1. Effective Communication in Clinical
Practice
• • Kalamazoo Consensus Statement
• • SPIKES Protocol (Breaking Bad News)
• • Universal Upset Patient Protocol
2. Importance of Effective
Communication
• • Builds trust between doctor and patient
• • Improves patient satisfaction and adherence
• • Reduces medical errors
• • Encourages shared decision-making
3. Kalamazoo Consensus Statement
• A Framework for Assessing Communication
Skills
• 1. Builds a Relationship
• 2. Opens the Discussion
• 3. Gathers Information
• 4. Understands the Patient’s Perspective
• 5. Shares Information
• 6. Reaches Agreement on Problems & Plans
5. SPIKES Protocol – Breaking Bad
News
• A 6-Step Strategy for Delivering Difficult News
Compassionately
• 1. Setting: Create a private, comfortable
environment
• 2. Perception: Assess patient’s understanding
• 3. Invitation: Ask if patient wants details
before explaining
• 4. Knowledge: Provide clear, simple, honest
information
6. SPIKES – Do’s & Don’ts
• ✔ Do: Be empathetic, pause to allow
reactions, use layman’s terms
• ❌ Don’t: Rush, overload with details, ignore
emotions
7. Universal Upset Patient Protocol
• A 6-Step Model for Handling Emotional
Patient Interactions
• 1. Acknowledge the Emotion
• 2. Validate the Experience
• 3. Explore the Reason
• 4. Clarify Misconceptions
• 5. Provide Reassurance & Solutions
• 6. Follow-Up
8. Practical Application – Role Play
Exercise
• • Scenario 1: Breaking bad news using SPIKES
• • Scenario 2: Handling an upset patient
• • Scenario 3: Effective doctor-patient
conversation using Kalamazoo elements
9. Conclusion & Takeaways
• ✔ Effective communication improves patient
care & trust
• ✔ Kalamazoo – Structured assessment of
communication skills
• ✔ SPIKES – Stepwise approach to breaking
bad news
• ✔ Universal Upset Patient Protocol –
Managing emotional patients with empathy
10. References & Further Reading
• • Kalamazoo Consensus Statement on
Communication
• • Baile WF, Buckman R, et al. SPIKES Protocol
• • Communication strategies in difficult patient
interactions