Mindfully Optimizing Delivery of End-of-Life Care

Inclusion Criteria:

Oncologists:

* Be a physician specializing in medical oncology
* Care for oncology patients at the affiliated cancer center
* Have a patient panel that will allow for ≥6 eligible patients to be enrolled in the study
* Be willing to attend the 5-session MODEL Care program for providers at the specified location, date, and time

Patients:

* Adults ≥ 18 years of age
* Receiving care from a medical oncologist enrolled in the study
* Diagnosed with an incurable and advanced-stage solid malignancy (late stage III \[B or C\] or stage IV)
* Have an attending medical oncologist who would not be surprised if the patient died in the next 12 months
* Willing and able to travel to the class location for 6 weekly 2-hour sessions
* Have a family member or friend eligible and interested in participating in the MODEL Care study
* Able and willing to provide informed consent
* Not have completed a Physician Orders for Scope of Treatment (POST) form

Family Caregivers:

* Adults ≥18 years of age
* Chosen by a family member or friend with cancer to join them in participating in the MODEL Care study
* Willing and able to travel to the class location for 6 weekly 2-hour sessions
* Able and willing to consent.

Exclusion Criteria:

Oncologists:

* Planning to leave current practice setting for other employment in the next 3 months.

Patients:

* Eastern Cooperative Oncology Group (ECOG) performance status of \>2 or Karnofsky performance status \<60 (suggesting patient is capable of only limited self-care, confined to bed or chair more than 50% of waking hours, or requires considerable assistance and frequent medical care) as rated by the attending oncologist
* Currently receiving hospice care.