Observer:_________________________________________					Start time:____	End time: ____
To be completed by each faculty member observing the family meeting:
Family Meeting Skills Demonstrated	NA	No	Yes	Beginner	Intermediate	Expert
SPIKES
(S) Setting:
Meeting preparation
Prepared room
Body language
Greeting
(P) Perception:
Assessed patient’s/family’s understanding
(I) Invitation:
Asked what the patient/family wants to know
Gave a “warning shot”
(K) Knowledge:
Gave information (about current medical condition)
Avoided use of medical jargon
(E) Empathic Response:
Responded to emotions
Wish statements (for unrealistic tx goals)
(S) Strategy:
Check-in before moving on
Check for understanding
Summary
Plan
Other skills:
Used empathic continuers (NURSE-at least one)
Used empathic terminators
Used Ask-Tell-Ask
Prognosis (delivered as range)
Used silence appropriately
Used open-ended questions (tell me about…)
Goal setting (in context of ongoing or future care)
Made a treatment recommendation
Spiritual and existential concerns
Patient’s/Family’s cultural background
Explored patient identity/family support
Mediated conflicts that arise
Discussed the 5 things
Discussed what to expect in dying process
Time managed
Used appropriate level of directiveness
Leadership (interdisciplinary team/consultants)