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the 8-week summer program that included weekly didactic sessions with hospice and palliative care providers. Empathy and Self-Efficacy to provide end of life care were measured in 18 undergraduate health professions' students (7 men; 11 women) between the ages of 19 and 27 before and after the program. Results. Paired t-tests revealed significant increases in perceived self-efficacy to provide end of life care (p < .001) and empathy (p < .05) among participants following completion of the program. Conclusion. Residential homes for the dying offer a unique patient care experience with time to practice end of life care with instruction by, and observation of, more experienced caregivers.

When caring for patients and families who do not speak English, medical interpreters are necessary. Sometimes, our patients' families speak languages or dialects for which no in-person or video or phone interpreter can be found. If a family member is bilingual, the members of the medical team must make a difficult choice. Is it better to use a family member as translator or to not be able to communicate at all? In this article, we present the case of a critically ill patient with complicated pathophysiology whose family speaks a rare Guatemalan dialect for which no medical interpreters can be identified.