This month, AMA Journal of Ethics theme editor W. Miller Johnstone III, MD, PhD, a resident in obstetrics and gynecology at the University of Buffalo, interviewed Kate M. Lally, MD, about patient-centered management of end-of-life care, the unique care needs of women with advanced gynecologic cancers, and how to prepare medical students and residents to hold difficult conversations with patients. Dr. Lally is the director of palliative care for Care New England Health System and a clinical assistant professor of medicine at the Warren Alpert Medical School of Brown University.