 5.3. Communication Assessments The encounter with the simulated patient will be video recorded and transcribed. Physician communication skills will be analyzed using three tools. The French communication content analysis software, LaComm Centre de Psycho-Oncologie, Brussels, Belgium; analyzes verbal communication in medicine in general and in oncology in particular and identifies turns of speech and the type and content of speech. The explanation of how this software works has been detailed in previous publications 42, 51. The Multidimensional analysis of Patient Outcome Predictions MD.POP is a reliable tool used to measure verbal expressions that address the clinical future of a patient during medical encounters. This coding system allows one to manually identify, code, and score detailed verbal content from a medical encounter transcript that addresses a patients clinical future. The detailed MD.POP codebook is available upon request. Finally, a specific interaction-process analysis system assessing communication skills addressing hope and uncertainty will be developed for the study 52. 