taught the protocol have reported increased confidence in their ability to disclose unfavorable medical information to patients. Directions for continuing assessment of the protocol are suggested.

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Section: Discussionmentioning

confidence: 83%