Keeping Watch

By: Rebecca Curran, MD, PhD Minor demographic and medical details have been changed to protect patient privacy. It is my third year of medical school, my first year seeing actual patients, and I am being handed my “list” for the day. “We’re giving you Mira, a 6-year-old Serbian girl, bad cancer, kind of complicated.” “Kind … Continue reading Keeping Watch

“Bad News:” Any information which adversely and seriously affects an individual’s view of his or her future.

I teach Physician Assistant (PA) students the art of the medical interview and this morning had just finished teaching the lecture entitled, “Delivering Bad News.”  I walked the students through the S.P.I.K.E.S model, encouraging them to plan out the Setting, think about the patient Perception, get an Invitation from the patient to present information, impart … Continue reading “Bad News:” Any information which adversely and seriously affects an individual’s view of his or her future.