A Study to Improve Physician-Youth Communication and Medical Decision Making

Physician Inclusion Criteria: * Physician participants will be recruited from the Division of Pediatric Cardiology at the University of Michigan. All physicians with dedicated clinical effort will be eligible. * Eligible physicians must anticipate remaining on staff \>1 year Patient/Caregiver Inclusion Criteria: * Patients 12-24 years old with heart failure symptoms meeting criteria for New York Heart Association (NYHA) Class II - IV heart failure * One parent/caregiver of patient participants meeting inclusion criteria will also be eligible Physician Exclusion Criteria: \- Not a physician at University of Michigan in the Division of Pediatric Cardiology Patient/Caregiver Exclusion Criteria: * Patients with significant cognitive/developmental delay with potential to impact study participation will be excluded from the study due to the focus on physician-youth communication. * Parents and parent/caregivers that are non-English speaking will be excluded from this pilot study.