2022
Ethical Considerations in Precision Medicine and Genetic Testing in Internal Medicine Practice: A Position Paper From the American College of Physicians.
Lehmann L, Snyder Sulmasy L, Burke W, Opole I, Deep N, Abraham G, Burnett J, Callister T, Carney J, Cooney T, Esbensen K, Fins J, Harp T, Holbrook A, Huddle T, Levine M, Prager K. Ethical Considerations in Precision Medicine and Genetic Testing in Internal Medicine Practice: A Position Paper From the American College of Physicians. Annals Of Internal Medicine 2022, 175: 1322-1323. PMID: 35878403, DOI: 10.7326/m22-0743.Peer-Reviewed Original ResearchMeSH KeywordsGenetic TestingHumansInternal MedicineInternship and ResidencyPhysiciansPrecision MedicineUnited StatesConceptsGenetic testingAmerican College of Physicians position paperAmerican College of PhysiciansAmerican CollegeImprove health outcomesHealth care professionalsInternal medicine practiceHealth care systemCollege of PhysiciansCare professionalsHealth outcomesIntegration of precision medicineCare systemPrecision medicineClinical carePracticing physiciansMedicine practiceResidency programsPosition paperClinical settingPhysiciansHealthEthical decisionsProfessional schoolsEthical considerations
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
2016
What's Wrong with Evidence‐Based Medicine?
Fins J. What's Wrong with Evidence‐Based Medicine? The Hastings Center Report 2016, 46: inside back cover-inside back cover. PMID: 26786040, DOI: 10.1002/hast.534.Peer-Reviewed Original Research
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
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 coverage