Scholars@Duke
Farr A Curlin

Farr A Curlin

Professor of Medicine
Medicine, Geriatrics and Palliative Care
3040, 108 Seeley G Mudd Bldg, Durham, NC 27710
3040, 108 Seeley G Mudd Bldg, Durham, NC 27710
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Selected Publications

The Opioid Epidemic and Faith-Based Responses in Southern Appalachia, USA: An Exploration of Factors for Successful Cross-Sector Collaboration.

Journal Article J Relig Health · August 2024 This study aimed to identify factors for successful cross-sector collaboration with faith-based responses to the opioid epidemic in southern Appalachia. In-depth interviews were conducted with representatives from organizations responding to the opioid epi ... Full text Link to item Cite

The Power of Proximity: Toward an Ethic of Accompaniment in Surgical Care.

Journal Article Hastings Cent Rep · March 2024 Although the field of surgical ethics focuses primarily on informed consent, surgical decision-making, and research ethics, some surgeons have started to consider ethical questions regarding justice and solidarity with poor and minoritized populations. To ... Full text Open Access Link to item Cite

Responding Wisely to Persistent Pain: Insights from Patristic Theology and Clinical Experience

Journal Article Christian Bioethics · December 1, 2023 For most of the past generation, clinicians have been taught to treat patients' pain until the patient says it is relieved. The opioid crisis has forced both clinicians and patients to reconsider that approach. This essay considers how Christians in partic ... Full text Cite

Theological and Ethical Problems with Medicalizing Risk

Journal Article Christian Bioethics · August 1, 2023 While the COVID-19 pandemic riveted public attention on questions regarding how to respond reasonably to risk of illness, everyday medical care involves more mundane forms of pharmaceutical risk management for conditions like high blood pressure, prediabet ... Full text Cite

"Sufficient for the day is its own trouble": Medicalizing Risk and the Way of Jesus

Journal Article Christian Bioethics · August 1, 2023 It is common wisdom that today's medicine focuses too much on treating those who are sick and too little on preventing the sickness in the first place. This essay proposes that Jesus' teaching in the Sermon on the Mount challenges that assumption and the p ... Full text Cite

Response.

Journal Article Chest · September 2022 Full text Link to item Cite

The NERSH Questionnaire and Pool of Data from 12 Countries: Development and Description.

Journal Article J Relig Health · June 2022 Modern healthcare research has only in recent years investigated the impact of health care workers' religious and other values on medical practice, interaction with patients, and ethically complex decision making. So far, only limited international data ex ... Full text Link to item Cite

Medicine against Suicide: Sustaining Solidarity with Those Diminished by Illness and Debility

Journal Article Christian Bioethics · December 1, 2021 The medical profession's increasing acceptance of "physician aid-in-dying"indicates the ascendancy of what we call the provider-of-services model for medicine, in which medical "providers"offer services to help patients maximize their "well-being"according ... Full text Cite

The Way of Medicine Ethics and the Healing Profession

Book · August 15, 2021 Against this trend, Farr Curlin and Christopher Tollefsen call for practitioners to recover what they call the Way of Medicine, which offers physicians both a path out of the provider of services model and also the moral resources necessary ... ... Cite

Solidarity, Trust, and Christian Faith in the Doctor-Patient Relationship

Journal Article Christian Bioethics · April 1, 2021 In this article, we first give a normative account of the doctor-patient relationship as: oriented to the good of the patient's health; motivated by a vocational commitment; and characterized by solidarity and trust. We then look at the difference that Chr ... Full text Cite

Should Pediatric Patients Be Prioritized When Rationing Life-Saving Treatments During COVID-19 Pandemic.

Journal Article Pediatrics · September 2020 Coronavirus disease 2019 can lead to respiratory failure. Some patients require extracorporeal membrane oxygenation support. During the current pandemic, health care resources in some cities have been overwhelmed, and doctors have faced complex decisions a ... Full text Link to item Cite

Brain death: new questions and fresh perspectives.

Journal Article Theor Med Bioeth · October 2019 Full text Link to item Cite

How Should Physicians Respond to Patient Requests for Religious Concordance?

Journal Article AMA J Ethics · June 1, 2019 In which ways and in which circumstances should institutions and individual physicians facilitate patient-physician religious concordance when requested by a patient? This question suggests not only uncertainty about the relevance of particular traits to p ... Full text Link to item Cite

Addressing religion and spirituality in the intensive care unit: A survey of clinicians.

