Breaking Bad News (SPIKES)
Margaret, about 70, is waiting for biopsy results. She thinks it's nothing. Practice using SPIKES to share the news, then find what really worries her.
Try it free →Practice scenarios
These ten practice conversations are for anyone who has to talk with patients, families, or interviewers about health and care. You can practice giving a cancer diagnosis to a patient waiting for biopsy results. You can practice calming a son who has waited five hours in the ER. You can practice teaching an older patient about a new medication or calling a tired doctor at 3 a.m. with an SBAR report. Some are for students: the MMI ethics station, the PA school interview, the dental school interview. Some are for real life, like getting your own doctor to listen in ten minutes. In each one, you talk out loud or type with an AI character who pushes back. Then you get feedback on the skills that conversation tests. Pick the conversation you are most nervous about, or the one closest to your next real talk.
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10 scenarios
Margaret, about 70, is waiting for biopsy results. She thinks it's nothing. Practice using SPIKES to share the news, then find what really worries her.
Try it free →Harold, 75, has a new prescription and a habit of quitting pills. Teach the medication plainly, use teach-back, and find out why the last one stopped. He speaks first and reacts to how you explain.
Try it free →Marcus Webb, 22, has waited five hours with no updates. He speaks first and pushes back. Practice de-escalating him out loud, then see a scorecard with your score, four skill bars, and one of your lines with a better version.
Try it free →Dr. Paul Sato gives you an ethics prompt, then pushes on your reasoning until the bell. Practice thinking out loud, then see your score and what to fix.
Try it free →Kristen Doyle, PA-C asks why PA and not MD. She pushes on your patient-care stories and asks about a failure. You answer out loud, then see a scorecard with four bars and one of your lines made better.
Try it free →Dr. Alan Whitcomb runs a random dental school station. He pushes on your reasoning until the bell. Practice out loud, then see your score and one line to say better.
Try it free →Dale Morris doesn't think he has a problem. He's only here because a judge said so. Practice getting him to say his own reasons to change, without arguing or lecturing.
Try it free →Hannah Lee is a nervous college sophomore in her first counseling session. Practice building trust with reflections and open questions, and agree on one small next step together.
Try it free →Dr. Price is running 25 minutes behind. You have ten minutes to explain three months of fatigue and dizziness and leave with a plan. Practice saying it out loud before the real appointment.
Try it free →It's 3 a.m. You're a night-shift nurse. A post-op patient's blood pressure is dropping. Dr. Owen Hartley is tired and waiting for your report. Can you give a crisp SBAR and read back his orders?
Try it free →Make this useful for your next conversation
Start with a free worksheet, then test your own response with a voice or text roleplay. Your first complete coaching report is free once across all areas. Create a free account to save your goal, actual words, and downloadable notes.
Need repeated practice? $4.99 once buys 100 rounds across every mode and full coaching on every report. Rounds never expire; no subscription is required.
FAQ
Start with the conversation you actually have coming up. If you are a student, try the MMI ethics station, PA school interview, or dental school interview. If you work with patients, pick breaking bad news, medication teaching, the angry family member, motivational interviewing, or the SBAR call. If you are a patient or family member, try Get Your Doctor to Listen. Try it free →
They are for medical, PA, dental, nursing, and counseling students, and for anyone who talks with patients or families. They are also for people who want to speak up in their own care. You do not need experience. The AI character reacts to what you say, so you can practice a hard talk before it happens for real. Try it free →
It depends on the scenario: the clinical stations have bars for data gathering, communication, empathy and clinical reasoning; MMI and admissions stations for structure, reasoning, communication and judgment; the counseling, SBAR and doctor-visit practices have their own. Each page lists them. This is practice, not medical advice. Try it free →
Practice only, not medical advice.
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