Fig. 1

Flowchart of CST Based on SPIKES. a) Developing basic knowledge of TS-1 and communication (5 h); b) developing basic knowledge of communication with cancer patients and SPIKES using DVD, and performing role-plays with another pharmacist (5 h); and c) performing role-plays with another pharmacist and a standardized patient (5 h). *Home studies between CST sessions were not instructed