This session addresses difficult situations such as resuscitation at the limits of viability, withdrawing life support, and long-term disability prediction. Actual cases will be discussed using international ethical frameworks and models of shared decision-making. Speakers will provide strategies for culturally competent communication with families. Emphasize interdisciplinary collaboration among physicians, ethicists, and spiritual care workers. Supports reflective, ethical neonatal care. Necessary for all NICU providers