With the legalization of medical aid in the dying in seven states and the District of Columbia, the pubic conversation about end of life care has shifted. Family medicine physicians are likely to encounter patient questions about end of life options, including hospice care, palliative care, advance directives, and assistance with dying. Whether or not medical aid in dying is legal in a state or a physician chooses to prescribe it, we should all be prepared to have these crucial conversations and teach residents and students how to respond to patient questions with compassion and skill. In this session, we will use a non-directive options counseling framework as a model for this discussion. Attendees will work together to craft an outline that can be used for patient care and in student/resident education.Upon completion of this session, participants should be able to:1. Describe the elements of crucial conversations at the end of life.2. Conduct and end of life option conversation including medical assistance in dying.3. Use non-directive questioning to engage patients in patient-centered end of life care.