Communication Skills

Question 1

What communication protocol did Buckman propose in 2005 to aid breaking bad news to a patient?

Answer 1

‘SPIKES’ protocol

Question 2

What does ‘SPIKES’ stand for?

Answer 2

S- setting and listening skills
P- perceptions of condition and seriousness
I- Invitation from patient to give information
K- knowledge
E- explore emotions and empathise
S- strategy and summary

Question 3

What is the ideal way to summarise/end a conversation with a patient?

Answer 3

“ are there any important issues or questions we ought to be discussing?”