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Dr. Mohamud Verjee, Associate Professor of Family Medicine at Weill Cornell Medicine – Qatar (WCM-Q), asks who should break bad news, how, and how could it be done better? He describes WCM-Q’s efforts to prepare students to break bad news to patients, exploring what factors make it most difficult for students and the different kinds of bad news doctors may be have to break to patients. He presents strategies that can be used, discusses the SPIKES protocol for breaking bad news, and presents the benefits of training to both students and patients.