Journal Article Palliat Support Care · April 2019 OBJECTIVE: Studies have shown that when religious and spiritual concerns are addressed by the medical team, patients are more satisfied with their care and have lower healthcare costs. However, little is known about how intensive care unit (ICU) clinicians ... Full text Link to item Cite

Intensive Care Clinicians' Views on the Role of Chaplains.

Journal Article J Health Care Chaplain · 2019 There is evidence that addressing the religious and spiritual needs of patients has positive effects on patient satisfaction and health care utilization. However, in the intensive care unit (ICU), chaplains are often consulted only at the very end of life, ... Full text Link to item Cite

The Opioid Epidemic and Faith-Based Responses in Southern Appalachia, USA: An Exploration of Factors for Successful Cross-Sector Collaboration.

Journal Article J Relig Health · August 2024 This study aimed to identify factors for successful cross-sector collaboration with faith-based responses to the opioid epidemic in southern Appalachia. In-depth interviews were conducted with representatives from organizations responding to the opioid epi ... Full text Link to item Cite

The Power of Proximity: Toward an Ethic of Accompaniment in Surgical Care.

Journal Article Hastings Cent Rep · March 2024 Although the field of surgical ethics focuses primarily on informed consent, surgical decision-making, and research ethics, some surgeons have started to consider ethical questions regarding justice and solidarity with poor and minoritized populations. To ... Full text Open Access Link to item Cite

Responding Wisely to Persistent Pain: Insights from Patristic Theology and Clinical Experience

Journal Article Christian Bioethics · December 1, 2023 For most of the past generation, clinicians have been taught to treat patients' pain until the patient says it is relieved. The opioid crisis has forced both clinicians and patients to reconsider that approach. This essay considers how Christians in partic ... Full text Cite

Theological and Ethical Problems with Medicalizing Risk

Journal Article Christian Bioethics · August 1, 2023 While the COVID-19 pandemic riveted public attention on questions regarding how to respond reasonably to risk of illness, everyday medical care involves more mundane forms of pharmaceutical risk management for conditions like high blood pressure, prediabet ... Full text Cite

"Sufficient for the day is its own trouble": Medicalizing Risk and the Way of Jesus

Journal Article Christian Bioethics · August 1, 2023 It is common wisdom that today's medicine focuses too much on treating those who are sick and too little on preventing the sickness in the first place. This essay proposes that Jesus' teaching in the Sermon on the Mount challenges that assumption and the p ... Full text Cite

Response.

Journal Article Chest · September 2022 Full text Link to item Cite

The NERSH Questionnaire and Pool of Data from 12 Countries: Development and Description.

Journal Article J Relig Health · June 2022 Modern healthcare research has only in recent years investigated the impact of health care workers' religious and other values on medical practice, interaction with patients, and ethically complex decision making. So far, only limited international data ex ... Full text Link to item Cite

Medicine against Suicide: Sustaining Solidarity with Those Diminished by Illness and Debility

Journal Article Christian Bioethics · December 1, 2021 The medical profession's increasing acceptance of "physician aid-in-dying"indicates the ascendancy of what we call the provider-of-services model for medicine, in which medical "providers"offer services to help patients maximize their "well-being"according ... Full text Cite

The Way of Medicine Ethics and the Healing Profession

Book · August 15, 2021 Against this trend, Farr Curlin and Christopher Tollefsen call for practitioners to recover what they call the Way of Medicine, which offers physicians both a path out of the provider of services model and also the moral resources necessary ... ... Cite

Solidarity, Trust, and Christian Faith in the Doctor-Patient Relationship

Journal Article Christian Bioethics · April 1, 2021 In this article, we first give a normative account of the doctor-patient relationship as: oriented to the good of the patient's health; motivated by a vocational commitment; and characterized by solidarity and trust. We then look at the difference that Chr ... Full text Cite

Should Pediatric Patients Be Prioritized When Rationing Life-Saving Treatments During COVID-19 Pandemic.

Journal Article Pediatrics · September 2020 Coronavirus disease 2019 can lead to respiratory failure. Some patients require extracorporeal membrane oxygenation support. During the current pandemic, health care resources in some cities have been overwhelmed, and doctors have faced complex decisions a ... Full text Link to item Cite

Brain death: new questions and fresh perspectives.

Journal Article Theor Med Bioeth · October 2019 Full text Link to item Cite

How Should Physicians Respond to Patient Requests for Religious Concordance?

