I am Chief, Duke Palliative Care and Professor of Medicine and Nursing at Duke University. I have a longstanding interest in doctor-patient communication, palliative care interventions, and quality of life at the end of life. My current research projects focus on the evaluation and enhancement of communication between oncologists and patients with advanced cancer, identification of clinical, psychosocial and spiritual trajectories of patients at the end of life, development of self-management interventions for patients with life-limiting illness, and evaluating the role of palliative care in congestive heart failure.
Dr. Tulsky's Clinical Specialties & Interests
Internal Medicine: General Internal Medicine, Hospice & Palliative Medicine
Clinical Interests: Health communication; Physician-patient communication; Chronic Pain; Geriatrics; Medical Ethics
Dr. Tulsky's Faculty Appointments & Work History
Chief, Duke Palliative CareDuke University Durham, NC Associate Edit Assistant Professor of Medicine (1993 - 1999); Staff Physician (1993 - 2012); Professor of Medicine (1999 - 2006); Director, Center for Palliative Care (2004 - 2012); Professor of Medicine and Nursing (2006 - Present)
Staff PhysicianDurham VA Medical Center Durham, NC
Robert Wood Johnson Clinical ScholarUniversity of California, San Francisco San Francisco, CA
Attending PhysicianMoffitt-Long Hospitals San Francisco, CA Member, Ethics Committee (1990-1993)
Policy AnalystThe Environmental Fund Washington, D.C
WorkerHealth Education Field Israel
Dr. Tulsky's Education & Medical Training
University of California at San FranciscoChief Residency, Internal Medicine
University of California at San FranciscoResidency, Internal Medicine
University of Illinois College of MedicineMedical School, MD, James Scholar in Independent Study; AOA
Cornell UniversityOther Training, AB, Biology and Society
Dr. Tulsky's Certifications & Licensure
NC State Medical LicenseCurrent
American Board of Internal MedicineInternal Medicine, 1990, Current
American Board of Internal MedicineHospice and Palliative Medicine, 2012, Current
Dr. Tulsky's Awards, Honors, & Recognition
American Academy on Hospice and Palliative Medicine Awardfor Research Excellence, 2006
Engel SocietyDuke University School of Medicine, 2005
Davison Excellence in Teaching AwardFor dedication to teaching medical students, Duke University, 2005
Presidential Early Career Award for Scientists and EngineersHighest award by U.S. government (White House Office of Science and Technology) for early career investigators, 2002
Society of General Internal Medicine Outstanding Precourse AwardFor course on “Communicating with Patients at the End of Life”, 1998, 1999
Sergei S. Zlinkoff Junior Faculty AwardOutstanding scientific presentation at Society of General Internal Medicine, 1994
Jeffrey M. Weingarten AwardAward to graduating UCSF resident for outstanding teaching and patient care, 1990
Julius R. Krevens Award for Clinical ExcellenceUCSF Department of Medicine “Intern of the Year”, 1988
UCSF Housestaff Teaching AwardAwarded by the graduating medical student class, 1988
Charles Spencer Williamson AwardOutstanding senior student in internal medicine, University of Illinois, 1987
Whos Who in Medicine and HealthcareMarquis Whos Who
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 unitsBreen 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.
Efficacy of communication skills training for giving bad news and transitions to palliative care.Back AL, Arnold RM, Baile WF, Fryer-Edwards KA, Alexander SC, Barley GE, Gooley TA, Tulsky JA, Arch Intern Med 2006;167:453-60.
Developing initial competency-based outcomes for the hospice and palliative medicine specialist: phase I of the hospice and palliative medicine competencies project.Morrison LJ, Scott JO, Block SD, Arnold RM, Billings JA, Goldstein NE, Okun T, Sanchez-Reilly S, Tucker R, Tulsky JA, von Gunton C, Weissman D, J Pall Med 2007;10(2):313-30
What length of hospice use maximizes reduction in medical expenditures near death?Taylor DH, Ostermann J, Van Houtven CH, Tulsky JA, Steinhauser KE, Soc Sci Med 2007;65:1466-78.
