2023
Toward a Social Bioethics Through Interpretivism: A Framework for Healthcare Ethics.
Dougherty R, Fins J. Toward a Social Bioethics Through Interpretivism: A Framework for Healthcare Ethics. Cambridge Quarterly Of Healthcare Ethics 2023, 33: 6-16. PMID: 37622652, DOI: 10.1017/s0963180123000452.Peer-Reviewed Original ResearchConceptsHealthcare ethicsSocial bioethicsHealthcare ethics consultantsReasoning of individualsInterpretive social scienceSocial structureEthics consultationMoral reasoningBioethical issuesEthical issuesDecision-making participationBioethicsEthicsSocial sciencesSocial discourseEconomic systemAnalytical frameworkGlobal eventsInformation approachPervasive roleDelivery of healthcareEveryday practiceInterpretivismAuthorsSociologyPhysician attitudes about disorders of consciousness: Good facts make for good ethics
Fins J. Physician attitudes about disorders of consciousness: Good facts make for good ethics. Developmental Medicine & Child Neurology 2023, 65: 1549-1550. PMID: 37058590, PMCID: PMC10576007, DOI: 10.1111/dmcn.15619.Peer-Reviewed Original Research
2022
POINT: Does Normothermic Regional Perfusion Violate the Ethical Principles Underlying Organ Procurement? Yes
DeCamp M, Snyder Sulmasy L, Fins J. POINT: Does Normothermic Regional Perfusion Violate the Ethical Principles Underlying Organ Procurement? Yes. CHEST Journal 2022, 162: 288-290. PMID: 35940651, DOI: 10.1016/j.chest.2022.03.012.Peer-Reviewed Original ResearchTowards a Governance Framework for Brain Data
Ienca M, Fins J, Jox R, Jotterand F, Voeneky S, Andorno R, Ball T, Castelluccia C, Chavarriaga R, Chneiweiss H, Ferretti A, Friedrich O, Hurst S, Merkel G, Molnár-Gábor F, Rickli J, Scheibner J, Vayena E, Yuste R, Kellmeyer P. Towards a Governance Framework for Brain Data. Neuroethics 2022, 15: 20. DOI: 10.1007/s12152-022-09498-8.Peer-Reviewed Original ResearchEthics Priorities of the Curing Coma Campaign: An Empirical Survey
Lewis A, Claassen J, Illes J, Jox R, Kirschen M, Rohaut B, Trevick S, Young M, Fins J. Ethics Priorities of the Curing Coma Campaign: An Empirical Survey. Neurocritical Care 2022, 37: 12-21. PMID: 35505222, PMCID: PMC10034145, DOI: 10.1007/s12028-022-01506-2.Peer-Reviewed Original ResearchConceptsCountry of practiceClinical careEthical prioritiesClinical researchTranslation of researchDisclosure of resultsMethodsAn electronic surveyEthics Working GroupMedical futilityElectronic surveyResultsThe surveyDiagnostic definitionCareUnited StatesEthical topicsEmpirical surveyMinimally conscious stateEthicsCuring Coma CampaignGlobal initiativesConclusionsCollaborationRespondentsPrognostication of patientsWorking GroupSurveyJosé Manuel Rodríguez Delgado, Walter Freeman, and Psychosurgery: A Study in Contrasts
Fins J, Vernaglia J. José Manuel Rodríguez Delgado, Walter Freeman, and Psychosurgery: A Study in Contrasts. The Neuroscientist 2022, 29: 518-531. PMID: 35414307, DOI: 10.1177/10738584221086603.Peer-Reviewed Original ResearchConceptsObject of critiquePhilosophical commitmentsEthical analysisPersonal libertyAntipsychiatry movementArchival sourcesHistorical antecedentsConflationDelgadoLegacyEthicsLibertyCritiqueProponentsHistorical recordsAntipsychiatryPredicatesNeuropsychiatric researchSomatic therapiesCommitmentMisrepresentationMidcenturyPsychosurgeryNotorietyAntecedents
2021
Ethics Consultation in Surgical Specialties
Meredyth N, Fins J, de Melo-Martin I. Ethics Consultation in Surgical Specialties. HEC Forum 2021, 34: 89-102. PMID: 33674985, PMCID: PMC7934986, DOI: 10.1007/s10730-021-09447-7.Peer-Reviewed Original ResearchDisorders of Consciousness, Disability Rights and Triage During the COVID-19 Pandemic
Fins J. Disorders of Consciousness, Disability Rights and Triage During the COVID-19 Pandemic. The Journal Of Philosophy Of Disability 2021, 1: 211-229. DOI: 10.5840/jpd20218174.Peer-Reviewed Original ResearchNew York State Task Force on LifeStruggle for ConsciousnessVentilator allocation guidelinesDisorders of consciousnessTask ForceNot consciousnessEthical integritySpring surgeAllocation guidelinesCOVID-19 pandemicClinical ethicistsAuthorsNew YorkCOVID-19LawBrain injuryConsciousnessDisordersEthicistsNewPeopleMotor outputEthics
2020
Meeting the Challenge of COVID-19: The Response of Two Ethics Consultation Services in New York City.
Prager K, Fins J. Meeting the Challenge of COVID-19: The Response of Two Ethics Consultation Services in New York City. The Journal Of Clinical Ethics 2020, 31: 209-211. PMID: 32773402, DOI: 10.1086/jce2020313209.Peer-Reviewed Original ResearchPhases of a Pandemic Surge: The Experience of an Ethics Service in New York City during COVID-19.
