Published in Palliative and Supportive Care, this study develops a communication skills training (CST) workshop program based on patient preferences and evaluates preliminary effects on the objective performances of physicians and the subjective ratings of their confidence about the communication with patients. The pilot study on oncologists illustrate high satisfaction rates, improvements in confidence in communicating bad news, and decreases in emotional exhaustion scores. This pilot study suggests the CST program seems feasible and potentially effective on improving oncologists’ communication behaviors.