. Oncologist communication about emotion during visits with advanced cancer patients.Pollak KI, Arnold RM, Jeffreys A, Alexander SC, Olsen M, Abernethy AP, Skinner CS, Rodriguez KL, Tulsky JA, J Clin Oncol 2007;25(36):5748-52
“What concerns me is…” Expression of emotion by advanced cancer patients during outpatient visits.Anderson WG, Alexander SC, Rodriguez KL, Jeffreys AS, Olsen MK, Pollak KI, Tulsky JA, Arnold RM, Support Care Cancer 2007;16(7):803-11
Patient-oncologist communication in advanced cancer: predictors of patient perception of prognosis.Robinson TM, Alexander SC, Hays M, Jeffreys AS, Olsen MK, Rodriguez KL, Pollak KI, Abernethy AP, Arnold RM, Tulsky JA, Support Care Cancer 2008;16(9):1049-57.
What explains racial differences in the use of advance directives and attitudes towards hospice care?Johnson KS, Kuchibhatla M, Tulsky JA, J Amer Ger Soc 2008;56:1953-58
Primary care physicians' discussions of weight-related topics with at risk and overweight adolescents: Results from the Teen CHAT pilot study.Pollak KI, Alexander SC, Ostbye T, Lyna P, Tulsky JA, Dolor RJ, Coffman C, Namenek-Brouwer RJ, Esoimeme I, Manusov JRE, Bravender T, Adolescent Health 2009;45(2):205-07
Use of and reactions to a tailored CD-ROM designed to enhance oncologist-patient communication: the SCOPE trial intervention.Skinner CS, Pollak KI, Farrell D, Olsen MK, Jeffreys AS, Tulsky JA, Pt Educ Couns 2009;77(1):90-96.
Seriously-ill patients’ discussions of preparation and life completion: an intervention to assist with transition at end of life.Steinhauser KE, Alexander SC, Byock IR, George LK, Tulsky JA, Pall Support Care 2009;7(4):393-404
Surviving critical illness: the acute respiratory distress syndrome as experienced by patients and their caregivers.Cox CE, Docherty SL, Brandon DH, Whaley C, Attix DK, Clay AS, Dore DV, Hough CT, White DB, Tulsky JA, Crit Care Med 2009;37(10):2702-2708.
Negative Emotions in Cancer Care: Do Oncologists' Responses Depend on Severity and Type of Emotion?Kennifer SL, Alexander SC, Pollak KI, Jeffreys AS, Olsen MK, Rodriguez KL, Arnold RM, Tulsky JA, Pt Educ Couns 2009;76(1):51-56
How oncologists and their patients with advanced cancer communicate about health related quality of life.Rodriguez KL, Bayliss N, Alexander SC, Jeffreys AS, Olsen MK, Pollak KI, Kennifer SL, Tulsky JA, Arnold RM, Psycho Oncology 2010;19(5):490-99
Oncologist patient-centered communication with patients with advanced cancer: exploring whether race or socioeconomic status matter.Pollak KI, Alexander SC, Grambow SC, Tulsky JA, Pall Med 2010;24(1):96-8
Decision-making in serious illness: A matter of life, death and words.Tulsky JA, Pt Educ Couns 2010;80(1):1-2.
One-year trajectories of care and resource utilization for recipients of prolonged mechanical ventilation.Unroe M, Kahn JM, Carson SS, Govert JA, Martinu T, Sathy SJ, Clay AS, Chia J, Gray A, Tulsky JA, Cox CE, Ann Intern Med 2010;153:167-75
Effect of palliative oxygen versus medical (room) air in relieving breathlessness in patients with refractory dyspnea: a double-blind randomized controlled trial (NCT00327873).Abernethy AP, McDonald CF, Frith PA, Clark K, Herndon JE, Marcello J, Young IH, Bull J, Wilcock A, Booth S, Wheeler JL, Tulsky JA, Crockett AJ, Currow DC, Lancet 2010;376:784-93.
