2021
The Birth of Naloxone: An Intellectual History of an Ambivalent Opioid
Kolbe L, Fins J. The Birth of Naloxone: An Intellectual History of an Ambivalent Opioid. Cambridge Quarterly Of Healthcare Ethics 2021, 30: 637-650. PMID: 34702407, DOI: 10.1017/s0963180121000116.Peer-Reviewed Original Research
2020
Proportionality, Pandemics, and Medical Ethics
Fins J, Miller F. Proportionality, Pandemics, and Medical Ethics. The American Journal Of Medicine 2020, 133: 1243-1244. PMID: 32653418, PMCID: PMC7347467, DOI: 10.1016/j.amjmed.2020.06.008.Peer-Reviewed Original Research
2018
Ethical, Palliative, and Policy Considerations in Disorders of Consciousness
Fins J, Bernat J. Ethical, Palliative, and Policy Considerations in Disorders of Consciousness. Archives Of Physical Medicine And Rehabilitation 2018, 99: 1927-1931. PMID: 30098790, DOI: 10.1016/j.apmr.2018.07.003.Peer-Reviewed Original ResearchMeSH KeywordsConsciousness DisordersHealth PolicyHumansPalliative CarePersistent Vegetative StatePractice Guidelines as TopicRehabilitationConceptsLearning health care systemSystems of careHealth care systemAmerican Academy of Neurology guidelinesGroups of brain-injured patientsMedical decision-makingCognitive-motor dissociationNeuropalliative careAdvance directivesCare systemPractice scopeIncreasing frequency of reportsVegetative stateFrequency of reportingGuideline authorsNeurology guidelinesAmerican AcademyDisorders of consciousnessBrain-injured patientsCareCovert consciousnessGroup of patientsGuidelinesWakefulness syndromePrognostic refinementEthical, palliative, and policy considerations in disorders of consciousness
Fins J, Bernat J. Ethical, palliative, and policy considerations in disorders of consciousness. Neurology 2018, 91: 471-475. PMID: 30089621, DOI: 10.1212/wnl.0000000000005927.Peer-Reviewed Original ResearchConceptsLearning health care systemSystems of careHealth care systemAmerican Academy of Neurology guidelinesGroups of brain-injured patientsMedical decision-makingCognitive-motor dissociationNeuropalliative careAdvance directivesCare systemPractice scopeIncreasing frequency of reportsVegetative stateFrequency of reportingGuideline authorsNeurology guidelinesAmerican AcademyDisorders of consciousnessBrain-injured patientsCareCovert consciousnessGroup of patientsGuidelinesWakefulness syndromePrognostic refinement
2016
Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research
Fins J. Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research. The AMA Journal Of Ethic 2016, 18: 1182. PMID: 28009244, DOI: 10.1001/journalofethics.2016.18.12.ecas2-1612.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessMinimally conscious stateEnd-of-life careConscious stateEnd-of-lifeEthical obligationNeuropalliative careDeep brain stimulationPatientsBrain statesClinicians' ethical obligationsClinical practiceCivil rightsConsciousnessScientific advancesDiagnostic discernmentClinical researchBrain stimulationResearch decisionsDisordersFunctional communicationInvestigate useCareNeuroethicsPain
2013
On the lingua franca of clinical ethics.
Fins J. On the lingua franca of clinical ethics. The Journal Of Clinical Ethics 2013, 24: 323-31. PMID: 24597419, DOI: 10.1086/jce201324402.Peer-Reviewed Original ResearchMeSH KeywordsDecision MakingEthical TheoryEthics, ClinicalHistory, 19th CenturyHistory, 20th CenturyHistory, 21st CenturyHumansInterdisciplinary CommunicationMedical FutilityPalliative CarePeriodicals as TopicPersonal AutonomyPractice Patterns, Physicians'Resuscitation OrdersTerminal CareTerminology as TopicWithholding TreatmentConceptsClinical ethicsJournal of Clinical EthicsLanguage of bioethicsLingua francaClinical ethicistsEthical analysisEthical reasonsEthicsLinguistic amalgamationCritical methodBioethicsAuthor commentsPalliative medicineWeak compositionEthicistsLanguageArgumentsPragmaticsAuthorsFoundingAnniversaryScienceDiscourseDecision makingInterdisciplinarity
2012
Clinical ethics consultation in patients with head and neck cancer
Shuman A, McCabe M, Fins J, Kraus D, Shah J, Patel S. Clinical ethics consultation in patients with head and neck cancer. Head & Neck 2012, 35: 1647-1651. PMID: 23161591, DOI: 10.1002/hed.23204.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationHead and neck cancerCommunication barriersNeck cancerLife-sustaining treatmentComprehensive cancer centerCode statusAirway management concernsEthical themesSymptom controlCancer CenterEthicsConsultationData abstractionDNRAirway managementCancerPatientsInterpersonal conflictBarriersDatabaseThemesClinical challengeHeadImproving end-of-life care for head and neck cancer patients
