RT Book, Section A1 Baile, Walter A1 Dominici, Laura A2 Kuerer, Henry M. SR Print(0) ID 6408089 T1 Chapter 14. Communicating a Breast Cancer Diagnosis T2 Kuerer's Breast Surgical Oncology YR 2010 FD 2010 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-160178-8 LK accesssurgery.mhmedical.com/content.aspx?aid=6408089 RD 2024/04/23 AB The delivery of a diagnosis of breast cancer to a patient elicits a strong emotional response from the patient, and similarly, evokes an emotional response from the surgeon as well. The ability to deliver bad news in a way that helps improve communication and strengthen the patient–doctor relationship is a skill not often taught, although it is frequently required. Most studies have examined oncologists, and one found that 60% broke bad news to patients from 5 to 20 times per month. Fourteen percent delivered bad news more than 20 times a month. Less than 10% of those surveyed had any formal training in breaking bad news, and only 32% had any shadowing experience in watching others deliver diagnoses.1 An American Society of Clinical Oncology survey revealed that most participants cited "traumatic experience" as the most common source of learning communication on difficult topics.2