“…Sources: Hargraves et al, 55 Nicolai et al, 58 Brezis et al, 75 Tsulukidze et al, 76 Barr et al, 77 Almario et al, 78 Little et al, 79 and Krupat et al 80 is useful for teamwork and communication skills, 83 can elicit authentic physician behaviours, 84 and is effective to teach and evaluate clinicians' competence for difficult conversations. 85,86 Simulation exercises demonstrate clinicians' variability for identical cases in the process of relationship building 87 and allow exploring strategies for collaboration and counseling-what physicians say, how they say it and why.…”