My research focuses on the intersection of oncology and palliative care. I am interested in understanding effective communication about prognosis and the goals of palliative cancer treatment. I am also interested in understanding and improving the support of patient spirituality within care at the end-of-life. Specific projects I am currently working on include an analysis of audio-recorded cancer progression clinic conversations seeking to identify communication characteristics which favorably impact advanced cancer patientsâ€™ prognostic understanding. I am also collaborating with Dr. Deb Schrag in a PCORI funded project to involve key patient and clinician stakeholders to create a multi-media library of patient-centered informed consent tools for common palliative chemotherapy regimens. This suite of tools with then be tested in a randomized clinical trial to determine if it improves patient-centered informed decision making about palliative chemotherapy for metastatic colorectal cancer.