This podcast presents an approach to delivering life-altering news in a pediatric setting. It will compare and contrast "life-altering news" vs. "bad news" and will describe and apply Robert Buckman's 6-step SPIKES protocol to a pediatric case. The podcast was developed by Geraldine Huynh, a fourth-year medical student at the University of Alberta, in collaboration with Dr. Debra Andrews, a developmental pediatrician at the Glenrose Rehabilitation Hospital in Edmonton, Alberta.