Empathic Communication Skills (ECS) Training

Inclusion Criteria:

Site Eligibility

* Employs at least 15 FTE OCPs (i.e., oncologists, nurse practitioners and physician assistants) as per self report
* Reports a clinic volume of at least 20 new lung cancer patients per month as per self report

OCP Participant Eligibility

* OCPs who are thoracic oncology physicians (radiologists, medical oncologists, pulmonologists, and surgeons), NPs, or PAs and currently treating lung cancer patients, as per self-report;
* OCP conducts consultations with lung cancer patients, as per self-report;
* OCP sees at least 1 lung cancer patient per week, as per self-report;

Patient Eligibility

* Patient under the care of a participating OCP as per self report;
* English and/or Spanish speaking;

  * In general, which language do you prefer to receive your medical care, English/Spanish/both English and Spanish Equally?
  * If English, treat as fluent in English, no additional language questions
  * If Spanish, treat as fluent in Spanish, no additional language questions
  * If both English and Spanish equally, ask the follow-up questions and go with whichever language is endorsed as best. If endorsed equally, assign to category patient prefers
  * How well do you speak English? Not at all/ Not well/Well/Very well
  * How well do you speak Spanish? Not at all/Not well/Well/Very well
* Is at least 18 years of age as per self report;
* Has a history of suspicious lung mass or confirmed lung cancer diagnosis, as per clinician judgment or medical record note;
* Is a former or current smoking as per self report;
* Has had no more than 10 prior visits with the participating OCP, as per the medical record and/or self report

Exclusion Criteria:

Patient Exclusion

* Individuals of impaired decision-making capacity as per a clinician's judgment or as documented in the EMR.

Site and OCP Exclusion

* None