JamesAaronTulskyMDFACP, FAAHPM

PubMed

• 2 citations
  JPSM Controversies in Palliative Care: "What is the Most Important, Measurable Goal of Serious Illness Conversations in the Ambulatory Setting?"
  Robert M Arnold, Kristin Levoy, Susan E Hickman, Areej El Jawahri, Vicki Jackson, James A Tulsky> ;Journal of Pain and Symptom Management. 2024 Jan 1
• 1 citations
  Forms or Free-Text? Measuring Advance Care Planning Activity Using Electronic Health Records.
  Sophia N Zupanc, Joshua R Lakin, Angelo E Volandes, Michael K Paasche-Orlow, Edward T Moseley, Daniel A Gundersen, Sophiya Das, Akhila Penumarthy, Diana Martins-Welch,...> ;Journal of Pain and Symptom Management. 2023 Nov 1
• 1 citations
  ADCC's Improving Goal Concordant Care Initiative: Implementing Primary Palliative Care Principles.
  Elizabeth T Loggers, Amy A Case, Marcin Chwistek, William Dale, Marvin O Delgado Guay, Stephen B Edge, Steven R Grossman, Jillian Gustin, Judith Nelson, Sahana Rajasek...> ;Journal of Pain and Symptom Management. 2023 Aug 1
• 5 citations
  Specialty-Aligned Palliative Care: Responding to the Needs of a Tertiary Care Health System.
  Samantha L Gelfand, Joshua R Lakin, Kate R Sciacca, Emily R Rivkin, Jessica C Eves, Shelly Anderson, Ernest I Mandel, Akshay S Desai, Nelia Jain, Michael J Landzberg, ...> ;Journal of Pain and Symptom Management. 2022 Dec 1
• 1 citations
  Health-related quality of life, patient-centred communication and self-efficacy in ovarian cancer: a mediation analysis.
  Rachel A Pozzar, Niya Xiong, Emanuele Mazzola, Alexi A Wright, James A Tulsky, Marilyn J Hammer, Donna L Berry, Barbara A Goff> ;BMJ Supportive & Palliative Care. 2024 Jan 8
• 12 citations
  Toward a basic science of communication in serious illness.
  Elise C Tarbi, Danielle Blanch-Hartigan, Liesbeth Mirjam van Vliet, Robert Gramling, James A Tulsky, Justin J Sanders> ;Patient Education and Counseling. 2022 Jul 1
• 1 citations
  Associations Between Family Member Involvement and Outcomes of Patients Admitted to the Intensive Care Unit: Retrospective Cohort Study.
  Tamryn F Gray, Anne Kwok, Khuyen M Do, Sandra Zeng, Edward T Moseley, Yasser M Dbeis, Renato Umeton, James A Tulsky, Areej El-Jawahri, Charlotta Lindvall> ;JMIR Medical Informatics. 2022 Jun 15
• A parade of firsts: J. Randall Curtis, MD, MPH modeled a future for palliative care academics.
  James A Tulsky> ;Journal of Pain and Symptom Management. 2022 Jun 1
• 9 citations
  Spirituality in Patients With Heart Failure.
  Rachel S Tobin, Michael F Cosiano, Christopher M O'Connor, Mona Fiuzat, Bradi B Granger, Joseph G Rogers, James A Tulsky, Karen E Steinhauser, Robert J Mentz> ;JACC. Heart Failure. 2022 Apr 1
• 2 citations
  Systemic Therapy Decision Making in Advanced Cancer: A Qualitative Analysis of Patient-Oncologist Encounters.
  Garrett Wasp, Kristin E. Knutzen, Genevra F. Murray, Olivia C. Brody-Bizar, Matthew A. Liu, Kathryn I. Pollak, James A. Tulsky, Yael Schenker, Amber E. Barnato> ;JCO Oncology Practice. 2021 Dec 2
• 2 citations
  Race Differences in Quality of Life following a Palliative Care Intervention in Patients with Advanced Heart Failure: Insights from the Palliative Care in Heart Failur...
