2020
The COVID-19 Crisis and Clinical Ethics in New York City.
Fins J, Prager K. The COVID-19 Crisis and Clinical Ethics in New York City. The Journal Of Clinical Ethics 2020, 31: 228-232. PMID: 32773405, DOI: 10.1086/jce2020313228.Peer-Reviewed Original ResearchConceptsEthics consultationEthical challengesClinical ethics consultationClinical ethics servicesCrisis standards of careClinical ethicsEthical communityMedical futilityColumbia teamMoral distressCritical intelligenceEthics ServiceEthicsSenior hospital administratorsNewYork-PresbyterianInstitutional lifeCrisis standardsResource allocation questionsNew York CityExtraordinary circumstancesWeill CornellDisproportionate burden of COVID-19Collective responseMedical CenterColumbia campus
2018
Constructive Disappointment and Disbelief: Building a Career in Neuroethics
Fins J. Constructive Disappointment and Disbelief: Building a Career in Neuroethics. Cambridge Quarterly Of Healthcare Ethics 2018, 27: 544-553. PMID: 30198463, DOI: 10.1017/s0963180118000063.Peer-Reviewed Original Research
2017
The Rise of Hospitalists: An Opportunity for Clinical Ethics.
McCarthy M, Real de Asua D, Fins J. The Rise of Hospitalists: An Opportunity for Clinical Ethics. The Journal Of Clinical Ethics 2017, 28: 325-332. PMID: 29257769, DOI: 10.1086/jce2017284325.Peer-Reviewed Original ResearchConceptsClinical ethicsMedical ethicsHospital medicineTeaching medical ethicsMedical educationHospitalist teaching serviceHistory of medicineField of hospital medicineNew forcesEthical theoryEthical communityNormative reasonsClinical ethicistsTeam of medical studentsIntellectual groundEthicsTheory-practice gapInpatient settingPatient carePerennial challengeHospitalistsRoutine issuesMedical studentsTeaching serviceClinical vignettesTeaching Clinical Ethics at the Bedside: William Osler and the Essential Role of the Hospitalist
William McCarthy M, Fins J. Teaching Clinical Ethics at the Bedside: William Osler and the Essential Role of the Hospitalist. The AMA Journal Of Ethic 2017, 19: 528. PMID: 28644781, DOI: 10.1001/journalofethics.2017.19.6.peer2-1706.Peer-Reviewed Original Research
2016
Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research
Fins J. Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research. The AMA Journal Of Ethic 2016, 18: 1182. PMID: 28009244, DOI: 10.1001/journalofethics.2016.18.12.ecas2-1612.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessMinimally conscious stateEnd-of-life careConscious stateEnd-of-lifeEthical obligationNeuropalliative careDeep brain stimulationPatientsBrain statesClinicians' ethical obligationsClinical practiceCivil rightsConsciousnessScientific advancesDiagnostic discernmentClinical researchBrain stimulationResearch decisionsDisordersFunctional communicationInvestigate useCareNeuroethicsPain
2013
On the lingua franca of clinical ethics.
Fins J. On the lingua franca of clinical ethics. The Journal Of Clinical Ethics 2013, 24: 323-31. PMID: 24597419, DOI: 10.1086/jce201324402.Peer-Reviewed Original ResearchMeSH KeywordsDecision MakingEthical TheoryEthics, ClinicalHistory, 19th CenturyHistory, 20th CenturyHistory, 21st CenturyHumansInterdisciplinary CommunicationMedical FutilityPalliative CarePeriodicals as TopicPersonal AutonomyPractice Patterns, Physicians'Resuscitation OrdersTerminal CareTerminology as TopicWithholding TreatmentConceptsClinical ethicsJournal of Clinical EthicsLanguage of bioethicsLingua francaClinical ethicistsEthical analysisEthical reasonsEthicsLinguistic amalgamationCritical methodBioethicsAuthor commentsPalliative medicineWeak compositionEthicistsLanguageArgumentsPragmaticsAuthorsFoundingAnniversaryScienceDiscourseDecision makingInterdisciplinarity
2012
Clinical ethics consultation in patients with head and neck cancer
Shuman A, McCabe M, Fins J, Kraus D, Shah J, Patel S. Clinical ethics consultation in patients with head and neck cancer. Head & Neck 2012, 35: 1647-1651. PMID: 23161591, DOI: 10.1002/hed.23204.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationHead and neck cancerCommunication barriersNeck cancerLife-sustaining treatmentComprehensive cancer centerCode statusAirway management concernsEthical themesSymptom controlCancer CenterEthicsConsultationData abstractionDNRAirway managementCancerPatientsInterpersonal conflictBarriersDatabaseThemesClinical challengeHeadCredentialing the clinical ethics consultant: an academic medical center affirms professionalism and practice.
