Overview

A clinician must share a serious new diagnosis. Learners practice empathetic disclosure, checking understanding, and responding to emotion.

Presentation A patient returns for results that confirm a serious new diagnosis. They are alone and expecting routine follow-up. Scenario goals Prepare the setting, find out what the patient already knows, deliver the news clearly without jargon, and respond to the emotional reaction with warmth. Expected findings The patient is initially quiet, then tearful, and asks what happens next. Facilitation notes Use a recognized framework such as SPIKES. Watch for warning shots, appropriate pauses, and a clear, supported plan for next steps.

Roles & portrayals

Learning objectives

1. Deliver serious news using a recognized framework
2. Respond to emotion with empathy

Evaluation guide

• Gave a clear warning shot before the news (checklist)
• Empathy and rapport (rating)