2021
Is Deliberative Democracy Possible During a Pandemic? Reflections of a Bioethicist
Fins J. Is Deliberative Democracy Possible During a Pandemic? Reflections of a Bioethicist. Journal Of Theoretical And Philosophical Psychology 2021, 41: 216-225. DOI: 10.1037/teo0000191.Peer-Reviewed Original ResearchNew York State Task Force on LifeDeliberative democracyPhysician-assisted suicideProcess of deliberative democracySurrogate decision makingTask ForceAbdication of responsibilityInterface of medicineCrisis standards of careEnd-of-life careDeliberative bodiesEnd-of-lifeVentilator allocationLawAssisted reproductionLandmark reportInterdisciplinary spaceBrain deathDemocracyCOVID-19Health equityVaccine allocationNewborn carePolicy deliberationsPandemic flu
2019
Disorders of Consciousness in Clinical Practice
Fins J. Disorders of Consciousness in Clinical Practice. 2019, 449-478. DOI: 10.1093/med/9780190208875.003.0011.Peer-Reviewed Original ResearchEnd-of-life careEnd-of-lifeLong-term careImpaired decision-making capacityDisorders of consciousnessClinical practiceDecision-making capacityAncillary care obligationsVulnerable populationsProfessional obligationsCareMinimally conscious stateNeuroimaging assessmentsIntensive careCare obligationsDiagnostic classificationBrain injuryCommunication strategiesCovert consciousnessClinicInitial presentationConscious stateEthical implicationsPatientsRehabilitation
2017
The Care of the Ultra-Orthodox Jewish Patient
Gabbay E, McCarthy M, Fins J. The Care of the Ultra-Orthodox Jewish Patient. Journal Of Religion And Health 2017, 56: 545-560. PMID: 28102466, DOI: 10.1007/s10943-017-0356-6.Peer-Reviewed Original ResearchConceptsStigma associated with mental illnessEnd-of-life decisionsEnd-of-lifeUltra-Orthodox Jewish patientsSystem of valuesModern hospital settingUltra-Orthodox worldEthical scenariosReligious traditionsEnhance careUltra-Orthodox Jewish communityMental illnessPrenatal careModern medical practicePatient autonomyJewish communityHospital settingStandard risk assessmentTraditional societiesMedical practiceCareJewish patientsUnique challengesDivineTraditionMy Time in Medicine
Fins J. My Time in Medicine. Perspectives In Biology And Medicine 2017, 60: 19-32. PMID: 28890446, DOI: 10.1353/pbm.2017.0016.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 useCareNeuroethicsPainA major miss in prognostication after cardiac arrest: Burst suppression and brain healing
Becker D, Schiff N, Becker L, Holmes M, Fins J, Horowitz J, Devinsky O. A major miss in prognostication after cardiac arrest: Burst suppression and brain healing. Epilepsy & Behavior Reports 2016, 7: 1-5. PMID: 28053858, PMCID: PMC5198796, DOI: 10.1016/j.ebcr.2016.09.004.Peer-Reviewed Original ResearchCardiac arrestBurst suppressionTherapeutic hypothermiaLoss of brainstem reflexesMechanisms of therapeutic hypothermiaOut-of-hospital cardiac arrestAbsent motor responseStatus epilepticusBrainstem reflexesNeuronal cell deathFunctional capacityStandard criteriaCell deathArrestNegative endpointsHypothermiaMotor responseEnd-of-life decisionsBrain healingEnd-of-lifeEpilepticusSuppressionEndpoint
2015
Withdrawal of Life-Sustaining Treatment
Hinderer K, Friedmann E, Fins J. Withdrawal of Life-Sustaining Treatment. Dimensions Of Critical Care Nursing 2015, 34: 91-99. PMID: 25650494, DOI: 10.1097/dcc.0000000000000097.Peer-Reviewed Original ResearchConceptsEOL decisionsEnd-of-lifeCritical care nursesMechanical ventilation withdrawalCare nursesFamilies of critically ill patientsVentilator withdrawalImproving EOL careAdvance care planningPatient-proxy pairsWithdrawal of life-sustaining therapySecondary analysis of dataWithdrawal of mechanical ventilationLife-sustaining therapyEOL careCare planningPatient-directedResponses to questionsDisease trajectoryProxies' decisionsModification of directionSecondary analysisImprove patientAnalysis of dataNurses
2013
Clinical Ethics Consultation in Oncology
Shuman A, Montas S, Barnosky A, Smith L, Fins J, McCabe M. Clinical Ethics Consultation in Oncology. JCO Oncology Practice 2013, 9: 240-245. PMID: 23943899, DOI: 10.1200/jop.2013.000901.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationNational Cancer Institute-designated comprehensive cancer centerCancer Institute-designated comprehensive cancer centerEnd-of-life careDo-not-resuscitate ordersOverall goals of carePalliative care expertsPalliative care consultationGoals of carePatient casesEnd-of-lifeComprehensive cancer centerCare consultationCode statusSources of interpersonal conflictAdvance directivesCare expertsStaff educationSurrogate decisionPatient's wishesMedical futilityOncology populationCommunication lapsesClinical care
2012
Clinical ethics consultation in oncology.