Journal Article AMA J Ethics · June 1, 2019 In which ways and in which circumstances should institutions and individual physicians facilitate patient-physician religious concordance when requested by a patient? This question suggests not only uncertainty about the relevance of particular traits to p ... Full text Link to item Cite

Addressing religion and spirituality in the intensive care unit: A survey of clinicians.

Journal Article Palliat Support Care · April 2019 OBJECTIVE: Studies have shown that when religious and spiritual concerns are addressed by the medical team, patients are more satisfied with their care and have lower healthcare costs. However, little is known about how intensive care unit (ICU) clinicians ... Full text Link to item Cite

Intensive Care Clinicians' Views on the Role of Chaplains.

Journal Article J Health Care Chaplain · 2019 There is evidence that addressing the religious and spiritual needs of patients has positive effects on patient satisfaction and health care utilization. However, in the intensive care unit (ICU), chaplains are often consulted only at the very end of life, ... Full text Link to item Cite

Conscience and the Way of Medicine.

Journal Article Perspect Biol Med · 2019 Disputes about conscientious refusals reflect, at root, two rival accounts of what medicine is for and what physicians reasonably profess. On what we call the "provider of services model," a practitioner of medicine is professionally obligated to provide i ... Full text Link to item Cite

"Just do your job": technology, bureaucracy, and the eclipse of conscience in contemporary medicine.

Journal Article Theor Med Bioeth · December 2018 Market metaphors have come to dominate discourse on medical practice. In this essay, we revisit Peter Berger and colleagues' analysis of modernization in their book The Homeless Mind and place that analysis in conversation with Max Weber's 1917 lecture "Sc ... Full text Link to item Cite

What Should Physicians and Chaplains Do When a Patient Believes God Wants Him to Suffer?

Journal Article AMA J Ethics · July 1, 2018 When physicians encounter a patient who gives religious reasons for wanting to suffer, physicians should maintain their commitment to the patient's health while making room for religiously informed understandings of suffering and respecting the patient's a ... Full text Link to item Cite

Personality Traits Are Associated with Academic Achievement in Medical School: A Nationally Representative Study.

Journal Article Acad Psychiatry · June 2018 OBJECTIVE: This nationally representative study sought to identify personality traits that are associated with academic achievement in medical school. METHODS: Third-year medical students, who completed an initial questionnaire in January 2011, were mailed ... Full text Link to item Cite

Palliative sedation: clinical context and ethical questions.

Journal Article Theor Med Bioeth · June 2018 Practitioners of palliative medicine frequently encounter patients suffering distress caused by uncontrolled pain or other symptoms. To relieve such distress, palliative medicine clinicians often use measures that result in sedation of the patient. Often s ... Full text Link to item Cite

Attitudes of paediatric and obstetric specialists towards prenatal surgery for lethal and non-lethal conditions.

Journal Article J Med Ethics · April 2018 BACKGROUND: While prenatal surgery historically was performed exclusively for lethal conditions, today intrauterine surgery is also performed to decrease postnatal disabilities for non-lethal conditions. We sought to describe physicians' attitudes about pr ... Full text Link to item Cite

Role Models' Influence on Specialty Choice for Residency Training: A National Longitudinal Study.

Journal Article J Grad Med Educ · April 2018 BACKGROUND: Role models in medical school may influence students' residency specialty choice. OBJECTIVE: We examined whether medical students who reported clinical exposure to a role model during medical school would have an increased likelihood of selecti ... Full text Link to item Cite

Developing the Good Physician: Spirituality affects the development of virtues and moral intuitions in medical students

Journal Article Journal of Positive Psychology · March 4, 2018 The Project on the Good Physician is a national longitudinal study of moral and professional formation of American physicians over the course of medical training. The purpose of this paper is to examine the processes by which spirituality influences the de ... Full text Cite

Physician Decision-Making in the Setting of Advanced Illness: An Examination of Patient Disposition and Physician Religiousness.

Journal Article J Pain Symptom Manage · March 2018 CONTEXT: Little is known about patient and physician factors that affect decisions to pursue more or less aggressive treatment courses for patients with advanced illness. OBJECTIVES: This study sought to determine how patient age, patient disposition, and ... Full text Link to item Cite

Physicians' Opinions on Engaging Patients' Religious and Spiritual Concerns: A National Survey.

