Physicians are often uncomfortable delivering bad news to patients and try to avoid disclosing this information.  The majority of formal communication education is provided to physicians very early in training such as during the first year of medical school.  By the time physicians are in a position of needing to deliver bad news to a patient since this responsibility is delegated to attending most often, many years have elapsed. An interactive clinician led small group discussion for M2s in the Foundational Capstone Course focused on the application of ethical priniciples to clinical scenarios that post management dilemmas. Small group faciliatators who complete pre reading assignment and complete a post test following discussion are eligible to receive CME credit for sessions.