Shuman A, Montas S, Barnosky A, Smith L, Kissane D, Fins J, McCabe M. Clinical ethics consultation in oncology. Journal Of Clinical Oncology 2012, 30: 9121-9121. DOI: 10.1200/jco.2012.30.15_suppl.9121.Peer-Reviewed Original ResearchClinical ethics consultationEthics consultationGoals of careCode statusEnd-of-life careOverall goals of careInvolvement of palliative careNCI-designated comprehensive cancer centerPalliative care consultationPalliative care involvementPatient's code statusSurrogate decision-makersEnd of lifeEnd-of-lifeComprehensive cancer centerSystem improvementSources of interpersonal conflictAdult oncology patientsMedical futilityCare consultationPalliative careAdvance directivesCare involvementEthicsChart abstractionImproving end-of-life care for head and neck cancer patients
Shuman A, Fins J, Prince M. Improving end-of-life care for head and neck cancer patients. Expert Review Of Anticancer Therapy 2012, 12: 335-343. PMID: 22369325, DOI: 10.1586/era.12.6.Peer-Reviewed Original ResearchConceptsEnd-of-life experiencesHead and neck cancer patientsEnd-of-lifeNeck cancer patientsImprove end-of-life careEnd-of-life carePalliative care team involvementTerminal head and neck cancer patientsHead and neck cancerCancer patientsQuality of lifeNeck cancerClinical decision-makingPractice improvementTeam involvementSymptom controlEthical challengesPatient populationTreatment of head and neck cancerRelevant dataDecision-makingPatientsCancerCareProactive consideration
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
2008
Clinical 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 InitiativeProspective Analysis of Life-Sustaining Therapy Discussions in the Surgical Intensive Care Unit: A Housestaff Perspective
Pieracci F, Ullery B, Eachempati S, Nilson E, Hydo L, Barie P, Fins J. Prospective Analysis of Life-Sustaining Therapy Discussions in the Surgical Intensive Care Unit: A Housestaff Perspective. Journal Of The American College Of Surgeons 2008, 207: 468-476. PMID: 18926447, DOI: 10.1016/j.jamcollsurg.2008.05.001.Peer-Reviewed Original ResearchConceptsEnd-of-life care planningEnd-of-lifeLack of decision-making capacityCare planningDecision-making capacityEnd-of-life careLikelihood of enactmentSurgical ICUPatient surrogatesHousestaffStandardized questionnaireSurgical intensive care unitClinical deteriorationIntensive care unitProspective dataCare unitProspective analysisPatientsICUAgeCareAcuityDisparitiesQuestionnairePlanning
2006
Differential Medical and Surgical House Staff Involvement in End-of-Life Decisions: A Retrospective Chart Review
Kelley A, Gold H, Roach K, Fins J. Differential Medical and Surgical House Staff Involvement in End-of-Life Decisions: A Retrospective Chart Review. Journal Of Pain And Symptom Management 2006, 32: 110-117. PMID: 16877178, DOI: 10.1016/j.jpainsymman.2006.02.009.Peer-Reviewed Original ResearchConceptsEnd-of-lifeEnd-of-life discussionsEnd-of-life decisionsHouse officersDocumentation of end-of-life discussionsMedical servicesEnd-of-life communicationSurgical servicesLife-sustaining treatmentWithdrawal of life-sustaining therapyProportion of notesLife-sustaining therapyMedical house officersComplex patient populationWithdrawal of carePhysician involvementCare notesLength of stayStaff involvementMedical patientsRetrospective chart reviewTeam structureChart reviewPatient populationSurgical house officersAffirming the right to care, preserving the right to die: Disorders of consciousness and neuroethics after Schiavo
Fins J. Affirming the right to care, preserving the right to die: Disorders of consciousness and neuroethics after Schiavo. Palliative & Supportive Care 2006, 4: 169-178. PMID: 16903588, DOI: 10.1017/s1478951506060238.Peer-Reviewed Original ResearchConceptsSchiavo caseRight to lifePermanent vegetative stateEnd-of-life careVegetative stateEthical CurrentsEnd-of-lifeDisorders of consciousnessEthical implicationsSchiavoRhetorical statementsConsciousnessConscious stateIdeological positionsMinimally conscious stateNational discourseRightsDiscourseBrain injuryNeuroscienceProviding careNeuroethicsCareFutilityLifeFactors Influencing DNR Decision-Making in a Surgical ICU
