Faculty ProfilesRebecca Sudore, MD
3333 California Street
San Francisco, CA 94118
Dr. Rebecca Sudore is a geriatrician, palliative medicine physician, and clinician investigator. She also directs the Innovation and Implementation Center in Aging & Palliative Care (I-CAP) and the Vulnerable Populations for Aging Research Core of the NIA-funded Pepper Center.
Dr. Sudore conducts research to improve advance care planning and medical decision making for diverse, vulnerable older adults. To this end, she has designed, tested and disseminated innovative, patient centered tools including an easy-to-read advance directive in over 10 languages (http://www.iha4health.org/our-services/advance-directive/) and an interactive, advance care planning website called PREPARE (www.prepareforyourcare.org).
Advance Care Planning
Health Literacy and Vulnerable Populations
Medical Decision Making and Health Communication
Dr. Sudore has dedicated her research program to making medical information easier for patients and their families to understand. She published the first prospective study demonstrating the effect of limited literacy on mortality in the elderly, and has shown that elders with limited literacy have greater difficulty making medical decisions for informed consent and advance care planning. She has also designed and tested an informed consent process for patients with limited literacy and an advance directive that is both literacy and culturally appropriate. Both interventions have been shown to benefit patients - particularly those with literacy and/or language barriers. Even though her low-literate advance directive has been translated and widely disseminated, further research with patients and surrogate decision makers helped her realize that advance directives alone are not enough. In 2010, she published a study in the Annals of Internal Medicine calling for a shift in advance care planning from DNR/DNI checklists to preparing patients and their loved ones for medical decision making. Her current research program is focused on designing and testing interactive, web-based interventions to prepare patients and their surrogate decision makers to make difficult medical decisions.
She also currently directs the NIA-funded Medical Student Training in Aging Research (MSTAR) program.
Since 2002, Rebecca has provided primary care to vulnerable, older Veterans in the Geriatrics clinic at the San Francisco VA Medical Center. She also attends on the inpatient Palliative Care Service at the San Francisco VA. Although Dr. Sudore is a clinician researcher, her primary passion is first, and foremost, direct patient care for vulnerable older adults.
Education and Training
|Location||Degree or Training||Specialty||Date|
|University of California, San Francisco||Certificate in Implementation Science||CTSI||2013|
|University of California, San Francisco||Advance Training in Clinical Research||School of Medicine||2004|
|University of California, San Francisco||Geriatrics Clinical Fellowship||School of Medicine||2003|
|University of California, San Francisco||Residency||School of Medicine||2002|
|University of California, San Francisco||M.D.||School of Medicine||1999|
Awards and Honors
Induction into the American Society for Clinical Investigation, ASCI, 2016
Outstanding Scientific Achievement for Clinical Investigation, American Geriatrics Society, 2015
Junior Investigator of the Year, Society of General Internal Medicine, 2012
Physician Faculty Scholar, RWJ, 2009-2012
Junior Investigator of the Year, American Geriatrics Society, 2009
Related Web Sites
In the News
- Let’s Get Health California Innovation Challenge (Jan 05, 2016)
- A Quiet End to the Death Panel Debate (Nov 20, 2015)
- Why isn’t healthcare more like Starbucks? --creative software programs (Feb 12, 2015)
- Videos aim to inform patients about their medical options at the end of life (Jun 02, 2014)
- Palliative Care: Life-Changing Support for Those Facing Cancer (May 29, 2014)
- Using Tech to Engage Patients in Advance Care Planning (Nov 03, 2013)
- Great Tools To Make Advanced Healthcare Decisions (Apr 12, 2013)
- Projects get people talking about end-of-life care (Jan 05, 2013)
- Help Planning for End-of-Life Care (Jan 05, 2013)
- The Official Launch of PREPARE: an Easy-to-Use, Advance Care Planning Tool (Jan 04, 2013)
- Website Helps Patients Navigate Complex Medical Decisions (Jan 04, 2013)
- Almost Half of Type 2 Diabetes Patients Report Acute and Chronic Pain (Aug 07, 2012)
- Advance Directive Language and Laws (Jan 26, 2011)
- Do you know what your doctor is talking about? (Apr 02, 2009)
- Scholar’s Website Prepares Patients to Make Complex Medical Decisions
Recent Articles (82)
Odierna DH, Katen MT, Feuz MA, McMahan RD, Ritchie CS, McSpadden S, Burns M, Volow AM, Sudore RL. Symptom Assessment Solutions for In-Home Supportive Services and Diverse Older Adults: A Roadmap for Change. J Palliat Med. 2018 May 31.
