This self-directed learning assignment was created to complement the required 2-week ambulatory geriatrics curriculum for PGY1’s at the University of Chicago.  Learners are first asked to reflect on a previous patient encounter during which they struggled whether to recommend routine cancer screening.  Then they complete a required reading assignment.  Next, they are asked to choose a patient from their own continuity clinic panel and a type of cancer screening, and assess whether this would be appropriate for the particular patient based on their age, life expectancy, preferences, and goals of care.  They are also asked to elaborate on the benefits and risks of screening.