Description of Project: Late preterm infants comprise 75% of preterm births in the United States. While late preterm infants have the appearance of term newborns, they are still physiologically immature and may have health complications. The families of late preterm infants need educational and emotional support, which is best provided before birth via prenatal consultation. While learners often navigate difficult conversations for the first time with actual patients, simulation-based learning methods provide a supportive learning environment to practice these skills without risk to the physician – patient relationship. Through this project, we aim to broadly deploy novel state-of-the art tools including a prenatal counseling curriculum designed for Pediatrics, Obstetrics and Family Medicine residents who engage in these sensitive conversations, practice sessions with a virtual standardized patient (VANESSA), and directly observed feedback in clinical settings using the validated Antenatal Counseling Milestones Scale (ACoMS). This project will support ongoing education in prenatal counseling for residents at the UWMC Montlake and Northwest Campuses and address the identified need to improve the quality of prenatal counseling for parents of late preterm infants.