2023
Health as a Human Right: A Position Paper From the American College of Physicians.
DeCamp M, Snyder Sulmasy L, Opole I, Callister T, Bornstein S, Bruera E, Carney J, Collamer A, Esbensen K, Fins J, Fuson O, Holbrook A, Jung D, Mire R, Prager K, Wallace E. Health as a Human Right: A Position Paper From the American College of Physicians. Annals Of Internal Medicine 2023, 176: 1516-1519. PMID: 37903364, DOI: 10.7326/m23-1900.Peer-Reviewed Original ResearchConceptsAmerican College of PhysiciansHuman rightsEthical obligationHealth careCollege of PhysiciansMatter of rightAmerican CollegeRelationship of healthNature of healthPatient-physician relationshipIntrinsic dignityPromote equitable accessHealth systemRightsIndividual physiciansObligationsCareEquitable accessHealthPhysiciansUnited StatesSocietyDignityAmericanPosition paperStandards and Ethics Issues in the Determination of Death: A Position Paper From the American College of Physicians.
DeCamp M, Prager K, Opole I, Deep N, Callister T, Abraham G, Bornstein S, Bruera E, Burnett J, Carney J, Collamer A, Cooney T, Esbensen K, Fins J, Fuson O, Harp T, Holbrook A, Huddle T, Jung D, Levine M, Mire R, Prager K, Wallace E. Standards and Ethics Issues in the Determination of Death: A Position Paper From the American College of Physicians. Annals Of Internal Medicine 2023, 176: 1245-1250. PMID: 37665984, DOI: 10.7326/m23-1361.Peer-Reviewed Original ResearchConceptsDetermination of deathUniform Determination of Death ActDead donor ruleEthical significanceAmerican College of Physicians position paperEthical issuesPatient-physician relationshipUniform DeterminationAmerican College of PhysiciansAmerican CollegeCollege of PhysiciansBiological conceptsHealth professionalsEducational effortsSocial implicationsPosition paperMedical testsPatient deathProfessionPhysiciansHonestyIndividual patientsCommitmentAmericanControversies
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 ResearchConceptsGenetic 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
2018
Disorders of Consciousness, Agency, and Health Care Decision Making: Lessons From a Developmental Model
Wright M, Kraft C, Ulrich M, Fins J. Disorders of Consciousness, Agency, and Health Care Decision Making: Lessons From a Developmental Model. AJOB Neuroscience 2018, 9: 56-64. DOI: 10.1080/21507740.2018.1425755.Peer-Reviewed Original ResearchDisorders of consciousnessHealth care decision makingCare decision makingLegal systemPermanent incapacitySelf-determinationHealthDevelopmental modelDecision-making frameworkDecisionIncreasing roleDisordersPatientsPatient evolutionDecision makingRecovery processIncapacityPersonhoodPhysiciansAgenciesDisabilityMaximal extentParticipants
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 formPhysiciansCare under the Influence
Fins J, Knowlton S. Care under the Influence. The Hastings Center Report 2017, 47: 8-9. PMID: 28074588, DOI: 10.1002/hast.675.Peer-Reviewed Original ResearchConceptsER physiciansWork-related callsImpaired physiciansAffiliated clinicsAlcohol consumptionER doctorsPhysiciansElevated liver enzymesEmergency roomMedical historyBlood alcohol levelsLab resultsDrinking of waterLiver enzymesHospitalistsAlcohol levelsDrinkingInternistsStairsDoctorsAlcoholAdmitting
2016
Organ Transplantation for Individuals with Neurodevelopmental Disorders
Overby K, Fins J. Organ Transplantation for Individuals with Neurodevelopmental Disorders. Cambridge Quarterly Of Healthcare Ethics 2016, 25: 272-281. PMID: 26957452, DOI: 10.1017/s0963180115000572.Peer-Reviewed Original ResearchConceptsPhysician referralRegional Transplant CenterHealthcare professionalsHealthcare systemHeart-lung transplantationNeurodevelopmental disordersFunctional impairmentWaiting listHealthcareProvision of accommodationMedical managementMedical needOrgan transplantationTransplant centersDown syndromeNational levelTransplantationOvert discriminationIndividualsAccess problemsReferralPhysiciansProfessionalsContemporary challengesDisorders
2013
What's Not Being Shared in Shared Decision‐Making?
Stark M, Fins J. What's Not Being Shared in Shared Decision‐Making? The Hastings Center Report 2013, 43: 13-16. PMID: 23842917, DOI: 10.1002/hast.188.Peer-Reviewed Original ResearchConceptsGoals of patient carePatient preferencesHealth care deliveryCare deliveryHealth carePatient carePatient choiceDecision aidMedical decisionsCost containmentMedical interventionsCost curvesDecision-making programCareNot beingHealthTreatment optionsTreatment-specificProgramDecision-makingPatientsPhysiciansPreferencesInterventionDecision
2012
Truth‐Telling and Cancer Diagnoses: Physician Attitudes and Practices in Qatar
del Pozo P, Fins J, Helmy I, Chaki R, Shazly T, Wafadari D, Mahfoud Z. Truth‐Telling and Cancer Diagnoses: Physician Attitudes and Practices in Qatar. The Oncologist 2012, 17: 1469-1474. PMID: 22874085, PMCID: PMC3500369, DOI: 10.1634/theoncologist.2012-0128.Peer-Reviewed Original Research
2009
Implantable cardioverter-defibrillator deactivation at the end of life: A physician survey
Kelley A, Reid M, Miller D, Fins J, Lachs M. Implantable cardioverter-defibrillator deactivation at the end of life: A physician survey. American Heart Journal 2009, 157: 702-708.e1. PMID: 19332199, DOI: 10.1016/j.ahj.2008.12.011.Peer-Reviewed Original ResearchConceptsEnd of lifeDeactivation discussionsICD deactivationImplantable cardioverter-defibrillator deactivationLikert-scaled itemsAdvance directivesLogistic regression analysisGeneral internistsPhysician surveyExpert guidancePredictors of willingnessOlder adultsSubstantial distressICD managementMail surveyPhysiciansICD shocksSurvey's backgroundRegression analysisSpecialtyICD useImplantable cardioverter-defibrillator (ICDVignettesICDCardioverter-defibrillator (ICD
2008
Informed Consent Revisited: A Doctrine in the Service of Cancer Care
Schachter M, Fins J. Informed Consent Revisited: A Doctrine in the Service of Cancer Care. The Oncologist 2008, 13: 1109-1113. PMID: 18849321, DOI: 10.1634/theoncologist.2008-0101.Peer-Reviewed Original ResearchConceptsLegal obligationsPatients' rightsEthical dutyDecisional autonomyPatient autonomyDoctrineConsentInformed consentOngoing discussionsProtectionAutonomyTreatment enterpriseObligationsRightsDutyDominionComplianceCancer carePsychosocial concernsCommitmentPaternityTherapeutic endeavorsDoctorsPhysiciansClinical response
1993
Praxis Makes Perfect?
Fins J. Praxis Makes Perfect? The Hastings Center Report 1993, 23: 16-19. PMID: 7710462, DOI: 10.2307/3562061.Peer-Reviewed Original ResearchMeSH KeywordsCost-Benefit AnalysisDrug CostsDrug UtilizationFormularies, Hospital as TopicHealth Care ReformHumansModels, OrganizationalOrganizational ObjectivesPeer Review, Health CarePharmacy and Therapeutics CommitteeQuality of Health CareResource AllocationRisk AssessmentSocial JusticeUnited StatesThe 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 RelationsPhysiciansPhysician's RolePovertyQuality 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