Advance Care Planning: Promoting Effective and Aligned Communication in the Elderly

Inclusion Criteria for clinics: Clinic eligibility criteria include: * More than one oncologist * Serve a patient population that is at least 30% aged 65 or older * Disease-based oncology clinic Subject Eligibility: (for the in-person surveys): \- Any patient affiliated with one of the study clinics who speaks English and is aged 65 or older with advanced cancer is eligible for participation. Advanced cancer is defined as metastatic disease for solid tumors and recurrent or refractory disease for hematological malignancies. There are no exclusions based on gender, race, or ethnicity. Exclusion Criteria: * Adults unable to consent * Individuals who are not yet adults (infants, children, teenagers) * Pregnant women * Prisoners