Pathways to Advance Targeted and Helpful Serious Illness Conversations (PATH-SIC)

Inclusion Criteria: * Patients who are aged 18 years or older, reach one of the poor prognosis nodes identified and have an upcoming appointment at one of the following Dana Farber Cancer Institute oncology clinics (including Longwood and Chestnut Hill locations) * Breast Oncology Clinic * Gastrointestinal Oncology Clinic * Genitourinary Oncology Clinic * Gynecologic Oncology Clinic * Thoracic Oncology Clinic Exclusion Criteria: * Patients with an SIC documented in the Advance Care Planning module of the electronic health record in the 6 months prior to reaching a poor prognosis node * Patients who have previously been randomized in this trial (e.g., the patient is encountering a poor-prognosis node for the second time during the trial period)