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Breaking bad news

Breaking bad news · video tutorial

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Using the SPIKES framework to break bad news compassionately in the communication station.

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Figure. Reference illustration for this topic.

This lesson combines a recorded tutorial with structured notes, high-yield tables and viva-style questions mapped to the MRCS Part B (OSCE) marking domains.

Tutorial walkthrough10 min

Key learning points

  • Reproduce the relevant anatomy or principle from first principles under exam conditions.
  • Link each fact to its clinical or operative relevance — examiners reward applied understanding.
  • Rehearse the viva questions aloud before moving on.

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