Joseph J Fins

Summary

Affiliation: Cornell University
Country: USA

Publications

  1. ncbi Neurological diagnosis is more than a state of mind: diagnostic clarity and impaired consciousness
    Joseph J Fins
    Arch Neurol 61:1354-5. 2004
  2. ncbi Death, dying and informatics: misrepresenting religion on MedLine
    Pablo Rodriguez del Pozo
    Division of Medical Ethics, Weill Medical College of Cornell University in Qatar WCMC Q, P, O, Box 24144, Education City, Doha, Qatar
    BMC Med Ethics 6:E6. 2005
  3. ncbi Psychosurgery: avoiding an ethical redux while advancing a therapeutic future
    Joseph J Fins
    Division of Medical Ethics, New York Presbyterian-Weill Cornell Medical Center, New York, New York 10021, USA
    Neurosurgery 59:713-6. 2006
  4. ncbi Border zones of consciousness: another immigration debate?
    Joseph J Fins
    Division of Medical Ethics, New York Presbyterian-Weill Medical College of Cornell University, New York, NY 10021, USA
    Am J Bioeth 7:51-4; discussion W1-4. 2007
  5. ncbi From psychosurgery to neuromodulation and palliation: history's lessons for the ethical conduct and regulation of neuropsychiatric research
    Joseph J Fins
    Division of Medical Ethics, Departments of Medicine and Public Health, Weill Medical College of Cornell University, New York Weill Cornell Medical Center, 525 East 68th Street, F 173, New York, NY, USA
    Neurosurg Clin N Am 14:303-19, ix-x. 2003
  6. ncbi Neuroethics and neuroimaging: moving toward transparency
    Joseph J Fins
    Weill Medical College of Cornell University, Division of Medical Ethics, New York, NY 10021, USA
    Am J Bioeth 8:46-52. 2008
  7. ncbi Neuroimaging and disorders of consciousness: envisioning an ethical research agenda
    Joseph J Fins
    Weill Medical College of Cornell University, New York, NY 10021, USA
    Am J Bioeth 8:3-12. 2008
  8. ncbi Viewpoint: developing a research ethics consultation service to foster responsive and responsible clinical research
    Inmaculada de Melo-Martin
    Division of Medical Ethics, Weill Medical College of Cornell University, New York, New York 10021, USA
    Acad Med 82:900-4. 2007
  9. ncbi The minimally conscious state: a diagnosis in search of an epidemiology
    Joseph J Fins
    Division of Medical Ethics, New York Presbyterian Hospital-Weill Cornell Medical Center, 435 E 70th St, Suite 4-J, New York, NY 10021, USA
    Arch Neurol 64:1400-5. 2007
  10. ncbi "Humanities are the Hormones:" Osler, Penfield and "Neuroethics" Revisited
    Joseph J Fins
    Division of Medical Ethics, Weill Medical College, Cornell University, USA
    Am J Bioeth 8:W5-8. 2008

Collaborators

Detail Information

Publications66

  1. ncbi Neurological diagnosis is more than a state of mind: diagnostic clarity and impaired consciousness
    Joseph J Fins
    Arch Neurol 61:1354-5. 2004
  2. ncbi Death, dying and informatics: misrepresenting religion on MedLine
    Pablo Rodriguez del Pozo
    Division of Medical Ethics, Weill Medical College of Cornell University in Qatar WCMC Q, P, O, Box 24144, Education City, Doha, Qatar
    BMC Med Ethics 6:E6. 2005
    ..To test MedLine's representation of this field, we chose the topic of death and dying in the three major monotheistic religions...
  3. ncbi Psychosurgery: avoiding an ethical redux while advancing a therapeutic future
    Joseph J Fins
    Division of Medical Ethics, New York Presbyterian-Weill Cornell Medical Center, New York, New York 10021, USA
    Neurosurgery 59:713-6. 2006
  4. ncbi Border zones of consciousness: another immigration debate?
    Joseph J Fins
    Division of Medical Ethics, New York Presbyterian-Weill Medical College of Cornell University, New York, NY 10021, USA
    Am J Bioeth 7:51-4; discussion W1-4. 2007
  5. ncbi From psychosurgery to neuromodulation and palliation: history's lessons for the ethical conduct and regulation of neuropsychiatric research
    Joseph J Fins
    Division of Medical Ethics, Departments of Medicine and Public Health, Weill Medical College of Cornell University, New York Weill Cornell Medical Center, 525 East 68th Street, F 173, New York, NY, USA
    Neurosurg Clin N Am 14:303-19, ix-x. 2003
    ....
