USMLE® Step 2 CK · Social Sciences, Ethics & Patient Safety · Topic SOC-COMM-01
Breaking bad news and difficult conversations
Breaking bad news and difficult conversations (SOC-COMM-01) in USMLE® Step 2 CK Social Sciences, Ethics & Patient Safety (USMLE® Step 2 CK Review Book p. 21). Guideline basis: 2026 ASCO Patient-Clinician Communication Guideline Update; AMA Code of Medical Ethics 2.1.3; 45 CFR 92.201 (language access) + 164.510(b) (care-relevant disclosure). Covers: SPIKES protocol for delivering bad news, Responding to emotion, Family requests and prognosis questions, Interpreters and cross-cultural communication. Practice 43 QuestionBank questions, ChartWalk bedside clinical algorithms, FlashCards, and ImageBank on TheCodexes.com. Understand beyond your boards.
- Topic Code
- SOC-COMM-01
- Chapter
- Social Sciences, Ethics & Patient Safety
- Review Book Page
- p. 21
- QuestionBank Items
- 43 questions
Primary Guideline / Source: 2026 ASCO Patient-Clinician Communication Guideline Update; AMA Code of Medical Ethics 2.1.3; 45 CFR 92.201 (language access) + 164.510(b) (care-relevant disclosure)
Key Clinical Sections
- SPIKES protocol for delivering bad news
- Responding to emotion
- Family requests and prognosis questions
- Interpreters and cross-cultural communication
- Motivational interviewing for behavior change