Oncbytes
Episode #3:
“Tough Conversations in the Clinic”
Part Two

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Aparna Kalyan, MD
GI Oncology
Lurie Cancer Center at Northwestern Medicine

Julia Vermylen, MD, MPH
Northwestern Medicine, Palliative Care
Co-Director, Northwestern Simulation Program in Healthcare Communication

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Featured topics and Time-stamped Episode Bytes:

00:00:24 – Timing when discussing long term goals
00:04:56 – Managing patient’s expectations and comprehension
00:08:43 – “Having more good days than bad days”
00:10:10 – Taking clinical context into account when approaching care
00:12:43 – Programs/Courses to help with serious illness communication skills
00:13:52 – Take home points

Episode Resources:

• • REMAP: A Framework for Goals of Care Conversations
  • SPIKES – A Six-Step Protocol for Delivering Bad News:
    Application to the Patient with Cancer
  • Associations Between End-of-Life Discussions, Patient Mental Health, 
    Medical Care Near Death, and Caregiver Bereavement Adjustment

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