Journal Article J Pain Symptom Manage · March 2018 CONTEXT: There has been a sustained debate in the medical literature over whether physicians should engage with patients' religious and spiritual concerns. OBJECTIVES: This study explores what physicians believe about the relative importance and appropriat ... Full text Link to item Cite

A National Longitudinal Survey of Medical Students' Intentions to Practice Among the Underserved.

Journal Article Acad Med · January 2018 PURPOSE: To explore students' intentions to practice in medically underserved areas. METHOD: In January 2011, 960 third-year medical students from 24 MD-granting U.S. medical schools were invited to participate in a survey on their intention to practice in ... Full text Link to item Cite

Project on the Good Physician: Further Evidence for the Validity of a Moral Intuitionist Model of Virtuous Caring.

Journal Article Teach Learn Med · 2018 THEORY: In the Project on the Good Physician, the authors propose a moral intuitionist model of virtuous caring that places the virtues of Mindfulness, Empathic Compassion, and Generosity at the heart of medical character education. HYPOTHESES: Hypothesis ... Full text Link to item Cite

Taking societal cost into clinical consideration: U.S. physicians' views.

Journal Article AJOB Empir Bioeth · 2018 BACKGROUND: Recent campaigns (e.g., the American Board of Internal Medicine Foundation's Choosing Wisely) reflect the increasing role that physicians are expected to have in stewarding health care resources. We examine whether physicians believe they shoul ... Full text Link to item Cite

Physician Burnout and the Calling to Care for the Dying: A National Survey.

Journal Article Am J Hosp Palliat Care · December 2017 BACKGROUND: Physician burnout raises concerns over what sustains physicians' career motivations. We assess whether physicians in end-of-life specialties had higher rates of burnout and/or calling to care for the dying. We also examined whether the patient ... Full text Open Access Link to item Cite

Weighing the Social and Ethical Considerations of Maternal-Fetal Surgery.

Journal Article Pediatrics · December 2017 OBJECTIVES: The ethics of maternal-fetal surgery involves weighing the importance of potential benefits, risks, and other consequences involving the pregnant woman, fetus, and other family members. We assessed clinicians' ratings of the importance of 9 con ... Full text Link to item Cite

Physician Perspectives on Long-Term Relationships and Friendships with Patients: A National Assessment.

Journal Article South Med J · November 2017 OBJECTIVES: Shifts in the healthcare environment have introduced challenges to the long-term continuity of the doctor-patient relationship. This study examines whether certain demographic or religious characteristics of physicians are associated with maint ... Full text Link to item Cite

Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele.

Journal Article J Perinatol · September 2017 OBJECTIVE: Examine how pediatric and obstetrical subspecialists view benefits and burdens of prenatal myelomeningocele (MMC) closure. STUDY DESIGN: Mail survey of 1200 neonatologists, pediatric surgeons and maternal-fetal medicine specialists (MFMs). RESUL ... Full text Link to item Cite

US Physicians Overwhelmingly Endorse Hospice as the Better Option for Most Patients at the End of Life.

Journal Article Am J Hosp Palliat Care · July 2017 BACKGROUND: Utilization of hospice has increased significantly over the past 2 decades, but there has been no recent assessment of US physicians' opinions regarding and practices of referring patients to hospice. METHODS: We surveyed 2016 US physicians fro ... Full text Link to item Cite

Association of Intrinsic Motivating Factors and Markers of Physician Well-Being: A National Physician Survey.

Journal Article J Gen Intern Med · July 2017 BACKGROUND: Although intrinsic motivating factors play important roles in physician well-being and productivity, most studies have focused on extrinsic motivating factors such as salary and work environment. OBJECTIVE: To examine the association of intrins ... Full text Link to item Cite

Physician Satisfaction in Treating Medically Unexplained Symptoms.

Journal Article South Med J · May 2017 OBJECTIVES: To determine whether treating conditions having medically unexplained symptoms is associated with lower physician satisfaction and higher ascribed patient responsibility, and to determine whether higher ascribed patient responsibility is associ ... Full text Open Access Link to item Cite

The Association Between a Sense of Calling and Physician Well-Being: A National Study of Primary Care Physicians and Psychiatrists.

Journal Article Acad Psychiatry · April 2017 OBJECTIVE: This study assesses the association between calling and physician well-being, clinical commitment, and burnout. METHODS: In 2009-2010, a survey was mailed to 1504 primary care physicians (PCPs) and 512 psychiatrists drawn from the American Medic ... Full text Link to item Cite

Documenting presence: A descriptive study of chaplain notes in the intensive care unit.

