Question special

With a freshly-printed medical diploma in hand, new interns are usually confronted with uncomfortable duties that they were unable to perform as medical students. Being responsible for death pronouncement, certification, and subsequent family notification sticks out as one of the most critical, stressful tasks that many new doctors face early on -- often without formal training before being paged for pronouncement.

To this end, what advice can you offer to new interns regarding death pronouncement and communication to family? More broadly, do you have any advice on breaking bad news? Any tips for self-care in the aftermath?