2023
Physician attitudes about disorders of consciousness: Good facts make for good ethics
Fins J. Physician attitudes about disorders of consciousness: Good facts make for good ethics. Developmental Medicine & Child Neurology 2023, 65: 1549-1550. PMID: 37058590, PMCID: PMC10576007, DOI: 10.1111/dmcn.15619.Peer-Reviewed Original Research
2020
Resuscitating Patient Rights during the Pandemic: COVID-19 and the Risk of Resurgent Paternalism
Fins J. Resuscitating Patient Rights during the Pandemic: COVID-19 and the Risk of Resurgent Paternalism. Cambridge Quarterly Of Healthcare Ethics 2020, 30: 215-221. PMID: 32576307, PMCID: PMC7438624, DOI: 10.1017/s0963180120000535.Peer-Reviewed Original ResearchConceptsDo-not-resuscitatePatients' rightsProportion of resuscitationsMedical ethicsClinical ethicistsPhysician paternalismPublic health crisisMedical internsNew York CityCOVID-19Clinical discretionHealth crisisPersonal narrativesYork CityRightsPaternityEthicistsEthicsResuscitationStress testClinical medicineRiskAuthorsNarrativesQuestionsProportionality, 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
Towards a Clinical Neuroethics for Brain Injury Practice
Fins J. Towards a Clinical Neuroethics for Brain Injury Practice. Journal Of Head Trauma Rehabilitation 2018, 33: 283-284. PMID: 29975255, DOI: 10.1097/htr.0000000000000416.Peer-Reviewed Original Research
2017
Mosaic Decisionmaking and Reemergent Agency after Severe Brain Injury
Fins J. Mosaic Decisionmaking and Reemergent Agency after Severe Brain Injury. Cambridge Quarterly Of Healthcare Ethics 2017, 27: 163-174. PMID: 28918755, DOI: 10.1017/s0963180117000329.Peer-Reviewed Original Research
2016
The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems
Kellmeyer P, Cochrane T, Müller O, Mitchell C, Ball T, Fins J, Biller-Andorno N. The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems. Cambridge Quarterly Of Healthcare Ethics 2016, 25: 623-633. PMID: 27634714, DOI: 10.1017/s0963180116000359.Peer-Reviewed Original ResearchMeSH KeywordsBrain-Computer InterfacesDecision MakingEthics, MedicalHumansInformed ConsentMoralsParalysisPersonal AutonomyResearch SubjectsConceptsClosed-loop medical devicesRepresentatives of patient advocacy groupsMedical lawLegal accountabilityLegal frameworkDecisionmaking capacityRestoring communication abilitiesPersonal autonomyMedical ethicsPatient autonomyMedical devicesAdvocacy groupsAutonomyMedical neuroscienceTask ForceAccountsPatient advocacy groupsPersonsLawConsentComputer scienceRefusalDecisionmakingEthicsAgenciesUnderstanding and Utilizing the Convening Power of Ethics Consultation
Fins J. Understanding and Utilizing the Convening Power of Ethics Consultation. The AMA Journal Of Ethic 2016, 18: 540. PMID: 27213886, DOI: 10.1001/journalofethics.2016.18.5.msoc2-1605.Peer-Reviewed Original ResearchA 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
2015
Transforming Educational Accountability in Medical Ethics and Humanities Education Toward Professionalism
Doukas D, Kirch D, Brigham T, Barzansky B, Wear S, Carrese J, Fins J, Lederer S. Transforming Educational Accountability in Medical Ethics and Humanities Education Toward Professionalism. Academic Medicine 2015, 90: 738-743. PMID: 25539516, DOI: 10.1097/acm.0000000000000616.Peer-Reviewed Original ResearchConceptsMedical educationCurrent health care deliveryHealth care deliveryMedical ethicsSchool administrative structureOutcomes-based assessmentEthicsSchool admissions processMedical school admissions processCare deliveryPromotion professionalsProgrammatic viewEducation continuumAdmission processExpert panelMedical schoolsProfessional attributesAccrediting organizationsProfessional physiciansEducationProfessionalsEdmund D. Pellegrino, MD 1920-2013.