Shuman A, Fins J, Prince M. Improving end-of-life care for head and neck cancer patients. Expert Review Of Anticancer Therapy 2012, 12: 335-343. PMID: 22369325, DOI: 10.1586/era.12.6.Peer-Reviewed Original ResearchConceptsEnd-of-life experiencesHead and neck cancer patientsEnd-of-lifeNeck cancer patientsImprove end-of-life careEnd-of-life carePalliative care team involvementTerminal head and neck cancer patientsHead and neck cancerCancer patientsQuality of lifeNeck cancerClinical decision-makingPractice improvementTeam involvementSymptom controlEthical challengesPatient populationTreatment of head and neck cancerRelevant dataDecision-makingPatientsCancerCareProactive consideration
2011
The Hidden and Implicit Curricula in Cultural Context: New Insights From Doha and New York
Fins J, del Pozo P. The Hidden and Implicit Curricula in Cultural Context: New Insights From Doha and New York. Academic Medicine 2011, 86: 321-325. PMID: 21248601, DOI: 10.1097/acm.0b013e318208761d.Peer-Reviewed Original ResearchConceptsPalliative careEnd-of-life careEnd-of-lifeClinical ethicsU.S. medical schoolsMedical college campusMedical educationMedical schoolsEducational effortsCurricular elementsCareLow-context societiesHidden curriculumContextual factorsLocal cultural contextNew YorkCultural contextMedical humanitiesParticipant observationStudents' educational experiencesReflective practiceEducational experienceLongitudinal experimentCultural settingsCollege campuses
2010
The Humanities and the Future of Bioethics Education
Fins J. The Humanities and the Future of Bioethics Education. Cambridge Quarterly Of Healthcare Ethics 2010, 19: 518-521. PMID: 20719030, DOI: 10.1017/s0963180110000551.Peer-Reviewed Original ResearchMeSH KeywordsBioethical IssuesBioethicsEmpiricismHumanitiesHumansPalliative CareResearch Support as TopicStress, PsychologicalTeaching
2006
Affirming the right to care, preserving the right to die: Disorders of consciousness and neuroethics after Schiavo
Fins J. Affirming the right to care, preserving the right to die: Disorders of consciousness and neuroethics after Schiavo. Palliative & Supportive Care 2006, 4: 169-178. PMID: 16903588, DOI: 10.1017/s1478951506060238.Peer-Reviewed Original ResearchConceptsSchiavo caseRight to lifePermanent vegetative stateEnd-of-life careVegetative stateEthical CurrentsEnd-of-lifeDisorders of consciousnessEthical implicationsSchiavoRhetorical statementsConsciousnessConscious stateIdeological positionsMinimally conscious stateNational discourseRightsDiscourseBrain injuryNeuroscienceProviding careNeuroethicsCareFutilityLife
2005
Clinical pragmatism and the care of brain damaged patients: toward a palliative neuroethics for disorders of consciousness
Fins J. Clinical pragmatism and the care of brain damaged patients: toward a palliative neuroethics for disorders of consciousness. Progress In Brain Research 2005, 150: 565-582. PMID: 16186050, DOI: 10.1016/s0079-6123(05)50040-2.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessClinical pragmatismBrain-damaged patientsBrain damageMystery of consciousnessDamaged patientsImpaired decision-making capacityDecision-making capacityAmerican pragmatic traditionBrain injuryProblem-solvingBrainMoral problem-solvingDisordersClinical contextHuman consciousnessConsciousnessImpaired consciousnessPragmaticsClinical careAversionSocietal contextSelfPalliative careResearch
2003
From psychosurgery to neuromodulation and palliation: history's lessons for the ethical conduct and regulation of neuropsychiatric research
Fins J. From psychosurgery to neuromodulation and palliation: history's lessons for the ethical conduct and regulation of neuropsychiatric research. Neurosurgery Clinics Of North America 2003, 14: 303-319. PMID: 12856496, DOI: 10.1016/s1042-3680(02)00118-3.Peer-Reviewed Original ResearchMeSH KeywordsBiomedical ResearchBrainHistory, 20th CenturyHumansMental DisordersPalliative CarePsychosurgeryUnited StatesConceptsPsychiatric illnessDeep brain stimulationObsessive-compulsive disorderEra of psychosurgerySevere psychiatric illnessTreat psychiatric illnessBrain stimulationTreatment of Parkinson's diseaseModulation of consciousnessTraumatic brain injurySomatic therapiesNeuropsychiatric researchPrefrontal lobotomyBrain injuryCongressional callsPsychosurgeryParkinson's diseaseImplanted deep brain stimulationNeuromodulationIllnessHistory lessonsPsychiatristsPsychiatryLobotomyWidespread condemnationReflective Practice and Palliative Care Education
