Emergency physicians deal with difficult conversations every shift. Whether it is resolving misunderstandings between provider and the patient/family regarding testing and treatment or discussing highly charged topics like “code status,” the ED physician must be expert in this “soft skill.” Using a case-based format with role playing exercises, the speaker will identify areas where ED physicians have difficulty with effective communication. The speaker will lead participants through scenarios where they will be provide scripting tools and key words to help negotiate difficult scenarios and facilitate a mutually agreeable plan.