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
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
1994
A secular chaplaincy
Fins J. A secular chaplaincy. Journal Of Religion And Health 1994, 33: 373-375. PMID: 24264135, DOI: 10.1007/bf02355438.Peer-Reviewed Original Research
1993
The rationing of health care: A doctor's dilemma
Fins J. The rationing of health care: A doctor's dilemma. Journal Of Religion And Health 1993, 32: 9-20. PMID: 11651545, DOI: 10.1007/bf00995812.Peer-Reviewed Original ResearchMeSH KeywordsBiomedical TechnologyConflict of InterestDecision MakingDelivery of Health CareDiagnosisEconomicsFees and ChargesFinancial SupportHealth Care RationingHospitalsHumansLiability, LegalMoral ObligationsOregonPatient AdmissionPatient AdvocacyPatient DischargePatientsPhysician-Patient RelationsPhysician's RolePhysiciansPovertyQuality of Health CareReligionResource AllocationSocial JusticeSocial ResponsibilitySocial WelfareTechnology Assessment, BiomedicalUnited StatesConceptsRationing of health careHealth careEthical traditionsReligious communitiesDilemmas physiciansEthical issuesCollaboration of doctorsLevel of medical careMedical careNew York Hospital-Cornell Medical CenterRationalityCareMedical CenterDoctorsTraditionComplicated issuesIssuesPhysiciansSymposium