Journal Article Palliat Support Care · April 2017 OBJECTIVE: To clarify and record their role in the care of patients, hospital chaplains are increasingly called on to document their work in the medical record. Chaplains' documentation, however, varies widely, even within single institutions. Little has b ... Full text Link to item Cite

Courage and Compassion: Virtues in Caring for So-Called "Difficult" Patients.

Journal Article AMA J Ethics · April 1, 2017 What, if anything, can medical ethics offer to assist in the care of the "difficult" patient? We begin with a discussion of virtue theory and its application to medical ethics. We conceptualize the "difficult" patient as an example of a "moral stress test" ... Full text Open Access Link to item Cite

Project on the Good Physician: A Proposal for a Moral Intuitionist Model of Virtuous Caring.

Journal Article Teach Learn Med · 2017 THEORY: In the Project on the Good Physician, the authors endeavor to advance medical character education by proposing and testing a moral intuitionist model of virtuous caring that may be applicable to physician training. This model proposes that the mora ... Full text Link to item Cite

Specialty-Based Variation in Applying Maternal-Fetal Surgery Trial Evidence.

Journal Article Fetal Diagn Ther · 2017 INTRODUCTION: The Management of Myelomeningocele Study (MOMS) compared prenatal with postnatal surgery for fetal myelomeningocele (MMC). We sought to understand how subspecialists interpreted the trial results and whether their practice has changed. MATERI ... Full text Link to item Cite

Quality of Life and Recommendations for Further Care.

Journal Article Crit Care Med · November 2016 OBJECTIVES: Physician recommendations for further medical treatment or palliative treatment only at the end of life may influence patient decisions. Little is known about the patient characteristics that affect physician-assessed quality of life or how suc ... Full text Open Access Link to item Cite

The influence of spirituality and religiosity on the personal use and practice patterns with complementary and alternative medicine (CAM): A national survey of US oncologists.

Conference Journal of Clinical Oncology · October 9, 2016 248 Background: Although cancer patients frequently use CAM, it is uncertain how oncologists’ spirituality and religiosity impact their decisions to use or recommend CAM with their patients. Methods: A US probability sample of 1, ... Full text Cite

US Physicians' Opinions about Distinctions between Withdrawing and Withholding Life-Sustaining Treatment.

Journal Article J Relig Health · October 2016 Decisions to withhold or withdraw life-sustaining treatment (LST) precede the majority of ICU deaths. Although professional guidelines generally treat the two as ethically equivalent, evidence suggests withdrawing LST is often more psychologically difficul ... Full text Link to item Cite

The NERSH international collaboration on values, spirituality and religion in medicine: Development of questionnaire, description of data pool, and overview of pool publications

Journal Article Religions · August 23, 2016 Modern healthcare research has only in recent years investigated the impact of health care workers’ religious and other moral values on medical practice, interaction with patients, and ethically complex decision-making. Thus far, no international data exis ... Full text Cite

Religious identity and workplace discrimination: A national survey of American Muslim physicians

Journal Article AJOB Empirical Bioethics · July 2, 2016 Background: Invidious discrimination is unreasonable and unethical. When directed against patients, such discrimination violates the respect for persons at the heart of bioethics. Might such discrimination also be directed at times toward physicians themse ... Full text Cite

Whistle-blowing in Medical School: A National Survey on Peer Accountability and Professional Misconduct in Medical Students.

Journal Article Acad Psychiatry · June 2016 OBJECTIVE: This study examines medical students' attitudes towards peer accountability. METHODS: A nationally representative sample of 564 third year medical students was surveyed. Students reported their agreement or disagreement with two statements: "I f ... Full text Link to item Cite

U.S. Physicians' Opinions About Accommodating Religiously Based Requests for Continued Life-Sustaining Treatment.

Journal Article J Pain Symptom Manage · June 2016 CONTEXT: Families of critically ill patients occasionally request that physicians continue life-sustaining treatment (LST), sometimes giving religious reasons. OBJECTIVES: To examine whether U.S. physicians are more likely to accommodate requests for LST t ... Full text Link to item Cite

An exploration of the role of religion/spirituality in the promotion of physicians' wellbeing in Emergency Medicine.

