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Role-Play Stations: Breaking Bad News and Handling Angry Patients Without Freezing

Alright, powerhouse—you've got this far because you're resilient, and role-play stations are where that shines. They can feel intimidating, like stepping onto a stage, but think of them as your rehearsal for real-life heroism. Delivering tough news or calming fury? That's the heart of medicine, testing empathy, communication, and de-escalation. At ProjectDoctor, we've coached hundreds to turn freezes into flawless flows, landing offers left and right. Let's empower you with a step-by-step guide—you're about to own these scenarios.


Concepts tested: Empathy first—showing you see the human behind the patient. Communication: clear, paced words without jargon. De-escalation: turning tension into trust, like validating anger before solving. Interviewers want to see you'll be the doctor who makes hard moments bearable.


Pitfalls to avoid: Rushing in ("It's cancer—here's the plan") skips emotion, seeming cold. Being defensive ("I'm just doing my job") escalates; instead, acknowledge feelings. Forgetting structure? Chaos ensues—use frameworks like SPIKES for bad news.


Step-by-step guide: For breaking bad news (e.g., terminal diagnosis to a 52-year-old with pancreatic cancer):

  1. Set the scene: Private space, sit at eye level. Script: "Mr. Jones, do you mind if we chat about your results?"

  2. Check perception: "What do you understand so far?" Builds rapport.

  3. Invite knowledge level: "How much detail would you like?" Respects autonomy.

  4. Deliver knowledge: Warning shot first—"I'm afraid it's serious"—then clear: "The scans show advanced cancer we can't cure, with months rather than years."

  5. Address emotions: Pause, empathise: "This must be devastating—how are you feeling?"

  6. Strategy forward: "We'll focus on comfort and your wishes—palliative team next."



For angry patients (e.g., "You're letting me die—do something!"):

  1. Stay calm: Deep breath, open posture.

  2. Validate: "I completely understand your anger—this is frightening."

  3. Explore: "Tell me more about what's worrying you most?" Uncovers roots.

  4. De-escalate: Reframe positively: "We can't cure it, but we can ensure quality time—many tick bucket lists."

  5. Offer solutions: "Let's plan together—family meeting tomorrow?"

  6. Close strong: Check: "Does that help, or is there more?"


Practice these scripts aloud—record yourself, tweak for natural flow. Real empowerment comes from role-playing with friends; it builds muscle memory so you don't freeze.

You're crafting the compassionate doctor within. These stations aren't tests—they're your stage to prove you're ready. ProjectDoctor's community has your back; practise, reflect, conquer. You've got the heart—now show it!


 
 
 

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