2018
Constructive Disappointment and Disbelief: Building a Career in Neuroethics
Fins J. Constructive Disappointment and Disbelief: Building a Career in Neuroethics. Cambridge Quarterly Of Healthcare Ethics 2018, 27: 544-553. PMID: 30198463, DOI: 10.1017/s0963180118000063.Peer-Reviewed Original ResearchFamily Portrait
Fins J. Family Portrait. Narrative Inquiry In Bioethics 2018, 8: 4-6. PMID: 29657165, DOI: 10.1353/nib.2018.0002.Peer-Reviewed Original Research
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
2014
DNR and ECMO: a paradox worth exploring.
Meltzer E, Ivascu N, Fins J. DNR and ECMO: a paradox worth exploring. The Journal Of Clinical Ethics 2014, 25: 13-9. PMID: 24779313, DOI: 10.1086/jce201425102.Peer-Reviewed Original ResearchConceptsDo-not-resuscitateDifficult end-of-life decisionsDo-not-resuscitate discussionsEnd-of-life decisionsDo-not-resuscitate ordersHeart-lung bypass machineExtracorporeal membrane oxygenationVA-ECMOStepping-stoneCardiac failurePulmonary dysfunctionCardiopulmonary failureMembrane oxygenationSurgical proceduresBypass machineChest compressionsDiscussionOperating roomConfusionPatientsContext
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 makingInterdisciplinarityClinical Ethics Consultation in Oncology
Shuman A, Montas S, Barnosky A, Smith L, Fins J, McCabe M. Clinical Ethics Consultation in Oncology. JCO Oncology Practice 2013, 9: 240-245. PMID: 23943899, DOI: 10.1200/jop.2013.000901.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationNational Cancer Institute-designated comprehensive cancer centerCancer Institute-designated comprehensive cancer centerEnd-of-life careDo-not-resuscitate ordersOverall goals of carePalliative care expertsPalliative care consultationGoals of carePatient casesEnd-of-lifeComprehensive cancer centerCare consultationCode statusSources of interpersonal conflictAdvance directivesCare expertsStaff educationSurrogate decisionPatient's wishesMedical futilityOncology populationCommunication lapsesClinical care
2012
When negative rights become positive entitlements: complicity, conscience, and caregiving.
Shuman A, Khan A, Moyer J, Prince M, Fins J. When negative rights become positive entitlements: complicity, conscience, and caregiving. The Journal Of Clinical Ethics 2012, 23: 308-15. PMID: 23469691, DOI: 10.1086/jce201223403.Peer-Reviewed Original ResearchClinical 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
In the Blink of the Mind's Eye
Fins J, Schiff N. In the Blink of the Mind's Eye. The Hastings Center Report 2010, 40: 21-23. PMID: 20549875, DOI: 10.1353/hcr.0.0257.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
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 InitiativeProspective Analysis of Life-Sustaining Therapy Discussions in the Surgical Intensive Care Unit: A Housestaff Perspective
Pieracci F, Ullery B, Eachempati S, Nilson E, Hydo L, Barie P, Fins J. Prospective Analysis of Life-Sustaining Therapy Discussions in the Surgical Intensive Care Unit: A Housestaff Perspective. Journal Of The American College Of Surgeons 2008, 207: 468-476. PMID: 18926447, DOI: 10.1016/j.jamcollsurg.2008.05.001.Peer-Reviewed Original ResearchConceptsEnd-of-life care planningEnd-of-lifeLack of decision-making capacityCare planningDecision-making capacityEnd-of-life careLikelihood of enactmentSurgical ICUPatient surrogatesHousestaffStandardized questionnaireSurgical intensive care unitClinical deteriorationIntensive care unitProspective dataCare unitProspective analysisPatientsICUAgeCareAcuityDisparitiesQuestionnairePlanning
2006
Differential Medical and Surgical House Staff Involvement in End-of-Life Decisions: A Retrospective Chart Review
Kelley A, Gold H, Roach K, Fins J. Differential Medical and Surgical House Staff Involvement in End-of-Life Decisions: A Retrospective Chart Review. Journal Of Pain And Symptom Management 2006, 32: 110-117. PMID: 16877178, DOI: 10.1016/j.jpainsymman.2006.02.009.Peer-Reviewed Original ResearchConceptsEnd-of-lifeEnd-of-life discussionsEnd-of-life decisionsHouse officersDocumentation of end-of-life discussionsMedical servicesEnd-of-life communicationSurgical servicesLife-sustaining treatmentWithdrawal of life-sustaining therapyProportion of notesLife-sustaining therapyMedical house officersComplex patient populationWithdrawal of carePhysician involvementCare notesLength of stayStaff involvementMedical patientsRetrospective chart reviewTeam structureChart reviewPatient populationSurgical house officers
2005
Death, dying and informatics: misrepresenting religion on MedLine
Rodríguez del Pozo P, Fins J. Death, dying and informatics: misrepresenting religion on MedLine. BMC Medical Ethics 2005, 6: 6. PMID: 15992401, PMCID: PMC1185543, DOI: 10.1186/1472-6939-6-6.Peer-Reviewed Original ResearchConceptsEnd-of-life careReligious traditionsEnd-of-lifeInterface of religionPatient's cultural contextChristian traditionIslamic traditionMonotheistic religionsCorrelative dutiesBioethics literatureReligious backgroundReligionTraditionString of wordsScientific topicsCultural contextAmerican writersDenominatorMedical SciencesNational LibraryDutyScienceWritersNational Library of MedicineCulture
2003
The surgical intensivist as mediator of end-of-life issues in the care of critically ill patients
Eachempati S, Miller F, Fins J. The surgical intensivist as mediator of end-of-life issues in the care of critically ill patients. Journal Of The American College Of Surgeons 2003, 197: 847-853. PMID: 14585423, DOI: 10.1016/j.jamcollsurg.2003.07.011.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 ResearchConceptsPalliative 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 Research