Decisions made at the end of life are among the most complicated. M1 Jeff, M3 Ananya, and MD/PhD students Riley and Miranda discuss what they’re taught about the ethics surrounding death. What are the physician’s responsibilities? How do they balance the patient’s wishes, the family’s desires, the directive to do no harm and to provide the best possible care, and the need to ensure that such considerations are supplied to any and all patients. Add in the myriad cultural and religious beliefs that doctors, patients, and families have, and you get quite a difficult set of calculations to ponder.