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"We believe that the workshop was a worthwhile use of valuable educational time. Using simulation as an educational tool along with the SPIKES protocol and small group role play is a novel and efficient module to teach EPs how to break bad news in the stressful environments of an emergency room."

"For decades, the way bad news was broken was, as one official British report put it, "deeply insensitive". Now we do it better, thanks to the efforts of one American widow. Sally Williams talks to her, and to policemen and doctors at the sharp end .."

"In early April 2012, a flurry of news reports described a study of major health risks shortening the lives of people in the Canadian province of Ontario. A typical report described "bad lifestyle choices" as together taking as much as seven years off Ontarians' life expectancies."

""After the small group interaction, students overwhelmingly agreed that the exercise was helpful and that the SPs were 'realistic,'" Dessureault says. "They also agreed strongly that the post-interview discussion was the most advantageous feature and that, overall, their knowledge of best practices had increased." "