Fins J, Gentilesco B, Carver A, Lister P, Acres C, Payne R, Storey-Johnson C. Reflective Practice and Palliative Care Education. Academic Medicine 2003, 78: 307-312. PMID: 12634214, DOI: 10.1097/00001888-200303000-00015.Peer-Reviewed Original ResearchConceptsSymptom managementPatient carePalliative care educationContext of careEnd of lifeTwo-week clerkshipMethods of painParticipant observationPalliative careCare educationInfluence careReflective practiceCareMedical studentsPractice patternsClerkshipClinical ethicsHidden curriculumDimensions of practiceContextual factorsTherapeutic skillsHumanistic mannerShort-term evaluationHumanistic dimensionParticipantsBarriers to Pain and Symptom Management, Opioids, Health Policy, and Drug Benefits
Gee R, Fins J. Barriers to Pain and Symptom Management, Opioids, Health Policy, and Drug Benefits. Journal Of Pain And Symptom Management 2003, 25: 101-103. PMID: 12590024, DOI: 10.1016/s0885-3924(02)00693-0.Peer-Reviewed Original Research
2002
Enhancing Palliative Care Education in Medical School Curricula
Wood E, Meekin S, Fins J, Fleischman A. Enhancing Palliative Care Education in Medical School Curricula. Academic Medicine 2002, 77: 285-291. PMID: 11953291, DOI: 10.1097/00001888-200204000-00005.Peer-Reviewed Original ResearchMeSH KeywordsCurriculumEducation, Medical, UndergraduateHumansNew YorkPalliative CareProgram DevelopmentSchools, MedicalTerminal CareConceptsPalliative care educationPalliative care contentCare educationStates medical schoolsCare contentProcess of self-assessmentEducational assessment toolMedical schoolsFour-year curriculumStrategic planningCurricular mappingCurricular areasMedical school curriculumSchool curriculumCurriculum mappingCurricular changesScience coursesFaculty developmentHumanities coursesPalliative careCurriculumSchoolSelf-assessmentEducationClerkship rotationVowing to Care
Fins J. Vowing to Care. Journal Of Pain And Symptom Management 2002, 23: 54-57. PMID: 11779669, DOI: 10.1016/s0885-3924(01)00387-6.Peer-Reviewed Original Research
2000
Principles in palliative care: an overview.
Fins J. Principles in palliative care: an overview. Respiratory Care 2000, 45: 1320-6;discussion 26-30. PMID: 11063520.Peer-Reviewed Original ResearchDevelopment of a Palliative Education Assessment Tool for Medical Student Education
Meekin S, Klein J, Fleischman A, Fins J. Development of a Palliative Education Assessment Tool for Medical Student Education. Academic Medicine 2000, 75: 986-992. PMID: 11031142, DOI: 10.1097/00001888-200010000-00011.Peer-Reviewed Original ResearchConceptsPalliative care educationCare educationEducational assessment toolEnd-of-life carePalliative care contentPalliative care domainsPalliative care assessmentAssessment toolEnd-of-lifeClinical communication skillsMedical school curriculumSelf-assessment toolU.S. medical schoolsCare contentCaregiver perspectivesPalliative medicineCare assessmentFour-year curriculumCare domainEducation reformCurricular mappingMedical schoolsSchool curriculumCurricular objectivesEducational objectivesAn Approach to Educating Residents about Palliative Care and Clinical Ethics
Fins J, Nilson E. An Approach to Educating Residents about Palliative Care and Clinical Ethics. Academic Medicine 2000, 75: 662-665. PMID: 10875514, DOI: 10.1097/00001888-200006000-00021.Peer-Reviewed Original ResearchMeSH KeywordsAdultClinical CompetenceDeathEducation, MedicalEthics, MedicalHumansInternship and ResidencyPainPalliative CareTerminal CareConceptsPalliative careEnd-of-lifeIntegration of palliative careEnd-of-life careGraduate medical education programsEffective palliative careEnd of lifeMedical education programsNew York Presbyterian HospitalSymptom managementWeill Medical College of Cornell UniversityClinical skillsAttitudinal barriersResidents' knowledgeMedical educationCarePractice patternsEducate residentsResident experienceEducational effortsEducation programsClinical ethicsEvolving area of studyReligious issuesResidents