Project CHAT: Physician communication style and weight loss in overweight and obese adults.Pollak KI, Alexander SC, Coffman CJ, Tulsky JA, Lyna P, Dolor RJ, Esoimeme I, Brouwer RJN, Manusov JRE, Ostbye, T, Am J Prev Med 2010;39(4):321-28
When praise is worth considering in a difficult conversation.Back AL, Arnold RM, Baile WF, Edwards KA, Tulsky JA, Lancet 2010;376:866-7
Do patient attributes predict oncologist empathic responses and patient perceptions of empathy?Pollak KI, Arnold RM, Alexander SC, Jeffreys AS, Olsen MK, Abernethy AP, Rodriguez KL, Tulsky JA, Supp Care Cancer 2010;18(11):1405-1411
Effective “On-Boarding”: Transitioning from trainee to faculty.Gustin J, Tulsky JA, J Pall Med 2010;13(10):1279-83.
How do non-physician clinicians respond to advanced cancer patient's negative expressions of emotions?Alexander SC, Pollak KI, Morgan PA, Strand J, Abernethy AP, Jeffreys AS, Arnold RM, Olsen M, Rodriguez KL, Garrigues SK, Manusov JR, Tulsky JA, Supp Care Cancer 2011;19(1):155-59.
Clergy-laity support and patients’ mood during serious illness.Hays JC, Wood L, Steinhauser KE, Olsen MK, Lindquist JH, Tulsky JA, Pall Supp Care 2011;9(3):273-80
Empathic responses in clinical practice: intuition or tuition?Buckman R, Rodin G, Baile W, Tulsky JA, CMAJ 2011;183(5):569-71
Comparing three life-limiting diseases: Does diagnosis matter, or is sick, sick?Steinhauser KE, Arnold RM, Olsen MK, Hays JC,Hoff-Lindquist J, Burton A, Wood LW, Tulsky JA, J Pain Sympt Man 2011; 42(3):331-41.
Racial Differences in Location Prior to Hospice Enrollment and Association with Hospice Length of Stay.Johnson KS, Kuchibhatla M, Tulsky JA, J Am Ger Soc 2011;59(4):732-7
Predictors of weight-related communication in primary care encounters.Pollak KI, Coffman CJ, Manusov JRE, Alexander SC, Ostbye T, Lyna P, Tulsky JA, Esoimeme I, Brouwer RJN, Dolor RJ, Pat Educ Couns 2011;85:e175-e182
Weight-loss talks: What works (and what doesn’t).Alexander SC, Cox ME, Yancy WS Jr, Turer CB, Lyna P, Ostbye T, Dolor RJ, Tulsky JA, Pollak KI, J Fam Pract 2011;60:213-9.
Do the 5 As work when physicians counsel about weight?Alexander SC, Cox ME, Boling Turner CL, Lyna P, Ostbye T, Tulsky JA, Dolor RJ, Pollak KI, Family Medicine 2011;45:179-84.
Relationship of physician empathy and reflective listening with patient satisfaction and perceived support for autonomy.Pollak KI, Alexander SC, Tulsky JA, Lyna P, Coffman CJ, Dolor RJ, Gulbrandsen P, Østbye T, Journal of the American Board of Family Medicine 2011;24(6):665-72.
Coping styles, health status and advance care planning in patients with hematologic malignancies.Loberiza Jr FR, Swore-Fletcher BA, Block SD, Back AL, Goldman RE, Tulsky JA, Lee SJ, Leuk Lymph J 2011;52(12):2342-48
Autopsy and grief; A case of transformative postmortem examination.LeBlanc TW, Tulsky JA, Simel DL, J Pall Med, published online 8/2011
Enhancing communication between oncologists and patients with a computer-based training program: a randomized trial.Tulsky JA, Arnold RM, Alexander SC, Olsen MK, Jeffreys AS, Rodriguez KL, Skinner CS, Farrell D, Abernethy AP, Pollak KI, Ann Intern Med; 2011;155(9):593-602.
