After long training years in both general surgery and internal medicine, I recently became an attending physician in palliative medicine. One thing has become increasingly clear each day as I conduct family meetings and teach trainees how to break bad news. Palliative care, traditionally thought of as a medical subspecialty, has much in common with a procedure-based specialty like surgery. Specifically, difficult communication is really a procedure, and learning its skills is surprisingly similar to learning surgical skills.
Nakagawa S. Communication—The Most Challenging Procedure. JAMA Intern Med. 2015;175(8):1268-1269. doi:10.1001/jamainternmed.2015.2220