Acres C, Prager K, Hardart G, Fins J. Credentialing the clinical ethics consultant: an academic medical center affirms professionalism and practice. The Journal Of Clinical Ethics 2012, 23: 156-64. PMID: 22822704, DOI: 10.1086/jce201223208.Peer-Reviewed Original ResearchConceptsClinical ethics case consultationEthics case consultationAcademic medical centerClinical ethics consultationClinical ethicistsEthics consultationCase consultationMedical CenterHistorical contextBioethicsNewYork-PresbyterianIncreased accountabilityNational trendsConceptual rationaleEthicistsInstitutional policiesConsultationCredentialsContextDialogueLocal contextAccounts
2011
The Hidden and Implicit Curricula in Cultural Context: New Insights From Doha and New York
Fins J, del Pozo P. The Hidden and Implicit Curricula in Cultural Context: New Insights From Doha and New York. Academic Medicine 2011, 86: 321-325. PMID: 21248601, DOI: 10.1097/acm.0b013e318208761d.Peer-Reviewed Original ResearchConceptsPalliative careEnd-of-life careEnd-of-lifeClinical ethicsU.S. medical schoolsMedical college campusMedical educationMedical schoolsEducational effortsCurricular elementsCareLow-context societiesHidden curriculumContextual factorsLocal cultural contextNew YorkCultural contextMedical humanitiesParticipant observationStudents' educational experiencesReflective practiceEducational experienceLongitudinal experimentCultural settingsCollege campuses
2009
Guest Editorial: The Many Voices of Spanish Bioethics—An Introduction
Rodríguez Del Pozo P, Fins J. Guest Editorial: The Many Voices of Spanish Bioethics—An Introduction. Cambridge Quarterly Of Healthcare Ethics 2009, 18: 214-217. PMID: 19460221, DOI: 10.1017/s0963180109090355.Peer-Reviewed Original Research
2008
Neuroethics and Neuroimaging: Moving Toward Transparency
Fins J. Neuroethics and Neuroimaging: Moving Toward Transparency. The American Journal Of Bioethics 2008, 8: 46-52. PMID: 18853386, DOI: 10.1080/15265160802334490.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessDiagnostic nosologyNeural mechanismsMinimally conscious stateWorking brainDiagnostic categoriesNeuroimaging findingsTherapeutic agendaDiagnostic refinementNeuroimagingAge of neuroscienceMechanisms of recoveryBrain injuryAssessment ScaleTranslation of research findingsDisordersBrainConscious stateEthical conduct of researchClinical contextConduct of researchResearch findingsFunctional levelEthical conductNosologyClinical Ethics and the Quality Initiative: A Pilot Study for the Empirical Evaluation of Ethics Case Consultation
Nilson E, Acres C, Tamerin N, Fins J. Clinical Ethics and the Quality Initiative: A Pilot Study for the Empirical Evaluation of Ethics Case Consultation. American Journal Of Medical Quality 2008, 23: 356-364. PMID: 18820140, DOI: 10.1177/1062860608316729.Peer-Reviewed Original ResearchConceptsEthics consultationEnd-of-life decision makingNew York-Presbyterian Healthcare SystemDo-not-resuscitate ordersQuality of careEthics case consultationClinical ethics consultationEthics consultation processSurrogate decision makingEnd-of-lifeDecision-making capacityEquitable carePatient-centeredNonmedical servicesClinical ethicsEthical dilemmasPsychosocial outcomesClinical careHealthcare systemCase consultationIntensive care unit patientsEthicsCareQuality imperativesQuality InitiativeA Leg to Stand On: Sir William Osler and Wilder Penfield's “Neuroethics”
Fins J. A Leg to Stand On: Sir William Osler and Wilder Penfield's “Neuroethics”. The American Journal Of Bioethics 2008, 8: 37-46. PMID: 18236336, DOI: 10.1080/15265160701841975.Peer-Reviewed Original Research
2007
Viewpoint: Developing a Research Ethics Consultation Service to Foster Responsive and Responsible Clinical Research
