2017
Improving Communication With Surrogate Decision-Makers: A Pilot Initiative
Meltzer E, Shi Z, Suppes A, Hersh J, Orlander J, Calhoun A, Tung J, Logio L, Manna R, Bialer P, Acres C, Fins J. Improving Communication With Surrogate Decision-Makers: A Pilot Initiative. Journal Of Graduate Medical Education 2017, 9: 461-466. PMID: 28824759, PMCID: PMC5559241, DOI: 10.4300/jgme-d-17-00035.1.Peer-Reviewed Original ResearchConceptsObjective structured clinical examinationCommunication skillsPatient surrogatesPhysician communication skillsCommunication skills workshopSurrogate decision-makersStructured clinical examinationResidents' communication skillsParticipants' communication skillsExperiential learning workshopsPhysician stressPostworkshop scoresOSCE scoresWilcoxon signed rank testSelf-reported feelingsPoor communicationSimulated encountersSkills workshopMedical careDifficult conversationsImprove communicationFaculty facilitatorsMedical decisionsAssessment formPhysicians
2012
Learning by Doing: Effectively Incorporating Ethics Education into Residency Training
Vertrees S, Shuman A, Fins J. Learning by Doing: Effectively Incorporating Ethics Education into Residency Training. Journal Of General Internal Medicine 2012, 28: 578-582. PMID: 23179971, PMCID: PMC3599016, DOI: 10.1007/s11606-012-2277-0.Peer-Reviewed Original ResearchConceptsSurrogate decision-makersRefusal of treatmentEducational initiativesDidactic programEthics educationMedical ethicsEthics casesMedical futilityEthical issuesEthicsExperiential education programParticipants' experiencesGood/very goodSubscale scoresClinical traineesResidency trainingEducation programsClinical experienceResidentsStudent Evaluation of Educational QualityParticipantsCourse surveyGroup interactionProgramBreadth of coverageClinical 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 abstraction