Huberman B, Mukherjee D, Gabbay E, Knowlton S, Green D, Pandya N, Meredith N, Walker J, Shapiro Z, Hersh J, Chisholm M, Waldman S, MacKenzie C, de Melo-Martín I, Fins J. Phases of a Pandemic Surge: The Experience of an Ethics Service in New York City during COVID-19. The Journal Of Clinical Ethics 2020, 31: 219-227. PMID: 32773404, DOI: 10.1086/jce2020313219.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationEthical issuesSense of dis-easeEthics consultation servicesPrism of timeEthical lifeCode status discussionsNew York City hospitalsEthics ServiceOrganizational lifeEthicsCommunication interventionsSpecialty areasEight-week periodDis-easeWeill Cornell Medical CollegeNew York CityConsultation servicePandemic surgeConsultationCity HospitalCornell Medical CollegeMedical CollegeScarcity of resourcesThe 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 campusResuscitating Patient Rights during the Pandemic: COVID-19 and the Risk of Resurgent Paternalism
Fins J. Resuscitating Patient Rights during the Pandemic: COVID-19 and the Risk of Resurgent Paternalism. Cambridge Quarterly Of Healthcare Ethics 2020, 30: 215-221. PMID: 32576307, PMCID: PMC7438624, DOI: 10.1017/s0963180120000535.Peer-Reviewed Original ResearchConceptsDo-not-resuscitatePatients' rightsProportion of resuscitationsMedical ethicsClinical ethicistsPhysician paternalismPublic health crisisMedical internsNew York CityCOVID-19Clinical discretionHealth crisisPersonal narrativesYork CityRightsPaternityEthicistsEthicsResuscitationStress testClinical medicineRiskAuthorsNarrativesQuestions
2018
The Welfare of Children, Research Ethics, and the Bucharest Early Intervention Project
Master M, Fins J. The Welfare of Children, Research Ethics, and the Bucharest Early Intervention Project. 2018, 145-154. DOI: 10.1093/med-psych/9780190647254.003.0008.Peer-Reviewed Original ResearchHuman goodAuthentic witnessEthical principalsResearch ethicsEthical obligationEthical issuesBucharest Early Intervention ProjectEffects of foster careClinical equipoiseCompassionate careWelfare of ChildrenScientific communityFoster careEthicsEarly Intervention ProjectInstitutional careLogicObligationsEarly institutionalizationWitnessDutyScienceAmbivalenceIntervention projectInstitutionalizationThe internist as clinical ethics consultant: An antidote to “the barbarism of specialisation” in hospital practice
de Asúa D, del Pozo P, Fins J. The internist as clinical ethics consultant: An antidote to “the barbarism of specialisation” in hospital practice. Revista Clínica Española (English Edition) 2018, 218: 142-148. DOI: 10.1016/j.rceng.2017.09.004.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 vignettesEl internista como consultor de ética clínica: un antídoto contra «la barbarie del especialismo» en la práctica hospitalaria
de Asúa D, del Pozo P, Fins J. El internista como consultor de ética clínica: un antídoto contra «la barbarie del especialismo» en la práctica hospitalaria. Revista Clínica Española (English Edition) 2017, 218: 142-148. PMID: 29079198, DOI: 10.1016/j.rce.2017.09.005.Peer-Reviewed Original ResearchTeaching 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 ResearchIn Reply: Commentary: Deep Brain Stimulation as Clinical Innovation: An Ethical and Organizational Framework to Sustain Deliberations About Psychiatric Deep Brain Stimulation
Fins J. In Reply: Commentary: Deep Brain Stimulation as Clinical Innovation: An Ethical and Organizational Framework to Sustain Deliberations About Psychiatric Deep Brain Stimulation. Neurosurgery 2017, 80: e271-e272. PMID: 28327959, DOI: 10.1093/neuros/nyx039.Peer-Reviewed Original Research
2016
A Survey of Physicians’ Attitudes toward Decision-Making Authority for Initiating and Withdrawing VA-ECMO: Results and Ethical Implications for Shared Decision Making
Meltzer E, Ivascu N, Stark M, Orfanos A, Acres C, Christos P, Mangione T, Fins J. A Survey of Physicians’ Attitudes toward Decision-Making Authority for Initiating and Withdrawing VA-ECMO: Results and Ethical Implications for Shared Decision Making. The Journal Of Clinical Ethics 2016, 27: 281-289. DOI: 10.1086/jce2016274281.Peer-Reviewed Original ResearchThe Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems
Kellmeyer P, Cochrane T, Müller O, Mitchell C, Ball T, Fins J, Biller-Andorno N. The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems. Cambridge Quarterly Of Healthcare Ethics 2016, 25: 623-633. PMID: 27634714, DOI: 10.1017/s0963180116000359.Peer-Reviewed Original ResearchConceptsClosed-loop medical devicesRepresentatives of patient advocacy groupsMedical lawLegal accountabilityLegal frameworkDecisionmaking capacityRestoring communication abilitiesPersonal autonomyMedical ethicsPatient autonomyMedical devicesAdvocacy groupsAutonomyMedical neuroscienceTask ForceAccountsPatient advocacy groupsPersonsLawConsentComputer scienceRefusalDecisionmakingEthicsAgencies