 Neonatologists need expertise in many areas of palliative care, but the effectiveness of educational programs in improving their skills and communication regarding end-of-life issues remains unclear. An anonymous survey was sent to program directors and fellows of ACGME accredited neonatology fellowship programs in the US, revealing that most fellows reported being uncomfortable or only somewhat comfortable with essential areas of palliative care. Formal palliative care education improved fellows' self-reported comfort with important aspects of end-of-life care, including leading goals of care conversations, breaking bad news, discussing change in code status, and grief and bereavement. Therefore, it is recommended to include formal palliative care education in neonatology fellowship curricula to promote a well-rounded education for neonatologists. This article was authored by Catherine Lydia Wright, Jens C. Eichhoff and Ryan M. McAdams.