June 12, 2026 · Family medicine · DOI: 10.22454/FamMed.2026.948308

ARCH-SPIKES: Faculty Development to Deliver High-Stake, Complex Feedback

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The authors aimed to determine whether a 60- to 90-minute workshop on the ARCH-SPIKES model could enhance medical educators' competence, comfort, knowledge, and application of delivering high-stake, bad news, and complex feedback. Results indicated significant improvements in these areas immediately after the workshop and sustained knowledge retention six to nine months later, with a notable percentage of participants applying the ARCH-SPIKES framework in practice.

Gretchen Shelesky, Gregory Castelli, Suzan Skef, Dennis Baker, Frank D'Amico

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