  Rachel Tobin, Marc D. Samsky, Maragatha Kuchibhatla, Christopher M. O'Connor, Mona Fiuzat, Haider J. Warraich, Kevin J. Anstrom, Bradi B. Granger, Daniel B. Mark, Jame...> ;Journal of Palliative Medicine. 2021 Dec 1
• 14 citations
  Barriers and Facilitators to Advance Care Planning among Chinese Patients with Advanced Cancer and Their Caregivers.
  Zhimeng Jia, Irene M. Yeh, Caroline H Lee, Albert Yeung, James A. Tulsky, Richard E. Leiter> ;Journal of Palliative Medicine. 2021 Nov 30
• 2 citations
  Polypharmacy in Palliative Care for Advanced Heart Failure: The PAL-HF Experience.
  Bradi B. Granger, James A. Tulsky, Brystana G. Kaufman, Robert M. Clare, Kevin J. Anstrom, Daniel B. Mark, Kimberly A. Johnson, Chetan B. Patel, Mona Fiuzat, Karen E. ...> ;Journal of Cardiac Failure. 2021 Oct 7
• Reassessing the Role for Sympathetic Neurolysis in Patients with Pancreatic Cancer.
  James P. Rathmell, Elizabeth Rickerson, James A. Tulsky, Keith D. Lillemoe> ;Anesthesiology. 2021 Oct 1
• 13 citations
  Perceived patient-centered communication, quality of life, and symptom burden in individuals with ovarian cancer.
  Rachel Pozzar, Niya Xiong, Fangxin Hong, Alexi A. Wright, Barbara A. Goff, Meghan Underhill-Blazey, James A. Tulsky, Marilyn J. Hammer, Donna L. Berry> ;Gynecologic Oncology. 2021 Nov 1
• 2 citations
  Analyzing the Unique Needs of International Palliative Care Learners Attending a United States-Based Palliative Care Education and Practice Course
  Bethany-Rose Daubman, Mark Stoltenberg, Khadidjatou Kane, James A. Tulsky, Lauren Greco, Vicki A. Jackson> ;Journal of Palliative Medicine. 2021 Aug 23
• 12 citations
  Triadic agreement about advanced cancer treatment decisions: Perceptions among patients, families, and oncologists.
  James A. Tulsky, Karen E. Steinhauser, Thomas W. LeBlanc, Nick Bloom, Pauline Lyna, Jennie A. Riley, Kathryn I. Pollak> ;Patient Education and Counseling. 2021 Aug 4
• 18 citations
  Chronic pain severity, impact, and opioid use among patients with cancer: An analysis of biopsychosocial factors using the CHOIR learning health care system.
  Desiree R. Azizoddin, Kristin L. Schreiber, Meghan R. Beck, Andrea C. Enzinger, Valerie Hruschak, Beth D. Darnall, Robert R. Edwards, Matthew J Allsop, James A. Tulsky...> ;Cancer. 2021 Sep 1
• 24 citations
  Actual and Missed Opportunities for End-of-Life Care Discussions With Oncology Patients: A Qualitative Study.
  Kristin E. Knutzen, Olivia A Sacks, Olivia C. Brody-Bizar, Genevra F. Murray, Raina H Jain, L.A. Holdcroft, Shama S. Alam, Matthew A. Liu, Kathryn I. Pollak, James A. ...> ;JAMA Network Open. 2021 Jun 1
• 6 citations
  Head to head randomized trial of two decision aids for prostate cancer.
  Angela Fagerlin, Margaret Holmes-Rovner, Timothy P. Hofer, David R. Rovner, Stewart C. Alexander, Sara J. Knight, Bruce S. Ling, James A. Tulsky, John T. Wei, Khaled S...> ;BMC Medical Informatics and Decision Making. 2021 May 12
• 6 citations
  Virtual environments to study emotional responses to clinical communication: A scoping review.
