Following an ACP Internist cover story on the same topic, internists responded with how comfortable they were. Half said they were very comfortable and another one-quarter said they were somewhat comfortable.

Addressing spiritual needs can it can be done even during appointments, with a simple question, "What role does spirituality or religion play in your life?" requiring no more than a minute of conversation. It then becomes easier to bring up spirituality later when addressing end-of-life planning.
A FICA Spiritual History Tool is available online, as is ACP's Ethics Manual.
One more point of advice from the article: Physicians should address their own core values, set boundaries in dealing with patients with different belief systems and review options in those cases.