Patient Perception of Physician's Compassion, Communication Skills, and Professionalism During an Outpatient Palliative Care Visit

If you agree to take part in this study, during an already-scheduled office visit, you will
complete 5 questionnaires about your symptoms, your physical and emotional health, and your
trust in the medical profession. These questionnaires should take about 17 minutes to
complete.

Study Groups:

After you have completed the first 5 questionnaires, you will be randomly assigned (as in the
roll of the dice) to 1 of 4 groups.

Each group will watch 2 short videos that show actors playing doctor and patient roles,
discussing different cancer-related symptom treatment options. Each video is about 4 minutes
long and will discuss the same content, but setting of each video will be different.

After watching the first video, you will complete 3 questionnaires about your opinions of the
doctor's behavior. These questionnaires should take about 5 minutes to complete.

After you watch the second video, you will complete the same 3 questionnaires. You will also
complete 2 additional questionnaires about which doctor you would rather have as your doctor
and why, and your opinion about the setting of the examination room in the video. It should
take about 8 minutes to complete these questionnaires.

Length of Study:

It should take about 38 minutes to watch both videos and to complete all questionnaires. Your
participation on this study will be over after you have completed the last questionnaire.

Other Information:

You must attend the study visit alone. Your family members should not be in the room with you
while you are participating in the study. You may request to have family members remain in
the room, but they must remain silent so that they do not influence your opinions.

This is an investigational study.

Up to 120 participants will be enrolled in this study. All will take part at MD Anderson.

Inclusion Criteria:

1. Patients with the diagnosis of advanced cancer defined as locally advanced, recurrent
or metastatic disease.

2. Outpatients (either new referrals or follow ups) seen in the Supportive Care Clinic.

3. Age >/= 18 years old

4. English speaking

5. Patients with normal cognitive status (Memorial Delirium Assessment Scale (MDAS)
ability to complete the consent process.

Exclusion Criteria:

1) Patients who are experiencing severe symptom distress, including severe emotional
distress and cognitive dysfunction, which may interfere with study participation. This will
be determined by the principle investigator and/or attending physician who is caring for
the patient during that visit.