Can physicians accurately predict which patients will lose weight, improve nutrition, and increase physical activity?Pollak, KI, Coffman, CJ, Alexander, SC, Tulsky, JA, Lyna, P, Dolor, RJ, Cox, ME, Brouwer, RJN, Bodner, ME, Østbye, T, Family Pract 2012; 29(5):553-60.
Development and preliminary evaluation of a telephone-based coping skills training intervention for survivors of acute lung injury and their informal caregivers.Cox CE, Porter LS, Hough CL, White DB, Kahn JM, Carson SS, Tulsky JA, Keefe FJ, Intensive Care Med 2012;38:1289-1297.
The influence of physician communication style on overweight patients’ perceptions of length of encounter and physician being rushed.Gulbrandsen P, Ostbye T, Lyna P, Dolor RJ, Tulsky JA, Alexander SC, Pollak KI, Fam Med 2012;44(3):183-8
Development and pilot testing of a decision aid for surrogates of patients with prolonged mechanical ventilation.Cox CE, Lewis CL, Hanson LC, Hough CL, Kahn JM, White DB, Song MK, Tulsky JA, Carson SS, Crit Care Med 2012;40:2327-2334
Burden and well-being among a diverse sample of cancer, CHF, and COPD caregivers.Burton AM, Sautter JM, Tulsky JA, Lindquist JH, Hays JC, Olsen MK, Zimmerman SI, Steinhauser KE, J Pain Sympt Manage 2012
What is your understanding of your illness? A communication tool to explore patients’ perspectives of living with advanced illness.Morris DA, Johnson KS, Ammarell N, Arnold RM, Tulsky JA, Steinhauser KE, J Gen Intern Med 2012
Evaluation of a novel individualized communication-skills training intervention to improve doctors’ confidence and skills in end-of-life communication.Clayton JM, Butow PN, Waters A, Laidsaar-Powell RC, O’Brien A, Boyle F, Back AL, Arnold RM, Tulsky JA, Tattersall MHN, Palliative Med; 2012
The Impact of physician advice on behavior change in overweight primary care patients.Alexander SC, Cox ME, Yancy WS Jr, Turner CB, Lyna P, Østbye T, Dolor RJ, Tulsky JA, Pollak KI, J Fam Pract 2012
Communication skills training for dialysis decision-making and end-of-life care in nephrology.Schell JO, Green JA, Tulsky JA, Arnold RM, Clin J Am Soc Nephrol 2013
Association of hospice patients’ income and care level with place of death.Barclay JS, Kuchibhatla M, Tulsky JA, Johnson KS, Arch Intern Med 2013
Race and residence: Intercounty variation in black-white differences in hospice use.Johnson KS, Kuchibhatla MN, Payne RP, Tulsky JA, J Pain Symptom Manage 2013
Ethics consultation: time to focus on patients.Tulsky JA, Lo B, Amer J Med 1992;92:343-5.
Amnesia in the practice of medicine.Tulsky JA, West J Med 1993;159:465-73
How do medical residents discuss resuscitation with patients?Tulsky JA, Chesney MA, Lo B, J Gen Intern Med 1995;10:436-42
A middle ground on physician-assisted suicide.Tulsky JA, Alpers A, Lo B, Cambridge Q Healthcare Ethics 1996;5:33-43
Cardiopulmonary resuscitation on television: miracles and misinformation.Diem SJ, Lantos JD, Tulsky JA, N Engl J Med 1996;334:1578-82
“See one, do one, teach one?” Housestaff experience discussing do-not-resuscitate orders.Tulsky JA, Chesney MA, Lo B, Arch Intern Med 1996;156:1285-9.