  6. ncbi Neuroethics and neuroimaging: moving toward transparency
    Joseph J Fins
    Weill Medical College of Cornell University, Division of Medical Ethics, New York, NY 10021, USA
    Am J Bioeth 8:46-52. 2008
    ....
  7. ncbi Neuroimaging and disorders of consciousness: envisioning an ethical research agenda
    Joseph J Fins
    Weill Medical College of Cornell University, New York, NY 10021, USA
    Am J Bioeth 8:3-12. 2008
    ..It represents an interdisciplinary approach to the challenges posed by the emerging use of neuroimaging technologies to describe and characterize disorders of consciousness...
  8. ncbi Viewpoint: developing a research ethics consultation service to foster responsive and responsible clinical research
    Inmaculada de Melo-Martin
    Division of Medical Ethics, Weill Medical College of Cornell University, New York, New York 10021, USA
    Acad Med 82:900-4. 2007
    ..The authors conclude by describing the process of development and implementation of such a research ethics consultation service at Weill Medical College of Cornell University...
  9. ncbi The minimally conscious state: a diagnosis in search of an epidemiology
    Joseph J Fins
    Division of Medical Ethics, New York Presbyterian Hospital-Weill Cornell Medical Center, 435 E 70th St, Suite 4-J, New York, NY 10021, USA
    Arch Neurol 64:1400-5. 2007
  10. ncbi "Humanities are the Hormones:" Osler, Penfield and "Neuroethics" Revisited
    Joseph J Fins
    Division of Medical Ethics, Weill Medical College, Cornell University, USA
    Am J Bioeth 8:W5-8. 2008
  11. ncbi The ethical limits of neuroscience
    Joseph J Fins
    Division of Medical Ethics, New York-Weill Cornell Medical Center, 525 East 68th Street, F-173, New York, NY 10021, USA
    Lancet Neurol 1:213. 2002
  12. ncbi Being conscious of their burden: severe brain injury and the two cultures challenge
    Joseph J Fins
    Division of Medical Ethics, Weill Medical College of Cornell University, New York, New York 10021, USA
    Ann N Y Acad Sci 1157:131-47. 2009
    ....
  13. ncbi The ethics of measuring and modulating consciousness: the imperative of minding time
    Joseph J Fins
    Division of Medical Ethics, Weill Medical College of Cornell University, New York, NY, USA
    Prog Brain Res 177:371-82. 2009
    ..These cases often referred to as "late emergences" point to the importance of better understanding the natural history of these conditions and the tempo of associated recoveries...
  14. ncbi Ethical guidance for the management of conflicts of interest for researchers, engineers and clinicians engaged in the development of therapeutic deep brain stimulation
    Joseph J Fins
    Division of Medical Ethics, New York Presbyterian Weill Cornell Medical Center, 435 East 70th Street, Suite 4 J, New York, NY 10021, USA
    J Neural Eng 8:033001. 2011
    ..We also hope that our ethical analysis will be of relevance to those working with other related neuroprosthetic devices, such brain-computer interfaces and neural arrays, which naturally share many of the same concerns...
  15. ncbi Affirming the right to care, preserving the right to die: disorders of consciousness and neuroethics after Schiavo
    Joseph J Fins
    Division of Medical Ethics, New York Presbyterian Weill Cornell Medical Center, 435 East 70th Street, Suite 4 J, New York, NY 10021, USA
    Palliat Support Care 4:169-78. 2006
    ....
  16. ncbi Late recovery from the minimally conscious state: ethical and policy implications
    Joseph J Fins
    Division of Medical Ethics, New York Presbyterian Weill Cornell Medical Center, 435 E 70 St, Suite 4 J, New York, NY 10021, USA
    Neurology 68:304-7. 2007
    ..Areas of initial focus would be to define the epidemiology of the minimally conscious state, elucidate mechanisms of recovery, and identify clinically useful diagnostic and prognostic markers that will aid decision making at the bedside...
  17. ncbi Misuse of the FDA's humanitarian device exemption in deep brain stimulation for obsessive-compulsive disorder
    Joseph J Fins
    Division of Medical Ethics at the Weill Medical College of Cornell University, in New York City, NY, USA
    Health Aff (Millwood) 30:302-11. 2011
    ..We argue that Congress and federal regulators should revisit the humanitarian device exemption to ensure that it is not used to sidestep careful research that can offer valuable data with appropriate patient safeguards...
