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Seeking practical solutions to challenging situations.
Applied Ethics in IR
There seems to be a disconnect between common approaches to ethics and day-to-day clinical work. Despite a large amount of ethics literature, this work can seem abstract and not as practical or useful to clinicians.
I wanted to test an applied, specialty-specific approach to ethics and used my own specialty (Interventional Radiology) as a kind of lab. In 2019, I founded a multi-institutional working group to generate ethics literature, awareness, and education. Rather than a top-down approach, we worked bottom-up, starting with an understanding of what issues were most salient to IRs and how they were approaching these issues. We then used that understanding in combination with ethical theory to develop interventions and resources that are perceived as more effective and practical.
Futility & Palliative care
JVIR Letter to the Editor on Futility
Perceptions of Futility among IRs
Use of Goals of Care Discussions and Palliative Care in IR
Use and Types of Advance Care Planning in IR
Cost-effectiveness of Tunneled Peritoneal Catheter vs. Repeat Paracentesis for Malignant Ascites
Cost-effectiveness of Tunneled Peritoneal Catheter vs. Repeat Paracentesis for Recurrent Ascites
Suspension of DNR/DNI orders for IR Procedures - Case Discussion I Survey Study
Consent
Assessing Decision Making Capacity Guide
JVIR Letter to the Editor on Consent in IR
Review of Consent in IR and How to Improve
Barriers to Informed Consent in IR - Study I Radiology Business Article
Controlled Trials of Patient Decision Aids to Improve Consent Practices - Study I ARRS I Aunt Minnie I Radiology Business Article
Conflicts of Interest
JVIR Letter to the Editor on COIs
JVIR Letter to the Editor on Research Ethics
Prevalence and Disclosure of Financial COIs in IR:
Study / Interventional News Article / Health Imaging Article
Medical Business Ethics & Turf Wars
IR-OB/Gyn Perceptions of Uterine Fibroids
Effect of a Multidisciplinary Fibroid Clinic on Perceptions and Behaviors
IR-Vascular Surgery Perceptions of Endovascular Procedures:
Study / Medpage Today Article
Cultural Dynamics of Clinicians and Healthcare Administrators