Purpose: Of the 55,000 children who die in the United States each year, the majority die in hospitals, during which time parents interact with many and varied health care practitioners. The words and actions of practitioners impact the parental grief experience. Previous research with bereaved parents has identified important areas in end of life (EOL) care including symptom managment, communication, continuity in relationships with practitioners caring for their child, and bereavement follow-up. To strengthen practitioner skills in pediatric EOL care, medical educators have increasingly included bereaved parents in small group sessions, role-play, and panel discussions. We built upon previous work by incorporating parental perspectives from the beginning of the curriculum development process. We asked parents to identify important learners and essential practitioner skills to support parents in their child’s EOL care. Methods: Using an adapted version of a previously published interview guide, we conducted focus groups to understand the parent experience. Parent participants identified strengths and opportunities for improvement in hospital-based care during their child’s EOL, with a focus on patient and family-centered care. Hospital staff was defined broadly to include doctors, nurses, social workers, rehabilitation therapists, child life specialists, interpreters, environmental services, meal service, security, and any other hospital staff whom parents and their child interacted with during the hospitalization. The focus groups were offered in English and Spanish. A social worker was present to provide support and debriefing to parents during and after the focus group. Each focus group was audio recorded and transcribed verbatim. Transcripts were coded, and codes were clustered and analyzed using thematic analysis. This study was approved by the Institutional Review Board (IRB) of the tertiary academic pediatric medical center in which this study was conducted. Results: Twenty-eight parents participated, with the total sample size determined by thematic saturation. Parents identified important learners as bedside nurses, social workers, and physicians. Four broad themes of support were identified as important to parents in their child’s EOL care: anticipatory guidance in navigating logistic challenges of daily living, improved communication, expressions of empathy, and bereavement support. In response to the question “What advice would you give to hospital staff?” parents identified the importance of empathetic understanding, wanting practitioners to “to stand in our shoes” and “from your experience, imagine what we are going through and help us to know what we will need.” Conclusion: Pediatric EOL care must be highly patient and family-centered. This study asks bereaved parents to become equal partners in influencing medical education and professional development. The experience of bereaved parents will be utilized to guide priorities for skill strengthening and include the creation of a parent-informed hospital-wide multidisciplinary curriculum to improve the provision of family centered EOL care.