  Justin J. Sanders, Emma Caponigro, Jonathan D. Ericson, Manisha Dubey, Ja-Nae Duane, Scott P. Orr, William F. Pirl, James A. Tulsky, Danielle Blanch-Hartigan> ;Patient Education and Counseling. 2021 May 9
• 30 citations
  Cancer pain self-management in the context of a national opioid epidemic: Experiences of patients with advanced cancer using opioids.
  Desiree R. Azizoddin, Robert Knoerl, Rosalind Adam, Daniela Kessler, James A. Tulsky, Robert R. Edwards, Andrea C. Enzinger> ;Cancer. 2021 Sep 1
• 7 citations
  Using nursing notes to improve clinical outcome prediction in intensive care patients: A retrospective cohort study.
  Kexin Huang, Tamryn F. Gray, Santiago Romero-Brufau, James A. Tulsky, Charlotta Lindvall> ;Journal of the American Medical Informatics Association. 2021 Jul 30
• 10 citations
  Mapping an Agenda for Psychedelic-Assisted Therapy Research in Patients with Serious Illness.
  Yvan Beaussant, James A. Tulsky, Benjamin Guérin, Claudia Schwarz-Plaschg, Justin J. Sanders> ;Journal of Palliative Medicine. 2021 Apr 13
• 5 citations
  Time-Limited Trials and Potentially Nonbeneficial Treatment in the ICU-Willing to Wait for It.
  Richard E. Leiter, James A. Tulsky> ;JAMA Internal Medicine. 2021 Jun 1
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Journal Articles

• The evolution of volunteerism and professional staff within hospice care in North Carolina.  
  Steinhauser KE, Maddox GL, Person JL, Tulsky JA, Hospice J 2000;15(1):35-51
• Responding to legal requests for physician-assisted suicide.  
  Tulsky JA, Ciampa R, Rosen EJ, Ann Intern Med 2000;132(6):494-99
• In search of a good death: observations of patients, families and providers.  
  Steinhauser KE, Clipp EC, McNeilly MD, Christakis NA, McIntyre LM, Tulsky JA, Ann Intern Med 2000; 132(10):825-32.
• Ancient wisdom for modern medicine: the tradition of Judaism.  
  Tulsky JA, North Carolina Med J 2000;61(3):141-44.
• Factors considered important at the end of life by patients, family, physicians, and other care providers.  
  Steinhauser KE, Christakis NA, Clipp EC, McNeilly M, McIntyre L, Tulsky JA, JAMA 2000;284:2476-82
• Experts practice what they preach: a descriptive study of best and normative practices in end of life discussions.  
  Roter DL, Larson S, Fischer GS, Arnold RM, Tulsky JA, Arch Intern Med 2000;160: 3477-85
• Families looking back: One year after discussion of withdrawal/withholding of life sustaining support.  
  Abbott KH, Sago JG, Breen CM, Abernethy AP, Tulsky JA, Crit Care Med 2001;29:197-201.
• Measuring patient expectations: does the instrument affect satisfaction or expectations?  
  Peck BM, Asch DA, Goold SD, Roter DL, Ubel PA, McIntyre LM, Abbott KH, Hoff J, Koropchak CM, Tulsky JA, Med Care 2001; 39(1):100-8
• Conflict associated with decisions to limit life-sustaining treatment in intensive care units  
  Breen CM, Abernethy AP, Abbott KH, Tulsky JA, J Gen Intern Med 2001;16:283-89.
• Preparing for the end of life: preferences of patients, families and other care providers.  
  Steinhauser KE, Christakis NA, Clipp EC, McNeilly M, Grambow S, Parker J, Tulsky JA, J Pain Symp Man 2001;22:727-37.
• Discussing religious and spiritual issues at the end of life: a practical guide for physicians.  
