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Communicating with patients who have life-threatening illnesses is a core medical skill. Often after watching an experienced attending physician guide a patient through the transition from disease-modifying treatment to end-of-life care, students assume that this expertise comes naturally. Nothing could be further from the truth. In fact, end-of-life communication skills require deliberate intent, practice and reflective work-little of which can be detected by watching a master. An expert skierdoi:10.1001/virtualmentor.2006.8.9.medu1-0609 pmid:23234708 fatcat:pfmqacexbbe3je65i72bawbgje