Evaluating ethics consultation: framing the questions.Tulsky JA, Fox E, J Clin Ethics 1996;7(2):109-15.
Obstacles and opportunities in the design of ethics consultation evaluation.Tulsky JA, Stocking CB, J Clin Ethics 1996;7(2):139-45
Cardiopulmonary resuscitation on television: miracles and misinformation (letter).Diem SJ, Lantos JD, Tulsky JA, N Engl J Med 1996;335:1607
Evaluation research and the future of ethics consultation.Fox E, Tulsky JA, J Clin Ethics 1996;7(2):146-49.
Can clinical interventions change care at the end of life?Hanson LC, Tulsky JA, Danis M, Ann Intern Med 1997;126:381-88
The effect of ethnicity on ICU use and DNR orders in hospitalized AIDS patients.Tulsky JA, Cassileth BR, Bennett CL, J Clin Ethics 1997;8(2):150-57
Ethics Manual. Fourth Edition. American College of Physicians.13. ACP Ethics and Human Rights Committee, Ann Intern Med 1998;128(7):576-94
Grave Words.Tulsky JA, J Pall Med 1998;1(1):96-7
Patient knowledge and physician predictions of treatment preferences after discussions about advance directives.Fischer GS, Tulsky JA, Rose MR, Siminoff L, Arnold RM, J Gen Intern Med 1998;13(7):447-54.
Opening the black box: how do physicians communicate about advance directives?Tulsky JA, Fischer GS, Rose MR, Arnold RM, Ann Intern Med 1998;129(6):441-49
Teaching physicians to deliver bad news: some practical advice.Tulsky JA, J Pall Med 1998;1(4):423-26
Discussing palliative care with patients.Lo B, Quill TE, Tulsky JA, Ann Intern Med 1999;130(9):744-49.
How physicians communicate about advance directives (letter).Tulsky JA, Fischer GS, Arnold RM, Ann Intern Med 1999;130(9):781
Incorporating palliative care into critical care education: principles, challenges, and opportunities.Danis M, Federman D, Fins JJ, Fox E, Kastenbaum B, Lanken PN, Long K, Lowenstein E, Lynn J, Rouse F, Tulsky JA, Crit Care Med 1999;27(9):2005-13
Book Review: Death Foretold: Prophecy and prognosis in medical care. Tulsky JA Editors: N Christakis.N Engl J Med; 2000;342(7):522
Encyclopedia of Bioethics.Chapter: Advance Directives Fischer GS, Tulsky JA, Arnold RM Editors: Stephen G.Macmillan Reference USA, New York Edition 3,
Geriatrics, a Lange Clinical Manual. Tulsky JA, Goldschlager N. Syncope Editors: Lonergan, Edmund T.Stamford: Appleton & Lange
20 Common Problems: Ethics in Primary Care.Chapter: Advance Care Planning Tulsky JA Editors: Sugarman, J.McGraw Hill, New York
Mastering Communication With Seriously Ill Patients: Balancing Honesty With Empathy And Hope. Back AL, Arnold RM, Tulsky JA Editors: .Cambridge
Topics in Palliative Care.Chapter: Communicating a Poor Prognosis Fischer GS, Tulsky JA, Arnold RM Editors: Portenoy RK, Bruera E.Oxford University Press, New York Edition 4,
Talking to the Older Adult about Advance Directives. Fischer GS, Arnold RM, Tulsky JA Editors: .Clin 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 EJ Editors: 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 JA Editors: 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 RM Editors: Berger AM, Portenoy RK, Weissman DE.Lipincott Williams & Wilkins, 2002:673-84, Philadelphia Edition 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 JA Editors: Heffner JE, Byock IR.Hanley & Belfus, 2002:192-94, Philadelphia
Geriatric Medicine.Chapter: Doctor-Patient Communication Issues Tulsky, JA Editors: CK, Leipzig RM, Cohen HJ, Larson EB, Meier DE, Capello CF.Springer, 2003:287-98, New York Edition 4,
