Mitigating Racial Disparities in Shared Decision Making in the Intensive Care Unit

Physician inclusion criterion: \- ICU attending physician with at least 6 weeks of clinical service time in the 12 months preceding and following enrollment Physician exclusion criterion: \- Board certified in palliative care medicine Patient inclusion criteria: * Admitted to the ICU * Being treated by a study physician currently and at least for the next 48 hours * ≥ 18 years of age upon admission to hospital * Mechanically ventilated ≥ 4 days Patient exclusion criterion: * Tracheostomy tube present or decision to pursue tracheostomy within next 7 days * Has decision making capacity as assessed by medical team * Extubation planned or death anticipated in next 24 hours * Patients who are prisoners or are pregnant * Awaiting organ transplantation during this hospitalization * Acute respiratory failure due to progression of chronic neuromuscular disease * No family decision maker available Family member inclusion criteria: * Identified by medical team as person most involved in medical decision making for the patient * Confirmed to be patient's legally authorized representative * Self-identifies as non-Hispanic, Black or White * ≥ 18 years of age at time of consent * Confirms conversational fluency in English