Improving Goals of Care Discussion in Advanced Cancer Patients

Inclusion Criteria: * Men or women who are at least 21 years of age who have been diagnosed within one month with a pathologically confirmed advanced cancer who have an average of \<2 y life expectancy (primary stage IV hepatobiliary, esophageal, colorectal, glioblastoma, gastric, pancreatic, melanoma, head \& neck, or stage III or IV lung or pancreatic cancers) and are being treated at one of the participating hospital sites and speak English or Spanish. * Oncologists who treat at least 2 advanced cancer patients per month at a study participating hospital will be enrolled into the study. Exclusion Criteria: * Patients who have seen an oncologist after undergoing first line treatment imaging as this group has a higher likelihood of having received a goals of care discussion. * Men or women who do not speak English or Spanish will be excluded.