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Breaking bad news is one of the most difficult tasks in healthcare. It requires a combination of empathy, communication skill, and professional judgement — exactly the qualities the UCAT Situational Judgement Test is designed to assess.
This lesson covers the SPIKES protocol (the most widely taught framework for breaking bad news in UK medical schools), common mistakes, and how these scenarios appear in SJT questions.
Bad news is any information that drastically and negatively alters the patient's view of their future. It is not limited to terminal diagnoses.
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