Learning Objectives: The greatest obstacle to organ donation is a shortage of donors and a lack of communication of donor status to family members. While a 2012 Gallup poll showed 95% of respondents are donor willing, only 60% have designated their intent or shared their intent with family. To further understand one's motivation, readiness and commitment to change and personal values around donation, we utilized Motivational Interviewing (MI), a participant centered approach to understand ambivalence and elicit change, with a personal values card sort (VCS) exercise to improve outreach for organ donation. We sought to understand these issues in a non-crisis setting.Our hypothesis: MI and a VCS exercise would identify values and elicit change talk, interest and commitment to organ donation Methods: A convenience sample of nursing students and employees of a large university participated in focus groups with MI and VCS. This was a pre-post design with Likert scales (1-10) for attitude, importance, confidence and commitment to donation intent and family communication. Demographics, knowledge and VCS data were collected. Donor status was blinded until analysis. Results: All of the 25 participants were female, 72% white, 64% age < 40, and 68% single, with 68% designated donors. Of the 32% non-donors change talk toward intent to donate increased for importance and confidence 1.5 on a Likert scale, 66% increased commitment language and 100% communication to family. More than 90% of donors expressed increased importance and confidence in change talk for intent to donate and communicate with family, with an average range of 0.5-1.6 on a Likert scale. Three of the top 5 sorted values around donation included values of family (>77%), health (>47%) and being loved (>41%) for both donors and non-donors. Conclusions: MI and the VCS exercise strengthens change talk and commitment language toward intent to donate and to communicate donor intention among both non-donor and donor participants. This exercise can be used to improve and target educational strategies to increase donor designation and communication of intent to family.Learning Objectives: Critical care physicians confront tensions regarding the locus of decision-making authority (patients and surrogates or physicians) when initiating and discontinuing life saving technologies. We aimed to assess physicians' attitudes towards decisional authority for both cardiopulmonary respiration (CPR) and adult venoarterial extracorporeal membrane oxygenation (VA-ECMO) for total cardiopulmonary support, hypothesizing that physicians would favor themselves as the locus of authority. Methods: From May to August 2013 we prospectively studied internal medicine attendings and resident/fellow

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