Improving Processes of Cancer Care Delivery at a Comprehensive Cancer Center

This study examines how cancer care is delivered in oncology and supportive care clinics. Collecting patient feedback may help doctors better understand the processes of cancer care in oncology and supportive care clinics.

Inclusion Criteria: * Within 6 months of diagnosis of metastatic (or stage IV) solid malignancies * Age 18 or greater * English speaking * Follow-up clinic visit (Supportive Care and Medical Oncology Outpatient Clinics at MD Anderson Cancer Center) * Medical oncologist listed as the attending physician * COHORT A (Oncology team only cohort): Patients should not have been referred to palliative care services at MD Anderson Cancer Center * COHORT B (Oncology team and specialist palliative care cohort): Patients should have an upcoming specialist palliative care follow-up visit within 1 week of a medical oncology visit Exclusion Criteria: * Delirium (Memorial Delirium Assessment Scale \[MDAS\] \>= 13/30) * Significant hearing impairment requiring multiple repetitions during the screening process (that may prolong clinic time)