Table 7.

Example Optional Comments Provided by PCS and BS

	PCS	BS
General GoC opinions	Most surgeons do it too little and too late without any standardized practice.	This should become part of ABA verification process to incorporate this service into routine care.
Best Model of GoC	Who should "conduct" the meeting depends upon the skills, cultural competence, and trust of patient and family - all should have the skills, but it may be that a Moslem social worker has the alliance with the family, or a Catholic nurse. The team needs to be flexible and adapt to the situation.	This is a shared responsibility. Palliative care physicians provide better perspective of pre- morbid state and have time for more granular discussions. Burn MDs provide the clinical data to trigger more aggressive discussions of impending death.
Best time to have GoC discussion	At any time that GoC decisions need to be made, an urgent GoC conversation can be conducted. More planned GoC can be conducted when majority of important decision makers can reasonably be present, but generally at 24-72h.	This is very difficult to answer. All patients and situations are different. Family dynamics also make a big difference. I would say generally within 24-72 hours, with more significant injury requiring a sooner than later approach.
Training for GoC	I taught myself how to do this and then sought to learn much better skills through Ariadne Labs' Serious Illness Project and through Vital Talk training	I have personally pursued this training, this was not part of my standard orientation or training process.

GoC = goals of care; PCS = palliative care specialists; BS = burn surgeons; ABA = American Burn Association