Geriatric Palliative Care.Chapter: Doctor-Patient Communication Tulsky, JA Editors: Morrison RS, Meier DE, Capello CF.Oxford University Press, 2003:314-331, New York
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
Clinical Assessment of the Axillary Sentinel Lymph Node for Breast Cancer Metastasis By The Surgeon: A Study of One Institution’s Voluntary Policy Change.Meyer JE, Ganai S, Goulart RA, Mason HS, The American Society of Breast Surgeons, 9 th Annual Meeting, New York, New York
Predictors of extended prognosis in hospice patients with dementia.Elbert-Avila KI, Johnson KS, Kuchibhatla M, Tanis D, Tulsky JA, J Am Geriatr Soc
Tumor-Targeted Delivery of TRAIL Using Salmonella typhimurium Enhances Breast Cancer Survival.Ganai S, Arenas RB, Forbes NS, Tufts University Cancer Research Day, Boston, Massachusetts
Expressions of emotion by oncology patients during outpatient visits.Evans WG, Alexander SC, Rodriguez KL, Jeffreys AS, Olsen MK, Pollak KI, Arnold RM, Tulsky JA, Pall Med. 2007;10(2): 553.
Tumor-Targeted Delivery of TRAIL Using Salmonella typhimurium Enhances Breast Cancer Survival.Ganai S, Arenas RB, Forbes NS, Massachusetts Chapter of the American College of Surgeons, 55 th Annual Meeting, Boston, Massachuse
OUTLOOK: An intervention to improve quality of life for patients at end-of-life. International Conference on Communication in Healthcare.Steinhauser KE, Alexander SC, Byock I, George L, Tulsky JA, Charleston, SC
Outcomes from Laparoscopic Resection of Submucosal Gastric Neoplasms.Ganai S, Prachand VK, Posner MC, Alverdy JC, Waxman I, Chennat J, Choi E, Patti MG, Matthews JB, Roggin KK, 18 th Annual Charles B. Huggins Research Symposium, Gordon Center for Integrative Sciences
Development of a semi-structured interview to assist life competition tasks for patients approaching the end-of-life. International Conference on Communication in Healthcare.Alexander SC, Tulsky JA, Byock I, George L, Steinhauser KE, Charleston, SC
Outcomes of Multivisceral Resection of Gastric Gastrointestinal Stromal Tumors.Ganai S, Posner MC, Prachand VN, Alverdy JC, Choi EA, Waxman I, Patti MG, Roggin KK, American Society of Clinical Oncology, Gastrointestinal Cancers Symposium, San Francisco
Laparoscopic Ischemic Conditioning as a Modality to Reduce Gastric Conduit Morbidity Following Esophagectomy.Zahedi M, Ganai S, Yetasook AK, Talamonti MS, Ujiki MB, Carbray J, Howington J, 53 rd Annual Meeting. Digestive Disease Week, San Diego, California
Outcomes of Multivisceral Resection of Gastric Gastrointestinal Stromal Tumors.Ganai S, Posner MC, Prachand VN, Alverdy JC, Choi EA, Waxman I, Patti MG, Roggin KK, American Society of Clinical Oncology, Chicago, Illinois
Pathologic Response to Induction Therapy Predicts Survival after Resection in Locally-Advanced Esophageal Cancer.Ganai S, Ziesat MC, Posner MC, Patti MG, Prachand VN, Villaflor VM, Malik R, Ferguson MK, 13 th Biennial World Congress, Venice, Italy
Weight’s up doc? Physicians’ use of motivational interviewing techniques predicts weight loss among overweight and obese adults in primary care.Pollak KI, Alexander SC, Coffman CJ, Tulsky JA, Lyna P, Dolor RJ, Esoimeme I, Brouwer RJN, Manusov JRE, Østbye T, Washington, DC: October 24-28 2009; Obesity 2009; 17 Suppl 2: S126-27.
