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This session will cover challenging cases of primary palliative care in the ICU and best practices for integration with palliative medicine. Speakers will review causes of conflict and moral distress among the ICU team, family surrogates, and other medical consultants. The session will also cover communication strategies for optimizing family-centered meetings to discuss goals of care and minimize conflict, along with the differences and similarities in providing palliative care for adult versus pediatric populations through case-based presentation (diagnosis, treatment, and communication). Active small group workshops on communication skills for discussing goals of care, empathy, and conflict resolution will allow skills practice for clinicians.