A TED talk “On Being Present, Not Perfect” by Elaine Meyer, PhD addresses difficult conversations in healthcare such as conveying serious diagnoses, disclosing medical errors, and ethical quandaries at the end-of-life care. These conversations are the bedrock of the patient-health professional relationship. When they go poorly, patients’ outcomes, trust, and satisfaction can suffer. Dr. Meyer illustrates the profound gaps in healthcare communication and how to close them. She introduces their Institute’s educational philosophy of the “one room schoolhouse” and shares the Wizard of Oz metaphor to describe the key ingredients of honest, direct, and genuine conversations.