  18. ncbi The hidden and implicit curricula in cultural context: new insights from Doha and New York
    Joseph J Fins
    Division of Medical Ethics, Weill Cornell Medical College, New York, New York 10021, USA
    Acad Med 86:321-5. 2011
    ....
  19. ncbi Conflicts of interest in deep brain stimulation research and the ethics of transparency
    Joseph J Fins
    Division of Medical Ethics, Weill Medical College of Cornell University, Ithaca, NewYork, USA
    J Clin Ethics 21:125-32. 2010
    ..We describe ethical challenges faced in clinical research involving medical devices and offer several cautionary notes about its funding and the interplay of market forces and scientific inquiry and suggest some reforms...
  20. ncbi Reflective practice and palliative care education: a clerkship responds to the informal and hidden curricula
    Joseph J Fins
    Division of Medical Ethics, Department of Medicine, Weill Medical College of Cornell University, New York, New York 10021, USA
    Acad Med 78:307-12. 2003
    ..Although it is too early to know whether this clerkship will ultimately affect the practice patterns of students who experience it, short-term evaluation has been very favorable...
  21. ncbi Neuroethics, neuroimaging, and disorders of consciousness: promise or peril?
    Joseph J Fins
    Division of Medical Ethics, New York Presbyterian Weill Cornell Medical Center, 435 East 70th Street, Suite 4 J, New York, NY 10021, USA
    Trans Am Clin Climatol Assoc 122:336-46. 2011
    ....
  22. ncbi Neuroimaging and neuroethics: clinical and policy considerations
    Joseph J Fins
    New York Presbyterian Weill Cornell Medical Center, New York, NY 10021, USA
    Curr Opin Neurol 20:650-4. 2007
    ..This brief essay will consider the ethical implications of these developments for clinical diagnosis, emerging therapeutics and health policy...
  23. ncbi A leg to stand on: Sir William Osler and Wilder Penfield's "neuroethics"
    Joseph J Fins
    Division of Medical Ethics, Weill Medical College, Cornell University
    Am J Bioeth 8:37-46. 2008
  24. ncbi Prospective analysis of life-sustaining therapy discussions in the surgical intensive care unit: a housestaff perspective
    Fredric M Pieracci
    Department of Surgery, Weill Cornell Medical College, New York, NY 10021, USA
    J Am Coll Surg 207:468-76. 2008
    ..Prospective data addressing end-of-life care in the surgical ICU are lacking. We determined factors surrounding life-sustaining therapy discussions (LSTDs) in our surgical ICU as experienced by housestaff...
  25. ncbi Clinical ethics and the quality initiative: a pilot study for the empirical evaluation of ethics case consultation
    Elizabeth G Nilson
    Division of Medical Ethics, Weill Medical College of Cornell University, New York, New York, USA
    Am J Med Qual 23:356-64. 2008
    ..4% had an advance directive. Conflict existed in a majority. Future research should include surrogate decision making, patients on nonmedical services who may have unrecognized ethical dilemmas, and the role of conflict in clinical care...
  26. ncbi The Orwellian threat to emerging neurodiagnostic technologies
    Joseph J Fins
    Weill Medical College, Cornell University, USA
    Am J Bioeth 5:56-8; discussion W5. 2005
  27. ncbi Differential medical and surgical house staff involvement in end-of-life decisions: A retrospective chart review
    Amy S Kelley
    Department of Medicine, New York Presbyterian Hospital Weill Medical College of Cornell University, New York, New York 10021, USA
    J Pain Symptom Manage 32:110-7. 2006
    ..These findings have significant implications for the education of house officers on end-of-life communication...
  28. ncbi Strangers no more: genuine interdisciplinarity
    Inmaculada de Melo-Martin
    Weill Cornell Medical College Division of Medical Ethics, 411 East 69th Street, New York, NY 10021, USA
    Am J Bioeth 8:16-7; discussion W4-6. 2008
  29. ncbi Residual cerebral activity and behavioural fragments can remain in the persistently vegetative brain
    Nicholas D Schiff
    Department of Neurology and Neuroscience, Medicine and Psychiatry, Weill Medical College of Cornell University, New York, NY 10021, USA
    Brain 125:1210-34. 2002
    ..The variations in cerebral metabolism in chronic PVS patients indicate that some cerebral regions can retain partial function in catastrophically injured brains...
  30. ncbi Dissociations between behavioural and functional magnetic resonance imaging-based evaluations of cognitive function after brain injury
    Jonathan C Bardin
    Department of Neuroscience, Weill Cornell Graduate School of Medical Sciences, 1300 York Avenue, NY 10021, USA
    Brain 134:769-82. 2011
    ....