  Lo B, Ruston D, Kates LW, Arnold RM, Cohen CB, Faber-Langendoen K, Puchalski CM, Pantilat SZ, Quill TR, Rabow MW, Schreiber S, Sulmasy DP, Tulsky JA, JAMA 2001; 287:749-54.
• Advance care planning by proxy for residents of long term care facilities.  
  Volicer L, Cantor M, Derse A, Murray-Edwards D, Prudhomme A, Rasinski Gregory D, Reagan J, Tulsky JA, Fox E, J Am Ger Soc 2002; 50(4):761-67
• An initial assessment of a new instrument to measure quality at the end of life (QUAL-E).  
  Steinhauser KE, Bosworth HB, Clipp EC, McNeilly M, Christakis NA, Parker J, Tulsky JA, J Pall Med 2003;5(6):829-41.
• Do unmet expectations for specific tests, referrals and new medications reduce patient satisfaction?  
  Peck BM, Ubel PA, Roter DL, Goold SD, Asch DA, Jeffreys AS, Grambow SC, Tulsky JA, J Gen Int Med 2004;19:1080-87
• Measuring quality of life at the end of life: Validation of the QUAL-E.  
  Steinhauser KE, Clipp EC, Bosworth HB, McNeilly M, Christakis NA, Voils CI, Tulsky JA, Pall Supp Care, 2004;2:3-14.
• Integrating palliative care into disease management guidelines.  
  Emanuel L, Alexander C, Arnold RM, Bernstein R, Dart R, Dellasantina C, Dykstra L, Tulsky JA, J Pall Med. 2004;7(6):774-83.
• The importance of spiritual beliefs and practices in illness and at the end of life among African Americans.  
  Johnson KS, Elbert-Avila K, Tulsky JA, J Am Ger Soc 2005;53:711-19.
• Recommendations for the ethical conduct of quality improvement.  
  Fox E, Tulsky JA, J Clin Ethics 2005;16(1):61-71.
• Interventions to enhance communication among patients, providers and families.  
  Tulsky JA, J Pall Med 2005;8:S95-S102
• Factors that affect infertility patients’ decisions about frozen embryos.  
  Lyerly AD, Steinhauser K, Namey E, Tulsky JA, Cook-Deegan B, Sugarman J, Walmer D, Faden RR, Wallach E, Fertility and Sterility 2006;85(6):1620-30
• Reflective teaching practices: An approach to teaching communication skills in a small group setting.  
  Fryer-Edwards K, Arnold RM, Baile W, Tulsky JA, Petracca F, Back A, Acad Med 2006;81:638-44.
• Studying communication in oncologist-patient encounters: the SCOPE trial.  
  Koropchak CM, Pollak KI, Arnold RM, Alexander SC, Skinner CS, Olsen M, Jeffreys A, Rodriguez KL, Abernethy AP, Tulsky JA, Pall Med 2006; 20:813-19
• Communication at times of transition: How to help patients cope with loss and redefine hope.  
  Evans WG, Tulsky JA, Back AL, Arnold RM, The Cancer Journal 2006;12(5): 417-24
• Identifying, recruiting and retaining seriously ill patients and their caregivers in longitudinal research.  
  Steinhauser KE, Clipp EC, Hays JC, Olsen M, Arnold RM, Christakis NA, Lindquist JH, Tulsky JA, Pall Med 2006;20:745-54.
• Palliative care pharmacotherapy literature summaries and analyses.  
  Abernethy AP, Manfredonia JF, Tulsky JA, Davis MP, Crossno RJ, Miller GJ, J Pain Palliat Care Pharmacother 2006;20(4):63-70.
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Books/Book Chapters

• Book Review: Death Foretold: Prophecy and prognosis in medical care. 
  Tulsky JAEditors: N Christakis.N Engl J Med; 2000;342(7):522
• Encyclopedia of Bioethics. 
  Chapter: Advance Directives 
  Fischer GS, Tulsky JA, Arnold RMEditors: Stephen G.Macmillan Reference USA, New YorkEdition 3,
• Geriatrics, a Lange Clinical Manual. 
