Her experience in end-of-life care began when she moved to New Orleans volunteering her clinical services at the Tulane Cancer Center. At the Cancer Center, she saw patients who were in need of therapeutic support and co-led a group for survivors of brain tumors. Dr. Elfant also had the opportunity to facilitate the Schwartz Center Rounds at the Tulane Medical Center. These experiences earned her a faculty appointment at Tulane. In 2015, Dr. Elfant developed and hosted a bimonthly podcast series on the subject of death, airing on itsneworleans.com.