  31. ncbi Deep brain stimulation and cognition: moving from animal to patient
    Nicholas D Schiff
    Department of Neurology and Neuroscience, Weill Medical College of Cornell University, New York, New York 10021, USA
    Curr Opin Neurol 20:638-42. 2007
    ..This brief review places a small number of recent studies into a broader historical context and identifies important challenges for further development of this area of research...
  32. ncbi Informed consent revisited: a doctrine in the service of cancer care
    Madeleine Schachter
    Division of Medical Ethics, New York Presbyterian Weill Cornell Medical Center, New York, New York 10021 USA
    Oncologist 13:1109-13. 2008
    ..Important opportunities may be missed to elicit additional clinical information, assess psychosocial concerns, and reiterate the commitment to collaboration and patient autonomy...
  33. ncbi Clinical pragmatism and the care of brain damaged patients: toward a palliative neuroethics for disorders of consciousness
    Joseph J Fins
    Division of Medical Ethics, Weill Medical College of Cornell University, 435 East 70th Street, Suite 4 J, NY 10021, USA
    Prog Brain Res 150:565-82. 2005
    ..To make this argument I draw upon the American pragmatic tradition and utilize clinical pragmatism, a method of moral problem-solving that my colleagues and I have developed to address ethical challenges in clinical care and research...
  34. ncbi Constructing an ethical stereotaxy for severe brain injury: balancing risks, benefits and access
    Joseph J Fins
    Weill Medical College of Cornell University and the Hastings Center, 525 East 68th Street, F-173, New York, New York 10021, USA
    Nat Rev Neurosci 4:323-7. 2003
  35. ncbi New methods for deriving embryonic stem cell lines: are the ethical problems solved?
    Inmaculada de Melo-Martin
    Division of Medical Ethics, Weill Medical College of Cornell University, New York, New York 10021, USA
    Fertil Steril 86:1330-2. 2006
    ..The authors argue that a new method of deriving embryonic stem cell lines, which could be performed in conjunction with preimplantation genetic diagnosis, is unlikely to solve ethical concerns...
  36. ncbi Reinvigorating ethics consultations: an impetus from the "quality" debate
    Elizabeth G Nilson
    Division of Medical Ethics, New York Presbyterian-Weill Cornell Medical Center, 435 East 70th Street, Suite 4-J, New York, NY 10021, USA
    HEC Forum 18:298-304. 2006
  37. ncbi Screening and cognitive impairment: ethics of forgoing mammography in older women
    Barrie L Raik
    Division of Geriatrics and Gerontology, Department of Medicine, Weill Medical College of Cornell University, New York 10021, USA
    J Am Geriatr Soc 52:440-4. 2004
    ..A decision-making process by the patient, proxy, and practitioner that takes account of foreseeable risks and benefits, patient capacity and preferences, and the effect of this screening intervention on quality of life is outlined...
  38. ncbi Informing the patient-proxy covenant: an educational approach for advance care planning
    Barbara S Maltby
    Division of Medical Ethics, Departments of Public Health and Medicine, Weill Cornell Medical College, New York, New York 10021, USA
    J Palliat Med 7:351-5. 2004
  39. ncbi Legislating evidence-based cancer care
    Joseph J Fins
    Division of Medical Ethics, Weill Medical College of Cornell University, New York, New York 10021, USA
    Oncologist 8:128-31. 2003
  40. ncbi Viewpoint: power and communication: why simulation training ought to be complemented by experiential and humanist learning
    Michael Hanna
    Division of Medical Ethics, Department of Public Health, Joan and Sanford I. Weill Medical College, Cornell University, 435 East 70 St. Suite 4J, New York, NY 10021, USA
    Acad Med 81:265-70. 2006
    ....
  41. ncbi Factors influencing DNR decision-making in a surgical ICU
    Matthew D Bacchetta
    Department of Surgery, Weill Medical College of Cornell University, New York, NY, USA
    J Am Coll Surg 202:995-1000. 2006
    ..Additional prospective studies need to be performed to determine the relative influences of physiologic, demographic, and sociologic factors on the creation of DNR orders in critically ill surgical patients...
  42. ncbi Postmortem sperm retrieval: the effect of instituting guidelines
    Jennifer A Tash
    James Buchanan Brady Urology Foundation, Department of Urology, New York-Presbyterian Hospital/Weill Medical College of Cornell University, 525 East 68th Street, Starr 900, New York, NY 10021, USA
    J Urol 170:1922-5. 2003
    ..CONCLUSIONS: The exclusionary guidelines presented provide a framework utilized at 1 institution for consideration of requests for PMSR and dramatically decreased the number of postmortem sperm retrievals performed...