  Tulsky JA, Goldschlager N. SyncopeEditors: Lonergan, Edmund T.Stamford: Appleton & Lange
• 20 Common Problems: Ethics in Primary Care. 
  Chapter: Advance Care Planning 
  Tulsky JAEditors: Sugarman, J.McGraw Hill, New York
• Mastering Communication With Seriously Ill Patients: Balancing Honesty With Empathy And Hope. 
  Back AL, Arnold RM, Tulsky JACambridge
• Topics in Palliative Care. 
  Chapter: Communicating a Poor Prognosis 
  Fischer GS, Tulsky JA, Arnold RMEditors: Portenoy RK, Bruera E.Oxford University Press, New YorkEdition 4,
• Talking to the Older Adult about Advance Directives. 
  Fischer GS, Arnold RM, Tulsky JAClin Geriatric Med 2000;16:239-54.
• Physicians Guide to End-of-Life Care. 
  Chapter: Responding to Legal Requests for Physician-Assisted Suicide 
  Tulsky JA, Ciampa R, Rosen EJEditors: Snyder L, Quill TE.ACP-ASIM, Philadelphia
• Physicians Guide to End-of-Life Care. 
  Chapter: Discussing palliative care with patients 
  Lo B, Quill TE, Tulsky JAEditors: Snyder L, Quill TE.ACP-ASIM, Philadelphia
• Principles and Practice of Palliative Care and Supportive Oncology. 
  Chapter: Communication at End of Life 
  Tulsky JA, Arnold RMEditors: Berger AM, Portenoy RK, Weissman DE.Lipincott Williams & Wilkins, 2002:673-84, PhiladelphiaEdition 2,
• Palliative and End-of-Life Pearls. 
  Chapter: Patient 61. A 48 year old man with metastatic cancer who has not yet recognized the terminal nature of his disease.. 
  Tulsky JAEditors: Heffner JE, Byock IR.Hanley & Belfus, 2002:192-94, Philadelphia
• Geriatric Medicine. 
  Chapter: Doctor-Patient Communication Issues 
  Tulsky, JAEditors: CK, Leipzig RM, Cohen HJ, Larson EB, Meier DE, Capello CF.Springer, 2003:287-98, New YorkEdition 4,
• Geriatric Palliative Care. 
  Chapter: Doctor-Patient Communication 
  Tulsky, JAEditors: Morrison RS, Meier DE, Capello CF.Oxford University Press, 2003:314-331, New York
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Abstracts/Posters

• Patient knowledge after advance directive discussions.
  Tulsky JA, Fischer GS, Rose MR, Arnold RM, J Gen Intern Med 1995;10(4 suppl):114.
• Arnold RM Patient preference for "futile" treatments after advance directive discussions.
  Tulsky JA, Fischer GS, Rose MR, J Gen Intern Med 1995;10(4 suppl):115
• Ability of physicians to predict patient treatment wishes after advance directive discussions.
  Fischer GS, Tulsky JA, Arnold RM, J Gen Intern Med 1995;10(4 suppl):108
• Cardiopulmonary resuscitation as depicted on television.
  Diem SJ, Lantos JD, Tulsky JA, J Gen Intern Med 1996;11(supplement 1):114.
• Opening the black box: an analysis of outpatient discussions about advance directives.
  Fischer GS, Tulsky JA, Rose MR, Arnold RM, J Gen Intern Med 1996;11(supplement 1):115
• Preferences of oncology patients for discussion of resuscitation issues.
  Albers ME, Winer E, Horne B, Havlin KA, Crawford J, Wolff RA, Hathorn J, Tulsky JA, Proc Amer Soc Clin Onc 1996;15:537.
• Disagreements that arise when making decisions about withdrawing or withholding life-sustaining treatment.
  Abernethy AP, Tulsky JA, J Gen Intern Med 1997;12(supplement 1):101
• A comparison of expert and non-expert physicians’ communication styles when discussing advance directives.