Sudore RL, Cuervo IA, Tieu L, Guzman D, Kaplan LM, Kushel M. Advance Care Planning for Older Homeless-Experienced Adults: Results from the Health Outcomes of People Experiencing Homelessness in Older Middle Age Study. J Am Geriatr Soc. 2018 May 09.
Hickman SE, Sudore RL, Sachs GA, Torke AM, Myers AL, Tang Q, Bakoyannis G, Hammes BJ. Use of the Physician Orders for Scope of Treatment Program in Indiana Nursing Homes. J Am Geriatr Soc. 2018 Mar 22.
Ouchi K, Jambaulikar GD, Hohmann S, George NR, Aaronson EL, Sudore R, Schonberg MA, Tulsky JA, Schuur JD, Pallin DJ. Prognosis After Emergency Department Intubation to Inform Shared Decision-Making. J Am Geriatr Soc. 2018 Mar 15.
Zapata C, Lum HD, Wistar E, Horton C, Sudore RL. Feasibility of a Video-Based Advance Care Planning Website to Facilitate Group Visits among Diverse Adults from a Safety-Net Health System. J Palliat Med. 2018 Feb 20.
Quartuccio M, Simonsick EM, Langan S, Harris T, Sudore RL, Thorpe R, Rosano C, Hill-Briggs F, Golden S, Kalyani RR. The relationship of health literacy to diabetes status differs by sex in older adults. J Diabetes Complications. 2018 Apr; 32(4):368-372.
Walker E, McMahan R, Barnes D, Katen M, Lamas D, Sudore R. Advance Care Planning Documentation Practices and Accessibility in the Electronic Health Record: Implications for Patient Safety. J Pain Symptom Manage. 2018 Feb; 55(2):256-264.
Cresswell MA, Robinson CA, Fyles G, Bottorff JL, Sudore R. Evaluation of an advance care planning web-based resource: applicability for cancer treatment patients. Support Care Cancer. 2018 Mar; 26(3):853-860.
Wong TW, Lang-Brown S, Romo RD, Au-Yeung A, Lee SJ, Moran PJ, Karlawish J, Sudore R, Clayton J, Smith AK. Prognosis Communication in Late-Life Disability: A Mixed Methods Study. J Am Geriatr Soc. 2017 Nov; 65(11):2496-2501.
Ahalt C, Sudore R, Bolano M, Metzger L, Darby AM, Williams B. "Teach-to-Goal" to Better Assess Informed Consent Comprehension among Incarcerated Clinical Research Participants. AMA J Ethics. 2017 Sep 01; 19(9):862-872.
Tulsky JA, Beach MC, Butow PN, Hickman SE, Mack JW, Morrison RS, Street RL, Sudore RL, White DB, Pollak KI. A Research Agenda for Communication Between Health Care Professionals and Patients Living With Serious Illness. JAMA Intern Med. 2017 Sep 01; 177(9):1361-1366.
Rietjens JAC, Sudore RL, Connolly M, van Delden JJ, Drickamer MA, Droger M, van der Heide A, Heyland DK, Houttekier D, Janssen DJA, Orsi L, Payne S, Seymour J, Jox RJ, Korfage IJ. Definition and recommendations for advance care planning: an international consensus supported by the European Association for Palliative Care. Lancet Oncol. 2017 Sep; 18(9):e543-e551.
Sudore RL, Heyland DK, Lum HD, Rietjens JAC, Korfage IJ, Ritchie CS, Hanson LC, Meier DE, Pantilat SZ, Lorenz K, Howard M, Green MJ, Simon JE, Feuz MA, You JJ. Outcomes That Define Successful Advance Care Planning: A Delphi Panel Consensus. J Pain Symptom Manage. 2018 Feb; 55(2):245-255.e8.
