Joseph Fins, MD, MACP, FRCP
Visiting ProfessorCards
About
Research
Publications
2026
Determinants of Delayed Recovery of Consciousness After Analgosedation Discontinuation in the ICU: Insights From Patients With COVID-19 Hypoxemic Respiratory Failure.
Safavynia S, Barra M, Der Nigoghossian C, Shinnick D, Waldrop G, Choi J, Ganglberger W, Shen Q, Doyle K, Walline M, Westover M, Brown E, Fins J, Victor J, Edlow B, Claassen J, Schiff N, Thaweethai T. Determinants of Delayed Recovery of Consciousness After Analgosedation Discontinuation in the ICU: Insights From Patients With COVID-19 Hypoxemic Respiratory Failure. Critical Care Medicine 2026 PMID: 42294965, DOI: 10.1097/ccm.0000000000007205.Peer-Reviewed Original ResearchSedative exposureCOVID-19 hypoxemic respiratory failureCritical illnessCritically ill COVID patientsProlonged disordersHypoxemic respiratory failureMultivariable subdistribution hazard modelsProlonged disorders of consciousnessAcute kidney injuryDisorders of consciousnessDelayed recovery of consciousnessCritically ill patientsCOVID-19 critical illnessRecovery of consciousnessRespiratory failureKidney injuryMechanical ventilationDrug clearanceClinical variablesIll populationPrimary outcomeAdjunctive sedativesSubdistribution hazard modelIll patientsPatientsDonation after cardiac death and disorders of consciousness: what could possibly go wrong?
Fins J. Donation after cardiac death and disorders of consciousness: what could possibly go wrong? 2026, 2: e000198. DOI: 10.1136/jmepb-2026-000198.Peer-Reviewed Original ResearchMinimally conscious stateDisorders of consciousnessPremature labelingBrain statesCognitive motor dissociationClassification of brain statesLoss of consciousnessLabeling of patientsMotor dissociationBrain injuryBrainConscious stateDisordersNeurological evolutionEnd-stage illnessEthical significanceDying processOrgan donorsNosologyConsciousnessProspective organ donorsCardiac deathClinical errorsIndex caseA chat with Hippocrates: the oath in the age of artificial intelligence
Fins J. A chat with Hippocrates: the oath in the age of artificial intelligence. Academic Medicine 2026, 101: 760-764. PMID: 41902833, DOI: 10.1093/acamed/wvag096.Peer-Reviewed Original ResearchConceptsFirst-year orientationAge of artificial intelligenceProfessional formationProvision of careClassroom exercisePatient-physician relationshipAll-knowingEvidence-based medicineHippocratic injunctionHippocratic OathStudentsEthical mandateAuthor questionsMedical educationCaring ethosWeill Cornell MedicineMedical studentsHippocraticOathMedical knowledgePhysiciansCurious Engagement: Navigating False Predicates in Ethics Consultation.
Goff A, Fins J. Curious Engagement: Navigating False Predicates in Ethics Consultation. The Journal Of Clinical Ethics 2026, 37: 57-62. PMID: 41698332, DOI: 10.1086/739009.Peer-Reviewed Original ResearchFair Trade: The Legacy of Osler and Penfield for Neuroscience and Ethics
Fins J. Fair Trade: The Legacy of Osler and Penfield for Neuroscience and Ethics. Canadian Journal Of Bioethics 2026, 9: 43-45. DOI: 10.7202/1122847ar.Peer-Reviewed Original Research
2025
Forty Years in the Making: From Nihilism Towards a Therapeutic Neuroethics for Disorders of Consciousness
Fins J. Forty Years in the Making: From Nihilism Towards a Therapeutic Neuroethics for Disorders of Consciousness. Journal Of Head Trauma Rehabilitation 2025, 41: 40-44. PMID: 41263122, DOI: 10.1097/htr.0000000000001131.Peer-Reviewed Original ResearchDisorders of consciousnessNational InstituteNational Institutes of HealthCognitive motor dissociationInstitutes of HealthClinical careMedical studentsMotor dissociationEthical importanceTherapeutic nihilismNosologyHead traumaDisordersSustained government supportNeuroethicsCo-originationRehabilitationCareNeuroimagingRetrospective essayDisability rightsHealthConsciousnessAutobiographical reflectionDisabilityWisdom in the Public Sphere: Nancy Neveloff Dubler and the New York State Task Force on Life and the Law.
Fins J, Porter K, Swidler R. Wisdom in the Public Sphere: Nancy Neveloff Dubler and the New York State Task Force on Life and the Law. The Journal Of Clinical Ethics 2025, 36: 303-308. PMID: 41252146, DOI: 10.1086/737392.Peer-Reviewed Original ResearchConceptsNew York State Task Force on LifeDecision-making lawsTask ForceGestational surrogacyLawPublic bioethicsHistorical originsSocial justiceClinical ethics consultationBioethicsPolicy contributionsCrisis standardsCOVID-19 pandemicEthics consultationPublic sphereDeliberative stanceJusticeActSurrogacyNewBioethicistsNancyCOVID-19CommitmentForceHow to Fix Clinical Ethics Fellowships: Addressing Our Research Imperative
Fins J. How to Fix Clinical Ethics Fellowships: Addressing Our Research Imperative. The American Journal Of Bioethics 2025, 25: 67-69. PMID: 40965485, DOI: 10.1080/15265161.2025.2543721.Peer-Reviewed Original ResearchAccess to assistive technology in pediatric brain injury care: Narrative perspectives of clinicians, vendors, and parents
Mukherjee D, Shulman K, Fins J. Access to assistive technology in pediatric brain injury care: Narrative perspectives of clinicians, vendors, and parents. PM&R 2025, 18: 152-161. PMID: 40709624, PMCID: PMC12721555, DOI: 10.1002/pmrj.13444.Peer-Reviewed Original ResearchPerspectives of cliniciansParents of childrenFocus groupsAge-appropriate independenceTriangulation of themesExploratory qualitative studyGrounded theory methodMedical chart reviewAssistive technologyBrain injuryRetrospective medical chart reviewRehabilitation cliniciansInjury careAT accessClinical staffPrimary themesQualitative studyNarrative dataDisability stigmaChart reviewFamily relationshipsCliniciansThemesPotential impactChildrenLewis Thomas on Artificial Intelligence
Fins J. Lewis Thomas on Artificial Intelligence. NEJM AI 2025, 2 DOI: 10.1056/aip2401252.Peer-Reviewed Original Research