de Melo-Martín I, Palmer L, Fins J. Viewpoint: Developing a Research Ethics Consultation Service to Foster Responsive and Responsible Clinical Research. Academic Medicine 2007, 82: 900-904. PMID: 17726404, DOI: 10.1097/acm.0b013e318132f0ee.Peer-Reviewed Original ResearchMeSH KeywordsBiomedical ResearchCooperative BehaviorCurriculumEthics Committees, ResearchEthics ConsultationEthics, ClinicalEthics, ResearchGovernment RegulationHuman ExperimentationHumansNew YorkOrganizational Case StudiesOrganizational CultureProgram DevelopmentResearch PersonnelSchools, MedicalUnited StatesConceptsEthics consultation servicesResearch ethics consultation serviceResolution of ethical conflictsWeill Medical College of Cornell UniversityClinical ethicsClinical ethicistsInstitutional research policiesEthical conflictsEthical problemsResearch ethicistsEthical implicationsEthical concernsConsultation serviceContext of researchEthicistsOrganizational cultureFostering responsibilityProcess of developmentHealth care landscapeResearch subjectsCornell UniversityEthicsBioethicistsResearch policyCare landscape
2006
Reinvigorating Ethics Consultations: An Impetus from the “Quality” Debate
Nilson E, Fins J. Reinvigorating Ethics Consultations: An Impetus from the “Quality” Debate. HEC Forum 2006, 18: 298. PMID: 17717754, DOI: 10.1007/s10730-006-9020-3.Peer-Reviewed Original ResearchPsychosurgery: Avoiding an Ethical Redux while Advancing a Therapeutic Future
Fins J, Rezai A, Greenberg B. Psychosurgery: Avoiding an Ethical Redux while Advancing a Therapeutic Future. Neurosurgery 2006, 59: 713-716. PMID: 17038936, DOI: 10.1227/01.neu.0000243605.89270.6c.Peer-Reviewed Original ResearchFace Transplantation: An Extraordinary Case with Lessons for Ordinary Practice
Preminger B, Fins J. Face Transplantation: An Extraordinary Case with Lessons for Ordinary Practice. Plastic & Reconstructive Surgery 2006, 118: 1073-1074. PMID: 16980872, DOI: 10.1097/01.prs.0000232312.91372.d2.Peer-Reviewed Original Research
2005
Clinical pragmatism and the care of brain damaged patients: toward a palliative neuroethics for disorders of consciousness
Fins J. Clinical pragmatism and the care of brain damaged patients: toward a palliative neuroethics for disorders of consciousness. Progress In Brain Research 2005, 150: 565-582. PMID: 16186050, DOI: 10.1016/s0079-6123(05)50040-2.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessClinical pragmatismBrain-damaged patientsBrain damageMystery of consciousnessDamaged patientsImpaired decision-making capacityDecision-making capacityAmerican pragmatic traditionBrain injuryProblem-solvingBrainMoral problem-solvingDisordersClinical contextHuman consciousnessConsciousnessImpaired consciousnessPragmaticsClinical careAversionSocietal contextSelfPalliative careResearch
2003
Gene therapy ethics and haemophilia: an inevitable therapeutic future?
Dimichele D, Miller F, Fins J. Gene therapy ethics and haemophilia: an inevitable therapeutic future? Haemophilia 2003, 9: 145-152. PMID: 12614364, DOI: 10.1046/j.1365-2516.2003.00725.x.Peer-Reviewed Original ResearchMeSH KeywordsEthics, ClinicalGene Transfer TechniquesGenetic TherapyHemophilia AHemophilia BHumansMaleRisk AssessmentReflective Practice and Palliative Care Education
Fins J, Gentilesco B, Carver A, Lister P, Acres C, Payne R, Storey-Johnson C. Reflective Practice and Palliative Care Education. Academic Medicine 2003, 78: 307-312. PMID: 12634214, DOI: 10.1097/00001888-200303000-00015.Peer-Reviewed Original ResearchConceptsSymptom managementPatient carePalliative care educationContext of careEnd of lifeTwo-week clerkshipMethods of painParticipant observationPalliative careCare educationInfluence careReflective practiceCareMedical studentsPractice patternsClerkshipClinical ethicsHidden curriculumDimensions of practiceContextual factorsTherapeutic skillsHumanistic mannerShort-term evaluationHumanistic dimensionParticipants