Sudore RL, Boscardin J, Feuz MA, McMahan RD, Katen MT, Barnes DE. Effect of the PREPARE Website vs an Easy-to-Read Advance Directive on Advance Care Planning Documentation and Engagement Among Veterans: A Randomized Clinical Trial. JAMA Intern Med. 2017 Aug 01; 177(8):1102-1109.
Lum HD, Sudore RL, Matlock DD, Juarez-Colunga E, Jones J, Nowels M, Schwartz RS, Kutner JS, Levy CR. A Group Visit Initiative Improves Advance Care Planning Documentation among Older Adults in Primary Care. J Am Board Fam Med. 2017 Jul-Aug; 30(4):480-490.
Barnato AE, Moore R, Moore CG, Kohatsu ND, Sudore RL. Financial Incentives to Increase Advance Care Planning Among Medicaid Beneficiaries: Lessons Learned From Two Pragmatic Randomized Trials. J Pain Symptom Manage. 2017 Jul; 54(1):85-95.e1.
Bekelman DB, Johnson-Koenke R, Ahluwalia SC, Walling AM, Peterson J, Sudore RL. Development and Feasibility of a Structured Goals of Care Communication Guide. J Palliat Med. 2017 Sep; 20(9):1004-1012.
O'Hare AM, Szarka J, McFarland LV, Vig EK, Sudore RL, Crowley S, Reinke LF, Trivedi R, Taylor JS. "Maybe They Don't Even Know That I Exist": Challenges Faced by Family Members and Friends of Patients with Advanced Kidney Disease. Clin J Am Soc Nephrol. 2017 Jun 07; 12(6):930-938.
Sudore RL, Lum HD, You JJ, Hanson LC, Meier DE, Pantilat SZ, Matlock DD, Rietjens JAC, Korfage IJ, Ritchie CS, Kutner JS, Teno JM, Thomas J, McMahan RD, Heyland DK. Defining Advance Care Planning for Adults: A Consensus Definition From a Multidisciplinary Delphi Panel. J Pain Symptom Manage. 2017 May; 53(5):821-832.e1.
Sudore RL, Heyland DK, Barnes DE, Howard M, Fassbender K, Robinson CA, Boscardin J, You JJ. Measuring Advance Care Planning: Optimizing the Advance Care Planning Engagement Survey. J Pain Symptom Manage. 2017 Apr; 53(4):669-681.e8.
Harrison KL, Adrion ER, Ritchie CS, Sudore RL, Smith AK. Low Completion and Disparities in Advance Care Planning Activities Among Older Medicare Beneficiaries. JAMA Intern Med. 2016 Dec 01; 176(12):1872-1875.
Ouchi K, Knabben V, Rivera-Reyes L, Ganta N, Gelfman LP, Sudore R, Hwang U. Preparing Older Adults with Serious Illness to Formulate Their Goals for Medical Care in the Emergency Department. J Palliat Med. 2016 Oct 31.
Tang VL, Sudore R, Cenzer IS, Boscardin WJ, Smith A, Ritchie C, Wallhagen M, Finlayson E, Petrillo L, Covinsky K. Rates of Recovery to Pre-Fracture Function in Older Persons with Hip Fracture: an Observational Study. J Gen Intern Med. 2017 Feb; 32(2):153-158.
Arnett K, Sudore RL, Nowels D, Feng CX, Levy CR, Lum HD. Advance Care Planning: Understanding Clinical Routines and Experiences of Interprofessional Team Members in Diverse Health Care Settings. Am J Hosp Palliat Care. 2017 Dec; 34(10):946-953.
Sudore RL, Barnes DE, Le GM, Ramos R, Osua SJ, Richardson SA, Boscardin J, Schillinger D. Improving advance care planning for English-speaking and Spanish-speaking older adults: study protocol for the PREPARE randomised controlled trial. BMJ Open. 2016 07 11; 6(7):e011705.
