TY - JOUR
AR - ACR-2020-1-105
TI - SKIPS: A Simple Modification of a Prior Simulation Tool for Difficult Patient Discussions
AU - Julie, Marshall
AU - Michael , S. Brown
AU - Marty , Runyan
AU - Dena , Higbee
JO - Anesthesia and Clinical Research
PY - 2020
DA - Mon 13, Jul 2020
SN - 2733-2500
DO - http://dx.doi.org/10.31487/j.ACR.2020.01.05
UR - https://www.sciencerepository.org/skips-a-simple-modification-of-a-prior-simulation-tool-for_ACR-2020-1-105 
KW - Simulation, communication, residency education, milestones
AB - Patient communication during ethical or difficult treatment decisions is a complex interaction. We present
our initial experience with a structured framework for discussion, SKIPS (setting, knowledge, invitation,
perception and strategy), as a modification to a previously reported tool for breaking bad news, SPIKES.
Our new framework emphasizes patient beliefs and wishes in the setting of a discussion requiring ethical
considerations or treatment decisions. Initial evaluations of the SKIPS tool were favourable by resident and
faculty, with faculty reporting a greater chance of utilizing SKIPS than the residents.