Fins J. Edmund D. Pellegrino, MD 1920-2013. Transactions Of The American Clinical And Climatological Association 2015, 126: cii-cix. PMID: 26567400, PMCID: PMC4530700.Peer-Reviewed Original Research
2014
The Ethical Imperative to Think about Thinking
Stark M, Fins J. The Ethical Imperative to Think about Thinking. Cambridge Quarterly Of Healthcare Ethics 2014, 23: 386-396. PMID: 25033249, DOI: 10.1017/s0963180114000061.Peer-Reviewed Original ResearchMeSH KeywordsAwarenessDecision MakingDiagnostic ErrorsEducation, MedicalEthics, MedicalHumansJudgmentPatient SafetyThinkingConceptsMedication errorsMedical ethics literaturePatient safetyEthics literatureEthical imperativesMedical educationBody of scholarshipPrevent errorsProfessional obligationsMedical judgmentInsufficient progressProfessional dutiesSelf-reflectionProfessionalsCognitive sourceThinkingThinking errorsCritical thinkingEthicsNonmaleficenceBeneficenceMounting concernJusticeObligationsImprove critical thinking skillsIn Memoriam: Dr. Edmund Pellegrino's Legacy: Secure in the Annals of Medicine
Fins J. In Memoriam: Dr. Edmund Pellegrino's Legacy: Secure in the Annals of Medicine. Kennedy Institute Of Ethics Journal 2014, 24: 97-104. PMID: 25109089, DOI: 10.1353/ken.2014.0014.Peer-Reviewed Original Research
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 ResearchLearning 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 coverageLip-reading and the ventilated patient*
Meltzer E, Gallagher J, Suppes A, Fins J. Lip-reading and the ventilated patient*. Critical Care Medicine 2012, 40: 1529-1531. PMID: 22430239, DOI: 10.1097/ccm.0b013e318241e56c.Peer-Reviewed Original ResearchConceptsVentilated patientsTotal body surface area burnBody surface area burnBurn unitUniversity Teaching HospitalSurface area burnAmerican Sign Language interpretersProspective studyVentilator-dependentLip readingArea burnPatientsCircuit formationTeaching hospitalMedical settingsNew York CityYork CitySign language interpretersMouthed wordsTracheostomyMedullary Thyroid Carcinoma: Ethical Issues for the Surgeon
Shuman A, Shaha A, Tuttle R, Fins J, Morris L. Medullary Thyroid Carcinoma: Ethical Issues for the Surgeon. Annals Of Surgical Oncology 2012, 19: 2102-2107. PMID: 22322952, DOI: 10.1245/s10434-012-2235-4.Peer-Reviewed Original ResearchConceptsGenetic testingEvidence-based guidelinesPerceived stigmaEthical issuesProphylactic surgeryGenetic inheritance patternFamily membersFamilial medullary thyroid carcinomaManagement of affected patientsMedullary thyroid cancerMedullary thyroid carcinomaThyroid carcinomaThyroid cancerInheritance patternIndividual autonomyChildrenInterventionPatientsSurgeonsGuidelinesTestConfidentialityFamilyPotential conflictsCancer
2009
Being Conscious of Their Burden
Fins J. Being Conscious of Their Burden. Annals Of The New York Academy Of Sciences 2009, 1157: 131-147. PMID: 19351362, DOI: 10.1111/j.1749-6632.2009.04473.x.Peer-Reviewed Original Research
2008
Surgical innovation and ethical dilemmas: a panel discussion.
Lieberman I, Herndon J, Hahn J, Fins J, Rezai A. Surgical innovation and ethical dilemmas: a panel discussion. Cleveland Clinic Journal Of Medicine 2008, 75 Suppl 6: s13-21. PMID: 19031571, DOI: 10.3949/ccjm.75.suppl_6.s13.Peer-Reviewed Original ResearchEthics, MedicalSurgical Procedures, OperativeSurgical innovation and ethical dilemmas: precautions and proximity.
Fins J. Surgical innovation and ethical dilemmas: precautions and proximity. Cleveland Clinic Journal Of Medicine 2008, 75 Suppl 6: s7-12. PMID: 19031570, DOI: 10.3949/ccjm.75.suppl_6.s7.Peer-Reviewed Original ResearchNeuroethics and Neuroimaging: Moving Toward Transparency
Fins J. Neuroethics and Neuroimaging: Moving Toward Transparency. The American Journal Of Bioethics 2008, 8: 46-52. PMID: 18853386, DOI: 10.1080/15265160802334490.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessDiagnostic nosologyNeural mechanismsMinimally conscious stateWorking brainDiagnostic categoriesNeuroimaging findingsTherapeutic agendaDiagnostic refinementNeuroimagingAge of neuroscienceMechanisms of recoveryBrain injuryAssessment ScaleTranslation of research findingsDisordersBrainConscious stateEthical conduct of researchClinical contextConduct of researchResearch findingsFunctional levelEthical conductNosology