 5. Assessment Procedure The performance status, disease status and communication skills among cancer patients vary widely and as such, the use of standardized encounters with simulated patients has been recommended to assess the efficacy of CST programs designed for healthcare professionals 49. The assessment procedure for the current study will involve the video recording of an encounter between the participating physician and a simulated advanced stage cancer patient. Participating physicians will be assessed individually. An investigator, not involved in the training program, will present each subject with questionnaires. The assessment procedure Figure 2 will include 7 steps: 1 continuous monitoring of heart rate, 2 relaxation exercise, 3 administration of questionnaires, 4 review of the simulated cancer patient medical chart, 5 administration of the second set of questionnaires, 6 encounter with the simulated cancer patient and 7 final set of questionnaires. Perceived stress will be measured seven times throughout the assessment procedure. 