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<div><p>Background and aim</p><p>This study investigated whether providers respected patient’s autonomy, investigating providers’ pattern of decisions and their associated characteristics.</p><p>Methods</p><p>Cross-sectional study, conducted through anonymous questionnaire with hypothetical clinical cases, presented to providers at one oncology center. Decision-making patterns were pre-stablished accordingly to the response´s pattern.</p><p>Findings</p><p>Of 151 responses, decisions patterns were paternalistic in 38%, shared in 38%, obstinate in 10.6% and consumerist in 13.2%. The consumerist providers reported never having participated in an EOL class in 35% and 30% had never trained in palliative care. Among providers with paternalistic pattern, 35.1% had never attended ethic lectures. In the obstinate group, 31.2% had no training in palliative care. When asked how subjects saw themselves about their pattern of decision, 100% of obstinate, 95% of consumerist and 89% of paternalistic patterns exhibited cognitive dissonance.</p><p>Conclusion</p><p>Significative differences between decisions and how the providers judge themselves were observed.</p></div>