2014
Extracorporeal Membrane Oxygenation as a Bridge to Chemotherapy in an Orthodox Jewish Patient
Meltzer E, Ivascu N, Acres C, Stark M, Furman R, Fins J. Extracorporeal Membrane Oxygenation as a Bridge to Chemotherapy in an Orthodox Jewish Patient. The Oncologist 2014, 19: 985-989. PMID: 25096998, PMCID: PMC4153457, DOI: 10.1634/theoncologist.2014-0025.Peer-Reviewed Original ResearchConceptsLife-sustaining therapyVA-ECMOBridge to treatmentExtracorporeal membrane oxygenationOrthodox Jewish womenEthics consultationCardiopulmonary supportMembrane oxygenationVenoarterial extracorporeal membrane oxygenationClinical ethics consultationInitiation of VA-ECMOJewish womenTemporary cardiopulmonary supportAcademic medical centerReceipt of chemotherapyLonger-term therapyVA-ECMO useClinical staffReligious traditionsAbsence of recoveryReligious leadersCultural liaisonsReligious objectsCurable lymphomaChemotherapy induction
2013
Stigmatization of Substance Use Disorders among Internal Medicine Residents
Meltzer E, Suppes A, Burns S, Shuman A, Orfanos A, Sturiano C, Charney P, Fins J. Stigmatization of Substance Use Disorders among Internal Medicine Residents. Substance Abuse 2013, 34: 356-362. PMID: 24159906, DOI: 10.1080/08897077.2013.815143.Peer-Reviewed Original ResearchConceptsMedical Condition Regard ScaleNarcotic pain medicationInternal medicine residentsSubstance use disordersPain medicationMedicine residentsInternal medicine residents' attitudesMCRS scoresAddiction educationPostgraduate training yearAcademic medical centerProspective cohort studyYears of trainingOptimal careStigmatized conditionsImprove attitudesTraining yearMedicine courseAttitude improvementAssess attitudesCohort studyResidence backgroundNew York CityAddiction medicineMedical Center
2012
Credentialing 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
1999
End-of-Life Decision-Making in the Hospital Current Practice and Future Prospects
Fins J, Miller F, Acres C, Bacchetta M, Huzzard L, Rapkin B. End-of-Life Decision-Making in the Hospital Current Practice and Future Prospects. Journal Of Pain And Symptom Management 1999, 17: 6-15. PMID: 9919861, DOI: 10.1016/s0885-3924(98)00109-2.Peer-Reviewed Original ResearchConceptsComfort care plansEnd-of-life decision-makingHospitalized dying patientsCare planningDNR ordersDo-not-resuscitate (DNRAssociated with DNR ordersCare Assessment ToolUrban academic medical centerHealth care proxyImprove practice patternsLife-sustaining treatmentEnd-of-lifeAcademic medical centerPalliative servicesPalliative careComfort careAdult deathsArtificial nutritionOutcome measuresPractice patternsAssessment toolChart review of patientsCareMedical Center