Journal Article Prev Med Rep · June 2016 BACKGROUND: Burnout is highly prevalent among Emergency Medicine (EM) physicians and has significant impact on quality of care and workforce retention. The objective of this study was to determine whether higher religion/spirituality (R/S) is associated wi ... Full text Link to item Cite

Setting medicine in the context of a faithful Christian life

Journal Article Christian Bioethics · April 1, 2016 Christianity is not confined to a box. It is not private as opposed to public, personal as opposed to professional. Our Lord has called each of us, and all of us together, to be his witnesses "to the ends of the earth." The evidence of his salvation should ... Full text Cite

What does any of this have to do with being a physician? Kierkegaardian irony and the practice of medicine

Journal Article Christian Bioethics · April 1, 2016 Growing physician discontent may express an anxiety that the medicine we practice today, at its best, is not medicine at all. If so, such discontent may be a dysfunctional form of irony-not irony as the term is generally used today, but irony as the concep ... Full text Cite

US primary care physicians' opinions about conscientious refusal: a national vignette experiment.

Journal Article J Med Ethics · February 2016 OBJECTIVE: Previous research has found that physicians are divided on whether they are obligated to provide a treatment to which they object and whether they should refer patients in such cases. The present study compares several possible scenarios in whic ... Full text Link to item Cite

In Reply

Journal Article JAMA Internal Medicine · February 1, 2016 Full text Cite

Changes in health status and frequency of attending religious services among medical inpatients with repeat admissions.

Journal Article J Relig Spiritual Aging · 2016 Although frequent attendance at religious services is associated with healthier behaviors and improved health outcomes, this relationship is confounded to the extent that attending religious services requires and displays a certain degree of health. This s ... Full text Link to item Cite

Relevance of the rationalist-intuitionist debate for ethics and professionalism in medical education.

Journal Article Adv Health Sci Educ Theory Pract · December 2015 Despite widespread pedagogical efforts to modify discrete behaviors in developing physicians, the professionalism movement has generally shied away from essential questions such as what virtues characterize the good physician, and how are those virtues for ... Full text Link to item Cite

"The Patient Is Dying, Please Call the Chaplain": The Activities of Chaplains in One Medical Center's Intensive Care Units.

Journal Article J Pain Symptom Manage · October 2015 CONTEXT: Patients and families commonly experience spiritual stress during an intensive care unit (ICU) admission. Although most patients report that they want spiritual support, little is known about how these issues are addressed by hospital chaplains. O ... Full text Link to item Cite

Health Care Professionals' Responses to Religious or Spiritual Statements by Surrogate Decision Makers During Goals-of-Care Discussions.

Journal Article JAMA Intern Med · October 2015 IMPORTANCE: Although many patients and their families view religion or spirituality as an important consideration near the end of life, little is known about the extent to which religious or spiritual considerations arise during goals-of-care conversations ... Full text Link to item Cite

Medical student opinions on character development in medical education: a national survey.

Journal Article BMC Res Notes · September 18, 2015 BACKGROUND: Recently United States (US) medical schools have implemented curricular reforms to address issues of character in medical education. Very few studies have examined students' opinions about the importance of character development in medical scho ... Full text Link to item Cite

[Re]considering Respect for Persons in a Globalizing World.

Journal Article Dev World Bioeth · August 2015 Contemporary clinical ethics was founded on principlism, and the four principles: respect for autonomy, nonmaleficence, beneficence and justice, remain dominant in medical ethics discourse and practice. These principles are held to be expansive enough to p ... Full text Link to item Cite

Associations between religion-related factors and breast cancer screening among American Muslims.

Journal Article J Immigr Minor Health · June 2015 American Muslims have low rates of mammography utilization, and research suggests that religious values influence their health-seeking behaviors. We assessed associations between religion-related factors and breast cancer screening in this population. A di ... Full text Link to item Cite

In reply to Cayley.

Journal Article Acad Med · May 2015 Full text Link to item Cite

Limits and responsibilities of physicians addressing spiritual suffering in terminally ill patients.

Journal Article J Pain Symptom Manage · March 2015 CONTEXT: Many patients experience spiritual suffering that complicates their physical suffering at the end of life. It remains unclear what physicians' perceived responsibilities are for responding to patients' spiritual suffering. OBJECTIVES: To investiga ... Full text Link to item Cite

Religion, sense of calling, and the practice of medicine: findings from a national survey of primary care physicians and psychiatrists.