Venous Thromboembolic Events and Esophagectomy: Implications for DVT Prophylaxis in the Perioperative Management of Esophageal Cancer.Ganai S, Ziesat MC, Posner MC, Patti MG, Prachand VN, Villaflor VM, Malik R, Ferguson MK, 13 th Biennial World Congress, Venice, Italy
Implications of Lymph Node Involvement in pT1b Esophageal Cancer.Ziesat MC, Ganai S, Posner MC, Patti MG, Prachand VN, Siddiqui U, Konda V, Waxman I, Ferguson MK, 13 th Biennial World Congress, Venice, Italy
Determinants of Tumor Metastatic Potential in a Syngeneic Murine Melanoma Model.Ganai S, Khan SA, Uppal A, Wightman S, Khodarev NN, Posner MC, Weichselbaum RR, Society of Surgical Oncology, 66 th Annual Cancer Symposium, National Harbor, Maryland
Virtual-Reality Training Improves Angled Telescope Skills in Novice Laparoscopists.Ganai S, Donroe JA, St. Louis MR, Lewis GM, Seymour NE, The Association for Surgical Education, 2005 Surgical Education Week, New York City, New York
Virtual-Reality Training Improves Angled Telescope Skills in Novice Laparoscopists.Ganai S, Donroe JA, St. Louis MR, Lewis GM, Seymour NE, New England Surgical Society, 12th Annual Surgical Resident and Fellow Research Day, New England Medical Center, Boston, Massachusetts,
Mapping the Rectum: Spatial Analysis of Microsurgical Outcomes using GIS.Ganai S, Garb JL, Kanumuri P, Rao RS, Alexander AI, Wait RB, ESRI 2005 Health User Conference, Chicago, Illinois
Mapping the Rectum: Spatial Analysis of Transanal Endoscopic Microsurgical Outcomes using GIS Technology.Ganai S, Garb JL, Kanumuri P, Rao RS, Alexander AI, Wait RB, American College of Surgeons, Massachusetts Chapter, Dedham, Massachusetts
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, The Association for Surgical Education, 2007 Surgical Education Week. Washington, DC
Spatiotemporal Dynamics of Attenuated Salmonella typhimurium Proliferation in Tumor Microenvironments.Ganai S, Arenas RB, Sauer JP, Bentley B, Forbes NS, New England Surgical Society, 14th Annual Surgical Resident and Fellow Research Day, Harvard Medical School, Boston, Massachusetts,
Tumor-Targeted Delivery of TRAIL Using Salmonella typhimurium Enhances Breast Cancer Survival.Ganai S, Arenas RB, Forbes NS, New England Surgical Society, 15th Annual Surgical Resident and Fellow Research Day,, Harvard Medical School, Boston, Massachusetts,
Suture Survival in an Acidic Environment: Implications for Natural Orifice Transgastric Endolumenal Surgery (NOTES).Wohaibi EM, Ganai S, Wait RB, Romanelli JR, New England Surgical Society, 15th Annual Surgical Resident and Fellow Research Day,, Harvard Medical School, Boston, Massachusetts,
Tumor-targeting attenuated Salmonella typhimurium accumulates within therapeutically-resistant microenvironments adjacent to tumor necrosis.Ganai S, Arenas RB, Sauer JP, Bentley B, Forbes NS, American College of Surgeons, 97 th Annual Clinical Congress,, San Francisco, California,
Attenuated Salmonella typhimurium effectively targets breast cancer metastases.Ganai S, Arenas RB, Sauer JP, Bentley B, Forbes NS, Society of Surgical Oncology, 62 nd Annual Cancer Symposium,, Phoenix, Arizona,
Tumor-Targeted Delivery of TRAIL Using Salmonella typhimurium in Metastatic Breast Cancer in the Syngeneic Murine Model.Rossini CJ, Ganai S, Arenas RB, Forbes NS, Baystate Medical Center / Tufts University School of Medicine, 11th Annual Research Week,, Springfield, Massachusetts,