  Fischer GS, Arnold RM, Lo B, Melcher J, Tulsky JA, J Gen Intern Med 1998;13(supplement 1):92.
• Measuring patient expectations: does the measurement instrument affect the number of expectations elicited and patient satisfaction?
  Peck BM, Asch DA, Goold SD, Roter D, Ubel PA, Tulsky JA, Presented at VA HSR&D Service Annual Meeting
• The nature and prevalence of patient expectations in a VA general medicine clinic.
  Peck BM, Ubel PA, Roter DL, Goold SD, Asch DA, Shearin AL, Grambow SC, Koropchak CM, Tulsky JA, Presented at VA HSR&D Service Annual Meeting
• A computer-assisted system to facilitate communication research and education.
  McIntire KN, Tulsky JA, J Gen Intern Med 2000;15(supplement 1):218
• In search of a good death: attitudes of patients, family members and health care professionals.
  Steinhauser KE, Clipp EC, Christakis N, McNeilly M, McIntyre L, Tulsky JA, J Gen Intern Med 2000;15(supplement 2):4.
• Targeting Bacteriolytic Therapy of Solid Tumors.
  Ganai S, Arenas RB, Forbes NS, MEDi 2005, BEACON Biomedical Technology Conference, Hartford, Connecticut
• The nature and prevalence of patient expectations in a VA general medicine clinic.
  Tulsky JA, Peck BM, Ubel PA, Roter DL, Goold SD, Asach DA, Shearin AL, Grambow SC, Koropchak CM, J Gen Intern Med 2000;15(supplement 2):6
• Adverse Outcomes of Geriatric Abdominal Surgical Patients at Risk for Delirium: Opportunities for Improvement in Care.
  Ganai S, Lee KF, Merrill A, Lee MH, Bellantonio S, Brennan M, Lindenauer P, (Poster of Distinction) American College of Surgeons, Massachusetts Chapter, Dedham, Massachusett
• Induction of apoptosis in the absence of p53: implications for chemoprevention for ER-negative breast cancer.
  Lee MH, Ganai S, Barnard ZR, Mason HS, Arenas RB, San Antonio Breast Cancer Symposium, 28 th Annual Conference, San Antonio, Texas
• Assessment of a new instrument to measure quality of life at the end of life.
  Tulsky JA, Steinhauser KE, Bosworth HB, Clipp EC, McNeilly M, Christakis NA, J Pall Med 2002;5(1):206
• Targeting Bacteriolytic Therapy of Solid Tumors.
  Ganai S, Arenas RB, Forbes NS, First Annual Conference, Amherst, Massachusetts
• Targeting Bacteriolytic Therapy of Solid Tumors using Salmonella typhimurium.
  Ganai S, Arenas RB, Bentley B, Forbes NS, 60 th Annual Cancer Symposium, Washington, DC
• Virtual Reality and Computer-Enhanced Skills Training Devices are Equally Effective in Building Complex Surgical Skills in Novices.
  Kanumuri P, Ganai S, Wohaibi EM, Bush RW, Grow DR, Seymour NE, 54 th Annual Meeting, Boston, Massachusetts
• Place of Death Among Elderly Hospice Users: Differences by Race. J Am Geriatr Soc.
  Johnson KS, Sloane R, Kuchibhatla M, Galanos A, Tanis D, Tulsky JA, April 2004;52(4) supplement:S190.
• Performance of Intraoperative Axillary Sentinel Lymph Node Touch Prep Evaluation: Effect of Surgical Submission of “Suspicious” Sentinel Lymph Nodes.
  Meyer JE, Mason HS, Ganai S, Hornish A, Crisi GM, Goulart RA, United States and Canadian Academy of Pathology
• Tumor-Targeted Delivery of TRAIL Using Salmonella typhimurium Enhances Breast Cancer Survival.
  Ganai S, Arenas RB, Forbes NS, 61 st Annual Cancer Symposium, Chicago, Illinois
• How do dementia and cancer patients enrolled in hospice differ?
