We will measure the effect of CPC on ( 1 ) patient knowledge regarding their 45-day risk for ACS and the available management options ( primary outcome ) ; ( 2 ) patient engagement in the decision-making process ; ( 3 ) the degree of conflict patients experience related to feeling uninformed ( decisional conflict ) ; ( 4 ) patient and clinician satisfaction with the decision made ; ( 5 ) the rate of major adverse cardiac events at 30days ; ( 6 ) the proportion of patients admitted for advanced cardiac testing ; and ( 7 ) healthcare utilization .