Predictors of Unsuccessful Laparoscopic Resection of Gastric Submucosal Neoplasms.Ganai S, Prachand VN, Posner MC, Alverdy JC, Choi E, Waxman I, Patti MG, Roggin KK, Society for Surgery of the Alimentary Tract, 53 rd Annual Meeting,, Digestive Disease Week, San Diego, California,
Identifying Constraints on a Set of Putative Mechanisms Affecting the Dynamics of Oligo- versus Poly-metastases Using Agent-based Modeling.Uppal A, Wightman S, Ganai S, Khodarev NN, Weichselbaum RR, An G, Association for Academic Surgery,, Academic Surgical Congress, New Orleans, Louisiana,
The Surgical Ethics Consortium.Ganai S, Association for Surgical Education, Surgical Education Week,, Orlando, Florida,
Celiac Node Status as Determined by Laparoscopic Gastric Ischemic Preconditioning is Prognostic in Locally-Advanced Esophageal Cancer and May Determine Necessity for Completion Esophagectomy.Ganai S, Ujiki MB, Talamonti MS, Linn JG, Yetasook A, Carbray J, Zahedi M, Kim KW, Howington JA, Society for Surgery of the Alimentary Tract, 53 rd Annual Meeting,, Digestive Disease Week, Orlando, Florida,
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
How do we Communicate with Dying Patients?Invited Speaker, The 1997 National Conference on End-of-Life Issues, Chicago, IL, May 10, 1997
The great teaching case: Ethical dilemmas in OB/GYN training.Obstetrics and Gynecology Grand Rounds, University of North Carolina at Chapel Hill, February 4, 199
Should physicians use numbers to describe outcome probabilities when discussing cardiopulmonary resuscitation preferences with patients?Poster presentation at VA HSR&D Service Annual Meeting, Washington, DC, February 19, 1998
Research in Communication Issues.1st International Conference on Research in Palliative Care, Bethesda, MD
Healing the Dying.Feinberg Lecturer, St. Joseph Hospital, Chicago, IL, October 27, 1998
Transitions: Having the Conversation.North Carolina End of Life Care Coalition. The Current State of Dying, Clemmons, NC, February 8, 200
In search of a good death.Washington, DC, March 22, 2000
The prevalence and nature of patient expectations in a VA general medicine clinic.Oral presentation at VA HSR&D Service Annual Meeting, Washington, DC, March 24, 2000.
Palliative Care: Living at the End of Life.Program of the Duke Pain and Palliative Care Initiative, Durham, NC, May 30, 2000.
Communicating with Physicians and Other Health Care Providers.“Partners in Caring: End-of-Life Care in the Church and Community,” Durham, NC, August 23, 2000
The Art of Caring.Detroit, MI
Making tough decisions: talking with patients and families about end-of-life care.15th Annual Bryan Alzheimer’s Disease Research Center Conference, February 9, 2001.
Communicating with Patients at the end of Life.University of Wisconsin
Developing empathy, reflection, and courage in physicians: The parallel chart.American Society for Bioethics and Humanities Annual Meeting, Nashville, TN, Oct. 25, 2001
Jewish Bioethics in the 21st Century,Jewish Theological Seminary, New York, NY, March 17-18, 2002.
Update on the State of the Science: Communication.PDIA Annual Retreat, July 14, 2004
Update in Palliative Care.Society of General Internal Medicine Annual Session, New Orleans, May 14, 2005.
Developing a Palliative Care Research Program.University of Wisconsin Comprehensive Cancer Center, Madison, WI, January 23, 2006.
Communicating Prognosis: How Oncologists Can Be More Effective.ASCO Invited Session, Chicago, IL, June 1, 2008
NephroTalk Course.Mount Sinai School of Medicine, New York, NY, April 24, 2012.
Teaching Communication Skills.European Association of Communication in HealthCare Conference, St. Andrews, Scotland, Sept 6, 2012.