  43. ncbi Vowing to care
    Joseph J Fins
    Division of Medical Ethics, Department of Public Health, Weill Medical College of Cornell University, 525 East 68th Street, F-173, New York, NY 10021, USA
    J Pain Symptom Manage 23:54-7. 2002
  44. ncbi The surgical intensivist as mediator of end-of-life issues in the care of critically ill patients
    Soumitra R Eachempati
    Department of Surgery, Weill Medical College of Cornell University, New York, NY, USA
    J Am Coll Surg 197:847-53; discussion 853-4. 2003
  45. ncbi Patently controversial: markets, morals, and the President's proposal for embryonic stem cell research
    Joseph J Fins
    Division of Medical Ethics, Weill Medical College of Cornell University, New York, NY, USA
    Kennedy Inst Ethics J 12:265-78. 2002
    ....
  46. ncbi Commercialism in the clinic: finding balance in medical professionalism
    Joseph J Fins
    Division of Medical Ethics, Weill Medical College of Cornell University, New York, New York, USA
    Camb Q Healthc Ethics 16:425-32; discussion 439-42. 2007
  47. ncbi Everyday disasters
    Joseph J Fins
    Division of Medical Ethics, Weil Medical College of Cornell University, USA
    Camb Q Healthc Ethics 14:207-13. 2005
  48. ncbi Baseball and bioethics
    Joseph J Fins
    Department of Medicine, Weill Medical College of Cornell University, New York, NY, USA
    Camb Q Healthc Ethics 14:434-43. 2005
  49. ncbi When the prognosis leads to indifference
    Joseph J Fins
    Division of Medical Ethics, Department of Public Health, Weill Medical College of Cornell University, New York, New York 10021, USA
    J Palliat Med 5:571-3. 2002
  50. ncbi Contracts, covenants and advance care planning: an empirical study of the moral obligations of patient and proxy
    Joseph J Fins
    Division of Medical Ethics, Weill Medical College of Cornell University, New York, NY 10021, USA
    J Pain Symptom Manage 29:55-68. 2005
    ..These findings have implications for patient education as well as the legal norms that guide advance care planning...
  51. ncbi Enhancing palliative care education in medical school curricula: implementation of the palliative education assessment tool
    Emily B Wood
    Center for Urban Bioethics, The New York Academy of Medicine, 1216 Fifth Avenue, New York City, NY 10029-5293, USA
    Acad Med 77:285-91. 2002
    ..The process of self-assessment, curriculum mapping of a specific thematic area, and strategic planning for change appears to have successfully enhanced the palliative care content in the medical schools' curricula...
  52. ncbi Shades of gray: new insights into the vegetative state
    Joseph J Fins
    Hastings Cent Rep 36:8. 2006
  53. ncbi Rethinking disorders of consciousness: new research and its implications
    Joseph J Fins
    Hastings Cent Rep 35:22-4. 2005
  54. ncbi Disorders of consciousness
    Nicholas D Schiff
    Mayo Clin Proc 82:250-1; author reply 251. 2007
  55. ncbi Face transplantation: an extraordinary case with lessons for ordinary practice
    Beth A Preminger
    Plast Reconstr Surg 118:1073-4. 2006
  56. ncbi The minimally conscious state: definition and diagnostic criteria
    Joseph J Fins
    Neurology 59:1473; author reply 1473-4. 2002
  57. ncbi The afterlife of Terri Schiavo
    Joseph J Fins
    Hastings Cent Rep 35:8. 2005
  58. ncbi Barriers to pain and symptom management, opioids, health policy, and drug benefits
    Rebekah E Gee
    J Pain Symptom Manage 25:101-3. 2003
  59. ncbi Removing the mask
    Gere B Fulton
    Hastings Cent Rep 33:12; discussion 12-3. 2003
  60. ncbi Deep brain stimulation for psychiatric disorders
    Bart Nuttin
    Neurosurg Clin N Am 14:xv-xvi. 2003
  61. ncbi Articulating a justice ethic for rheumatology: A critical analysis of disparities in rheumatic diseases
    Maya Rom
    Arthritis Rheum 57:1343-5. 2007
  62. ncbi Are we equal in death? Avoiding diagnostic error in brain death
    Steven Laureys
    Neurology 70:e14-5. 2008
  63. ncbi The portrayal of coma in contemporary motion pictures
    Joseph J Fins
    Neurology 68:79; author reply 80. 2007