The goal of the reflective pieces is to introduce the concept of self-reflection and evaluation, with the aim of improving future practice. It may be difficult to reflect on the breaking bad news piece if you did not have a chance to witness such an event. You may then want to focus on some other aspect of difficult communication with patients/families, such as end of life care or advance directives. Advocacy reflection opportunities are abundant in the ED. There are a myriad of challenges in taking care of patients, such as discharge planning, home supports, language/cultural barriers, accessing timely diagnostic tests or consultations, socioeconomic problems, etc. You can choose to reflect and write upon any of these or other experiences and how it impacted your care on your patients.