  Elbert-Avila KI, Johnson KS, Pieper C, Tanis D, Tulsky JA., J Am Geriatr Soc
• Suture Survival in an Acidic Environment: Implications for Natural Orifice Transgastric Endolumenal Surgery (NOTES).
  Wohaibi EM, Ganai S, Wait RB, Romanelli JR, 2008 Surgical Spring Week, Philadelphia, Pennsylvania
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Lectures

• Medicine and Memory: Say What? 
  Department of Medicine Grand Rounds, UCSF Medical Center
• Delivering Bad News to Patients with AIDS. 
  Guest speaker, Center for AIDS Prevention Studies, San Francisco, CA
• Ethics and the Care of the Elderly. 
  Guest speaker, San Francisco Jewish Family Network
• Ethics and Communication. 
  Visiting lecturer, University of Chicago, Division of General Internal Medicine
• Do-not-resuscitate discussions: are doctors and patients speaking the same language? 
  Oral presentation at Society of General Internal Medicine Annual Meeting, Washington, DC
• Ethical Issues in the Care of Severely Ill Children. 
  Guest speaker, Robert Lewy Lecture Series, Kaiser Permanente Medical Center, San Francisco,
• Practical Considerations in Ethical Decision-Making. 
  Speaker, Geriatrics Conference, Duke University Medical Center
• Doctoring the Family. 
  Speaker, Duke-UNC medical ethics seminar
• Medical Ethics and the Geriatric Patient. 
  Guest lecturer, Duke Institute for Learning in Retirement
• How to Deal with Ethnically Diverse Treatment Choices. 
  Panelist, Conference on “Ethics Committees: How should they work? Whom do they serve?”, UNC-CH
• Invasions. 
  Discussion Leader for The UNC School of Medicine Staged Readings Company, Chapel Hill,NC
• See one, do one, teach one’ fails in discussions about resuscitation. 
  Oral presentation at Society of General Internal Medicine Annual Meeting, Washington, DC
• Why don’t patients discuss advance directives with physicians? 
  Hartford Foundation research symposium, American Geriatrics Society Annual Meeting, Los Angeles, CA
• Futility in Medical Practice. 
  Guest Speaker, VAMC/RMEC continuing medical education program, Durham VAMC
• Talking to Patients about Resuscitation: How are we Doing? 
  Ethics Forum, Duke University Medical Center
• Caring for the Dying Patient. 
  General Medicine Grand Rounds, Duke University Medical Center
• The effect of race on ICU use and DNR orders in AIDS patients hospitalized with pneumocystis carinii pneumonia. 
  Poster presentation at VA HSR&D Service Annual Meeting, Washington, DC
• Do advance directive discussions inform patients? 
  Oral presentation at Society of General Internal Medicine Annual Meeting, San Diego, CA, May 5, 1995
• Ethical Issues in Psychiatry. 
  Psychiatry Grand Rounds, Duke University Medical Center, April 11, 1996
• Ethical Issues in Woman’s Primary Health Care. 
  VA National Course on Woman’s Health, Baltimore, MD, Sept. 19, 1996.
• Opening the black box: How do physicians talk to patients at the end of life? 
  Visiting Lecturer, University of Pennsylvania Center for Bioethics, Philadelphia, PA, Oct. 8, 1996.
• Limiting and Withholding Treatment and Physician Assisted Suicide. 
  Duke University Catholic Student Center Medical Ethics Symposium
• Discussing advance directives with the elderly patient. 
  Geriatrics Grand Rounds, Duke University Medical Center, March 18, 1997
• Meet-the-Professor - Communicating with patients at the end of life, 
  ACP Annual Session, Philadelphia, PA, March 22, 1997
• Talking the talk: communicating with patients about advance directives. 
  Workshop Leader, Society of General Internal Medicine Annual Meeting, Washington, DC, May 2, 1997
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