A Care Conference

By: Zoe Cross, MD stop me if you’ve heard this one:an oncologist, a radiologist, a surgeon, and a patient walk into a roomwon’t you please sit down Ms. Mthank you doctorthank you for coming in this morning Ms. Mthank you doctorwe thought it would be prudent to meet in person to discuss your results, Ms. … More A Care Conference

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