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Sage Debrief

Session evaluation

Overall score

3.1 / 5

Proficient

I want to name what I saw clearly: you delivered the KIA notification in turn 3, but by turn 5 you were already in clinical language — 'significant emotional response' and 'acute bereavement' — while SGT Hale was still in shock. When he said 'I should've seen it' in turn 6, you missed the guilt signal and jumped to 'Do you have any thoughts of harming yourself or others?' He told you exactly what happened — 'Carlos is dead and you're running a checklist.' You recovered in turn 9 — 'Carlos wasn't just a casualty to you. He was your friend. Tell me about him' — and he opened up. The connection was real, but it came too late.
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Framework fidelity

vs. SPIKES Protocol

Baile et al. (2000); adapted for military casualty notification · KB-SPIKES

1 of 6

elements landed

Partial

Knowledge delivered; empathy attempted but clinical language and early safety screening undermined SPIKES sequencing. Partial recovery in turn 9.

  • Partial

    Setting

    Have a seat — functional but not patient-centered

    Turn 1
  • Missed

    Perception

    No check of what SGT Hale knew before notification

  • Missed

    Invitation

    Update framed as provider agenda, not shared readiness

  • Landed

    Knowledge

    PFC Carlos Diaz was killed in action — delivered clearly

    Turn 3
  • Partial

    Empathy

    Clinical empathy in turn 5; genuine repair in turn 9

    Turn 9
  • Missed

    Summary/Strategy

    No clear handoff or next steps before session close

8 competency domains

When SGT Hale said 'Carlos is dead and you're running a checklist,' the rupture was clear — and you'd earned it in turn 7 with 'I need to ask about your safety plan.' I noticed you didn't restore grounding before the assessment language. Turn 9's apology helped, but psychological safety fractured before you rebuilt it.

Does this reflect what you experienced?

Turn 7: “I need to ask about your safety plan. Do you have any thoughts of harming yourself or others?”

DoD Casualty Notification Protocol · §3.2 Immediate post-notification support (KB-DOD-CN-3.2)

Strengths

  • Turn 9 repair acknowledged the rupture and reopened the relationship.(turn 9)

Improvements

  • Stay with guilt signals before any safety or assessment language.

    Try: “You were right there with him. That guilt tells me how much he meant to you.”

  • Replace clinical framing with human reflection after the notification.

    Try: “I can't imagine what this is like. Take whatever time you need.”

Conversation moments

  • Turn 9 · strength · I finally heard you repair — you owned the rush and invited SGT Hale to tell you about Diaz.
  • Turn 7 · missed opportunity · SGT Hale named his guilt and you jumped to a safety checklist — that's the moment I needed you to stay.
  • Turn 5 · missed opportunity · Clinical bereavement language landed while SGT Hale was still absorbing that Diaz was gone.

What's next?

Try the same scenario yourself, or watch another performance tier.

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Simulations are training environments, not clinical decision support.