The major achievements of this project include the creation of a coaching curriculum which directly impacts pediatric resident physician’s communication with patients and families. Residents reported that they appreciated the direct and real time feedback from both their parent and faculty coach and were able to apply lessons learned from their coaching sessions to numerous other patient encounters. Objectively, residents had statistically significant improvements in their confidence in their communication skills. Residents in the control group for this intervention also had a higher percentage of positive change compared to the control group in areas that where notable to be particularly coachable behaviors including: creating and sustaining a relationship that is therapeutic and supportive to the family, minimizing distractions in the patient room, positioning in the room to create an inclusive space, sharing information without using medical terminology, and assessing patient and family understanding of the problem and desire for more information. We also saw some unique gender differences with male residents reporting higher change scores on their self-assessments while simultaneously having more negative scores on both the empathy and trust scales that were completed by families. We also looked at if this communication intervention impacted patients and families time in the hospital. We saw no impact on discharge time or length of stay, however, we saw that increased readmission rates in the control group suggesting that improving communication does not prolong the hospitalization and may result in fewer readmissions. This program has directly impacted our pediatrics program as it shows that real time directed communication training is an effective way to improve communication with patients and families.