
Associate Prof of #HPM @cudeptmedicine | Assistant Dean of Student Affairs | Rural Program Faculty @cumedicalschool. #MedHum. #MedEd. Everyone has a story.
Joined January 2016
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1 thing I've learned: be honest with pts w/serious illness, but meet them where they are, not where you think they should be. #palliative
Hospice conversations should happen before a crisis, not during one.
When framed around a patient's values & goals, hospice becomes less about giving up & more about how they want to spend the time they have left.
@Top_Gundersen @SunitaPuriMD
tinyurl.com/j38ta3nn
When caring for a patient with terminal illness, shift your orientation from explaining the past to being present and exploring how they want to spend their remaining time in the future.
@Top_Gundersen @jhu_coah @AmerGeriatrics @JGeriOnc #MedTwitter
tinyurl.com/49rbhz6a
Elizabeth Gundersen retweeted
In the exam room, take a moment to look at a piece of art with the patient.
Then ask a gentle, open-ended question to invite them to share openly.
@RyznarMD @mkellyhedrick @Top_Gundersen @CateBelling @61juliet1 @mpflanaganMD @qzimmermann5
tinyurl.com/h6hnrs62
Elizabeth Gundersen retweeted
For pts w/o family present, pause to say, “I’m here with you.”
Offer chaplaincy, social work, & volunteers to accompany dying pts in their final moments.
@Top_Gundersen @AMehtaMD @JessBesbris @BlackhallLeslie @BenWThompson @hospicedoctor tinyurl.com/2s3ubju8
Elizabeth Gundersen retweeted
When prior notes document that a pt doesn’t “want” a specific intervention, elicit their desired outcome & acceptable trade-offs. Then determine whether “I don’t want X” is absolute or conditional & align care plan accordingly. @Top_Gundersen @IraByock
tinyurl.com/yj3curz5
Elizabeth Gundersen retweeted
"Bike riding reduces stress & lowers dementia risk. Do it daily & routinely ask patients, 'What does your typical daily movement look like?'"- @christiplady @VipsMDMEd @PeterAttiaMD @hubermanlab @DrZoeWilliams @YoniFreedhoff @BicycleColo @peopleforbikes tinyurl.com/4ekfc7v6
Elizabeth Gundersen retweeted
These portraits of grief, resilience, and dignity, foster empathy and dialogue—reminding us that hope and compassion are vital to medicine and community. @Dr_scottHadland @RyanMarino @drmarionlynch @CMichaelGibson @Top_Gundersen @pccm_doc #MedTwitter tinyurl.com/8f9ua5zr
Elizabeth Gundersen retweeted
When communicating with patients, words, tone, and gestures matter. In addition, genuine presence provides comfort to patients who are suffering. @Top_Gundersen @drallysonocean @marklewismd @AMehtaMD @JessBesbris @BlackhallLeslie #MedTwitter closler.org/connecting-with-…
Elizabeth Gundersen retweeted
Whether a seasoned healthcare professional or a trainee, reflecting on your medical journey fosters humility, resilience, and a deeper connection to your work. @RichSchaeferMD @MotherinMed @drmarionlynch @LizGaufberg @pccm_doc @Top_Gundersen #MedTwitter
tinyurl.com/bdfyjhxu
Elizabeth Gundersen retweeted
Providing compassionate companionship to patients can be as healing as any medicine when a cure is no longer possible. @Top_Gundersen @drallysonocean @marklewismd tinyurl.com/5semvpcc
Elizabeth Gundersen retweeted
Rapid Clinical Updates: End-of-Life Care in the Hospital 🏥
📅 August 27th @ 3 p.m. ET
📣 Speakers: @Top_Gundersen & @KenceeMD
💬 Facilitator: @jagriti_chadha
✅ This session is eligible for CME and MOC points!
Register here: hospitalmedicine.zoom.us/web…
Elizabeth Gundersen retweeted
New law: Every time you say physicians just push pills and don't care about their patient's health, you have to do 8 hours of state-mandated shadowing of a family physician.
Elizabeth Gundersen retweeted
What do you get when @Azizansari2000 & @KenceeMD team up? A palliative care update session with flair!
Catch them Fri 4/25, 10–10:50 AM, Oceanside C. Last day of #SHMConverge25—don’t miss the mic drop!
#HospMed #PalliativeCare #Howwehospitalist
Make the most of the last day of #SHMConverge25!
Check out the palliative care mini track for the latest & greatest in serious illness care.
@Azizansari2000 @KenceeMD @SocietyHospMed #HAPC
Elizabeth Gundersen retweeted
Day 2 at #SHMConverge25 is here, and #CUDHM is bringing the energy! 💥
Catch our hospitalists leading powerful presentations, workshops, and posters throughout the day.
📍See the full lineup in the graphic below ⬇️
Up your communication game at #SHMConverge2025!
"Don't Gamble with Your Words: Primary Palliative Care Tips to Improve Your Odds of Effective Communication with Seriously Ill Patients" happens TODAY at 3:40p in Breakers CDIJ.
@SocietyHospMed #HAPC
Hospitalists who are care for patients with serious illness - and who doesn't? - check out this palliative care lineup at #SHMConverge25!
Hope to see you there! @SocietyHospMed #hapc
Elizabeth Gundersen retweeted
Art can foster hope for healing for those living with substance use disorders. @Adamhill1212 @mikefingerhood @whole_patients @RichSchaeferMD @KamnaBalharaMD @SarahCleverMD1 @CMichaelGibson @pccm_doc @RxMuseum @Top_Gundersen @LizGaufberg #medtwitter closler.org/creative-arts-in…
Elizabeth Gundersen retweeted
This speaks to the hyperspecialization of medicine. I went to a residency program that prioritized training “general” ophthalmologists. The goal was to make you competent practicing right out the gate. If you wanted to do a fellowship, great, but it was not the expectation. Society needs 100x more “general”physicians than physicians who specialize in cone photoreceptors. This should be the goal for EVERY residency.













