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 formPhysiciansPatient Reflections on Decision Making for Laryngeal Cancer Treatment
Shuman A, Larkin K, Thomas D, Palmer F, Fins J, Baxi S, Lee N, Shah J, Fagerlin A, Patel S. Patient Reflections on Decision Making for Laryngeal Cancer Treatment. Otolaryngology 2017, 156: 299-304. PMID: 28116989, PMCID: PMC5528848, DOI: 10.1177/0194599816683377.Peer-Reviewed Original ResearchConceptsPatients' reflectionsDecisional conflictVoice-related qualityReferral patternsReflections of patientsPatient-reported functional outcomesLaryngeal cancerFunctional outcomesTreatment decisionsTertiary care cancer centerInvolvement of surgeonsPatient prioritiesSingle-institution tertiary care cancer centerProvider inputDecisional regretPatient voiceManagement of laryngeal cancerOverall scoreGlobal scoreMedical oncologistsCancer CenterCancer treatment planningLaryngeal cancer treatmentRadiation oncologistsLaryngeal carcinoma
2016
A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants
Fins J, Kodish E, Cohn F, Danis M, Derse A, Dubler N, Goulden B, Kuczewski M, Mercer M, Pearlman R, Smith M, Tarzian A, Youngner S. A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants. The American Journal Of Bioethics 2016, 16: 15-24. PMID: 26913652, DOI: 10.1080/15265161.2015.1134705.Peer-Reviewed Original Research
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 Initiative