Primary palliative care discussions involving advanced care planning (ACP) and goals of care (GOC) are considered important by both physicians and patients, but these discussions often do not take place until patients are acutely ill and life-saving decisions must be made quickly. Physicians tend to fall short in this regard, reporting perceived barriers such as lack of training, lack of time during visits, personal discomfort with the topics of death and dying, and fear of patients losing hope in overcoming their illness. This indicates a need for implementation of EOL curriculum across medical schools and residency programs, giving doctors-in-training the opportunity to practice and hone these skills at an earlier stage of their career. This is especially important, as it has been shown that patients regularly participating in these conversations are more likely to have a stronger clinician-patient relationship, higher likelihood of receiving care consistent with their preferences, and ultimately better outcomes.