Howard M, Bonham AJ, Heyland DK, Sudore R, Fassbender K, Robinson CA, McKenzie M, Elston D, You JJ. Measuring engagement in advance care planning: a cross-sectional multicentre feasibility study. BMJ Open. 2016 06 23; 6(6):e010375.
Lakin JR, Isaacs E, Sullivan E, Harris HA, McMahan RD, Sudore RL. Emergency Physicians' Experience with Advance Care Planning Documentation in the Electronic Medical Record: Useful, Needed, and Elusive. J Palliat Med. 2016 Jun; 19(6):632-8.
Tang VL, Shi Y, Fung K, Tan J, Espaldon R, Sudore R, Wong ML, Walter LC. Clinician Factors Associated With Prostate-Specific Antigen Screening in Older Veterans With Limited Life Expectancy. JAMA Intern Med. 2016 05 01; 176(5):654-61.
O'Hare AM, Szarka J, McFarland LV, Taylor JS, Sudore RL, Trivedi R, Reinke LF, Vig EK. Provider Perspectives on Advance Care Planning for Patients with Kidney Disease: Whose Job Is It Anyway? Clin J Am Soc Nephrol. 2016 May 06; 11(5):855-66.
Lum HD, Jones J, Matlock DD, Glasgow RE, Lobo I, Levy CR, Schwartz RS, Sudore RL, Kutner JS. Advance Care Planning Meets Group Medical Visits: The Feasibility of Promoting Conversations. Ann Fam Med. 2016 Mar; 14(2):125-32.
Sudore R, Le GM, McMahan R, Feuz M, Katen M, Barnes DE. Erratum to: 'The advance care planning PREPARE study among older Veterans with serious and chronic illness: study protocol for a randomized controlled trial'. Trials. 2016 Jan 20; 17:42.
Sudore R, Le GM, McMahan R, McMahon R, Feuz M, Katen M, Barnes DE. The advance care planning PREPARE study among older Veterans with serious and chronic illness: study protocol for a randomized controlled trial. Trials. 2015 Dec 12; 16:570.
Chiu C, Feuz MA, McMahan RD, Miao Y, Sudore RL. "Doctor, Make My Decisions": Decision Control Preferences, Advance Care Planning, and Satisfaction With Communication Among Diverse Older Adults. J Pain Symptom Manage. 2016 Jan; 51(1):33-40.
Karter AJ, Laiteerapong N, Chin MH, Moffet HH, Parker MM, Sudore R, Adams AS, Schillinger D, Adler NS, Whitmer RA, Piette JD, Huang ES. Ethnic Differences in Geriatric Conditions and Diabetes Complications Among Older, Insured Adults With Diabetes: The Diabetes and Aging Study. J Aging Health. 2015 Aug; 27(5):894-918.
Jones J, Nowels CT, Sudore R, Ahluwalia S, Bekelman DB. The future as a series of transitions: qualitative study of heart failure patients and their informal caregivers. J Gen Intern Med. 2015 Feb; 30(2):176-82.
Greysen SR, Chin Garcia C, Sudore RL, Cenzer IS, Covinsky KE. Functional impairment and Internet use among older adults: implications for meaningful use of patient portals. JAMA Intern Med. 2014 Jul; 174(7):1188-90.
Sudore RL, Stewart AL, Knight SJ, McMahan RD, Feuz M, Miao Y, Barnes DE. Development and validation of a questionnaire to detect behavior change in multiple advance care planning behaviors. PLoS One. 2013; 8(9):e72465.
Sudore RL, Knight SJ, McMahan RD, Feuz M, Farrell D, Miao Y, Barnes DE. A novel website to prepare diverse older adults for decision making and advance care planning: a pilot study. J Pain Symptom Manage. 2014 Apr; 47(4):674-86.
Allison TA, Sudore RL. Disregard of patients' preferences is a medical error: comment on "Failure to engage hospitalized elderly patients and their families in advance care planning". JAMA Intern Med. 2013 May 13; 173(9):787.
