Wallace Young was developed as part of a multi-station, standardized patient assessment. The student's performance is measured by checklists filled out by the standardized patient. Feedback is provided through a self-evaluation checklist that the examinee fills out immediately after the SP encounter. This patient is a 65 year old retired real estate agent presented to the outpatient clinic with a 3 month history of persistent cough, and weight loss and is found to have a large right upper lobe lung mass on chest X-ray. Trans-bronchial biopsy revealed undifferentiated large cell carcinoma. The student must counsel the patient regarding these findings. A complete set of student instructions, checklists, standardized patient training materials, and self evaluation forms are included. The associated documents are available to faculty members only.