All terms
SPIKES protocol
Also known as: SPIKES
A six-step framework for breaking bad news — Setting, Perception, Invitation, Knowledge, Emotions, Strategy — that helps deliver difficult information clearly while staying patient-centred.
More glossary terms
- ABCDE approachA systematic method for assessing and treating an acutely unwell patient — Airway, Breathing, Circulation, Disability, Exposure — dealing with each before moving on.
- AMPLE historyA focused emergency history — Allergies, Medications, Past history, Last meal, Events — taken quickly in acute situations.
- ARCPThe annual assessment that decides whether a doctor in training has met the competencies to progress to the next stage.
- AVPU scaleA rapid way to grade consciousness — Alert, responds to Voice, responds to Pain, Unresponsive — used in initial assessment.
Put it into practice
Rehearse PLAB 2 stations with AI simulated patients and get structured feedback after every consultation.
Start practising free15 free voice minutes included — no card required