Bacchetta M, Eachempati S, Fins J, Hydo L, Barie P. Factors Influencing DNR Decision-Making in a Surgical ICU. Journal Of The American College Of Surgeons 2006, 202: 995-1000. PMID: 16735215, DOI: 10.1016/j.jamcollsurg.2006.02.027.Peer-Reviewed Original ResearchConceptsDNR ordersPresence of DNR ordersCritically ill surgical patientsEnd-of-life decisionsDNR decision-makingNo-DNR groupIll surgical patientsMedical historyMultiple organ dysfunction scoreEnd-of-lifeOrgan dysfunction scoreIII scoreAcuity of illnessSurgical patientsChi-square statistical testMultivariate ANOVADNR patientsHospital length of stayDysfunction scoreIll patient populationLength of stayCritically ill patient populationAPACHE III scoreDNRIllness severity
2005
Death, dying and informatics: misrepresenting religion on MedLine
Rodríguez del Pozo P, Fins J. Death, dying and informatics: misrepresenting religion on MedLine. BMC Medical Ethics 2005, 6: 6. PMID: 15992401, PMCID: PMC1185543, DOI: 10.1186/1472-6939-6-6.Peer-Reviewed Original ResearchConceptsEnd-of-life careReligious traditionsEnd-of-lifeInterface of religionPatient's cultural contextChristian traditionIslamic traditionMonotheistic religionsCorrelative dutiesBioethics literatureReligious backgroundReligionTraditionString of wordsScientific topicsCultural contextAmerican writersDenominatorMedical SciencesNational LibraryDutyScienceWritersNational Library of MedicineCulture
2000
Development of a Palliative Education Assessment Tool for Medical Student Education
Meekin S, Klein J, Fleischman A, Fins J. Development of a Palliative Education Assessment Tool for Medical Student Education. Academic Medicine 2000, 75: 986-992. PMID: 11031142, DOI: 10.1097/00001888-200010000-00011.Peer-Reviewed Original ResearchConceptsPalliative care educationCare educationEducational assessment toolEnd-of-life carePalliative care contentPalliative care domainsPalliative care assessmentAssessment toolEnd-of-lifeClinical communication skillsMedical school curriculumSelf-assessment toolU.S. medical schoolsCare contentCaregiver perspectivesPalliative medicineCare assessmentFour-year curriculumCare domainEducation reformCurricular mappingMedical schoolsSchool curriculumCurricular objectivesEducational objectivesAn Approach to Educating Residents about Palliative Care and Clinical Ethics
Fins J, Nilson E. An Approach to Educating Residents about Palliative Care and Clinical Ethics. Academic Medicine 2000, 75: 662-665. PMID: 10875514, DOI: 10.1097/00001888-200006000-00021.Peer-Reviewed Original ResearchConceptsPalliative careEnd-of-lifeIntegration of palliative careEnd-of-life careGraduate medical education programsEffective palliative careEnd of lifeMedical education programsNew York Presbyterian HospitalSymptom managementWeill Medical College of Cornell UniversityClinical skillsAttitudinal barriersResidents' knowledgeMedical educationCarePractice patternsEducate residentsResident experienceEducational effortsEducation programsClinical ethicsEvolving area of studyReligious issuesResidents
1999
Incorporating palliative care into critical care education: Principles, challenges, and opportunities
Danis M, Federman D, Fins J, Fox E, Kastenbaum B, Lanken P, Long K, Lowenstein E, Lynn J, Rouse F, Tulsky J. Incorporating palliative care into critical care education: Principles, challenges, and opportunities. Critical Care Medicine 1999, 27: 2005-2013. PMID: 10507632, DOI: 10.1097/00003246-199909000-00047.Peer-Reviewed Original ResearchConceptsEnd-of-life carePalliative careEnd-of-lifeIntensive care unitCare educationModified nominal group processCritical careExcellent palliative carePalliative care educationCompassionate palliative careDiscontinuity of careGoals of careCritical care educationNominal group processTrust relationshipsCapacity of patientsDying patientsGood careTeaching careConsumer advocacyMedical educationCareEffective communicationLife support technologyCare unit