Clinical Research Directory

Inclusion Criteria: * Within 6 months of diagnosis of metastatic (or stage IV) solid malignancies * Age 18 or greater * English speaking * Follow-up clinic visit (Supportive Care and Medical Oncology Outpatient Clinics at MD Anderson Cancer Center) * Medical oncologist listed as the attending physician * COHORT A (Oncology team only cohort): Patients should not have been referred to palliative care services at MD Anderson Cancer Center * COHORT B (Oncology team and specialist palliative care cohort): Patients should have an upcoming specialist palliative care follow-up visit within 1 week of a medical oncology visit Exclusion Criteria: * Delirium (Memorial Delirium Assessment Scale \[MDAS\] \>= 13/30) * Significant hearing impairment requiring multiple repetitions during the screening process (that may prolong clinic time)