Waite KR, Federman AD, McCarthy DM, Sudore R, Curtis LM, Baker DW, Wilson EA, Hasnain-Wynia R, Wolf MS, Paasche-Orlow MK. Literacy and race as risk factors for low rates of advance directives in older adults. J Am Geriatr Soc. 2013 Mar; 61(3):403-6.
Sudore RL, Karter AJ, Huang ES, Moffet HH, Laiteerapong N, Schenker Y, Adams A, Whitmer RA, Liu JY, Miao Y, John PM, Schillinger D. Symptom burden of adults with type 2 diabetes across the disease course: diabetes & aging study. J Gen Intern Med. 2012 Dec; 27(12):1674-81.
Steinman MA, Sudore RL, Peterson CA, Harlow JB, Fried TR. Influence of patient age and comorbid burden on clinician attitudes toward heart failure guidelines. Am J Geriatr Pharmacother. 2012 Jun; 10(3):211-8.
Laiteerapong N, Karter AJ, Liu JY, Moffet HH, Sudore R, Schillinger D, John PM, Huang ES. Correlates of quality of life in older adults with diabetes: the diabetes & aging study. Diabetes Care. 2011 Aug; 34(8):1749-53.
Castillo LS, Williams BA, Hooper SM, Sabatino CP, Weithorn LA, Sudore RL. Lost in translation: the unintended consequences of advance directive law on clinical care. Ann Intern Med. 2011 Jan 18; 154(2):121-8.
Schenker Y, Fernandez A, Sudore R, Schillinger D. Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic review. Med Decis Making. 2011 Jan-Feb; 31(1):151-73.
Sudore RL, Landefeld CS, Pérez-Stable EJ, Bibbins-Domingo K, Williams BA, Schillinger D. Unraveling the relationship between literacy, language proficiency, and patient-physician communication. Patient Educ Couns. 2009 Jun; 75(3):398-402.
Lee SJ, Sudore RL, Williams BA, Lindquist K, Chen HL, Covinsky KE. Functional limitations, socioeconomic status, and all-cause mortality in moderate alcohol drinkers. J Am Geriatr Soc. 2009 Jun; 57(6):955-62.
Schickedanz AD, Schillinger D, Landefeld CS, Knight SJ, Williams BA, Sudore RL. A clinical framework for improving the advance care planning process: start with patients' self-identified barriers. J Am Geriatr Soc. 2009 Jan; 57(1):31-9.
Sudore RL, Schickedanz AD, Landefeld CS, Williams BA, Lindquist K, Pantilat SZ, Schillinger D. Engagement in multiple steps of the advance care planning process: a descriptive study of diverse older adults. J Am Geriatr Soc. 2008 Jun; 56(6):1006-13.
Sudore RL, Landefeld CS, Barnes DE, Lindquist K, Williams BA, Brody R, Schillinger D. An advance directive redesigned to meet the literacy level of most adults: a randomized trial. Patient Educ Couns. 2007 Dec; 69(1-3):165-95.
Sudore RL, Yaffe K, Satterfield S, Harris TB, Mehta KM, Simonsick EM, Newman AB, Rosano C, Rooks R, Rubin SM, Ayonayon HN, Schillinger D. Limited literacy and mortality in the elderly: the health, aging, and body composition study. J Gen Intern Med. 2006 Aug; 21(8):806-12.
Sudore RL, Landefeld CS, Williams BA, Barnes DE, Lindquist K, Schillinger D. Use of a modified informed consent process among vulnerable patients: a descriptive study. J Gen Intern Med. 2006 Aug; 21(8):867-73.
Sudore RL, Mehta KM, Simonsick EM, Harris TB, Newman AB, Satterfield S, Rosano C, Rooks RN, Rubin SM, Ayonayon HN, Yaffe K. Limited literacy in older people and disparities in health and healthcare access. J Am Geriatr Soc. 2006 May; 54(5):770-6.
Williams BA, Lindquist K, Sudore RL, Strupp HM, Willmott DJ, Walter LC. Being old and doing time: functional impairment and adverse experiences of geriatric female prisoners. J Am Geriatr Soc. 2006 Apr; 54(4):702-7.