Inclusion Criteria:  PATIENT: Scheduled to receive treatment at participating primary care practice for advanced cancer PATIENT: 18 years or older PATIENT: Willing to be accessible to the research team for follow-up by telephone or in person PATIENT: Prognosis of at least 1 year as ascertained by the treating physician PATIENT: Able to read and understand English as assessed by the treating physician CAREGIVER: Identified or self-identified as primary caregiver of the patient CAREGIVER: Willing to be accessible to the research team for follow-up by telephone or in person CAREGIVER: 18 years or older CAREGIVER: Able to read and understand English as assessed by the treating physician ECHO PARTICIPANT: Participant must be a health care provider interested to participate in the study for 2 years and understand the protocol and provide consent ECHO PARTICIPANT: Able to read and understand English as assessed by principal investigator (PI)  Exclusion Criteria:  Unable to understand and sign consent