Journal Article South Med J · March 2015 OBJECTIVES: A sense of calling is a concept with religious and theological roots; however, it is unclear whether contemporary physicians in the United States still embrace this concept in their practice of medicine. This study assesses the association betw ... Full text Link to item Cite

Psychiatrists' and primary care physicians' beliefs about overtreatment of depression and anxiety.

Journal Article J Nerv Ment Dis · February 2015 Critics say that physicians overdiagnose and overtreat depression and anxiety. We surveyed 1504 primary care physicians (PCPs) and 512 psychiatrists, measuring beliefs about overtreatment of depression and anxiety and predictions of whether persons would b ... Full text Link to item Cite

An official American Thoracic Society policy statement: managing conscientious objections in intensive care medicine.

Journal Article Am J Respir Crit Care Med · January 15, 2015 RATIONALE: Intensive care unit (ICU) clinicians sometimes have a conscientious objection (CO) to providing or disclosing information about a legal, professionally accepted, and otherwise available medical service. There is little guidance about how to mana ... Full text Link to item Cite

Physician race and treatment preferences for depression, anxiety, and medically unexplained symptoms.

Journal Article Ethn Health · 2015 OBJECTIVES: Studies have repeatedly shown racial and ethnic differences in mental health care. Prior research focused on relationships between patient preferences and ethnicity, with little attention given to the possible relationship between physicians' e ... Full text Link to item Cite

Medical school ranking and medical student vocational identity.

Journal Article Teach Learn Med · 2015 UNLABELLED: PHENOMENON: Vocational identity may play an important role in physicians' healthy professional development. Allopathic medical students' vocational identity may bear a relationship to the level of emphasis placed on research versus service at t ... Full text Link to item Cite

National survey of US oncologists' knowledge, attitudes, and practice patterns regarding herb and supplement use by patients with cancer.

Journal Article J Clin Oncol · December 20, 2014 PURPOSE: Patients with cancer commonly use complementary and alternative medicine, including herbs and supplements (HS), during cancer treatment. This national survey explored oncologists' knowledge, attitudes, and practice patterns regarding HS use by the ... Full text Link to item Cite

Back to the future: The AMA and religion, 1961-1974.

Journal Article Acad Med · December 2014 U.S. medical scholarship and education regarding religion and spirituality has been growing rapidly in recent years. This rising interest, however, is not new; it is a renewal of significant interweavings that date back to the mid-20th century. In this Per ... Full text Link to item Cite

Primary care physicians' and psychiatrists' willingness to refer to religious mental health providers.

Journal Article Int J Soc Psychiatry · November 2014 BACKGROUND: Recent decades have witnessed some integration of mental health care and religious resources. AIM: We measured primary care physicians' (PCPs) and psychiatrists' knowledge of religious mental health-care providers, and their willingness to refe ... Full text Link to item Cite

Associations between religion-related factors and cervical cancer screening among Muslims in greater chicago.

Journal Article J Low Genit Tract Dis · October 2014 OBJECTIVE: This study aimed to assess rates of Papanicolaou (Pap) testing and associations between religion-related factors and these rates among a racially and ethnically diverse sample of American Muslim women. MATERIALS AND METHODS: A community-based pa ... Full text Link to item Cite

Patterns of user disclosure of complementary and alternative medicine (CAM) use.

Journal Article Med Care · August 2014 OBJECTIVE: To investigate patterns of complementary and alternative medicine (CAM) use disclosure across medical and sociobehavioral factors and to provide a model that takes into account factors in explaining those patterns. SUBJECTS: A total of 21,849 CA ... Full text Link to item Cite

The prevalence of medical student mistreatment and its association with burnout.

Journal Article Acad Med · May 2014 PURPOSE: Medical student mistreatment has been recognized for decades and is known to adversely impact students personally and professionally. Similarly, burnout has been shown to negatively impact students. This study assesses the prevalence of student mi ... Full text Link to item Cite

Directive counsel and morally controversial medical decision-making: findings from two national surveys of primary care physicians.

Journal Article J Gen Intern Med · February 2014 BACKGROUND: Because of the potential to unduly influence patients' decisions, some ethicists counsel physicians to be nondirective when negotiating morally controversial medical decisions. OBJECTIVE: To determine whether primary care providers (PCPs) are l ... Full text Link to item Cite

Physician opinion and the HHS contraceptives mandate

Journal Article AJOB Empirical Bioethics · January 1, 2014 Background: The Health and Human Services (HHS) contraceptives mandate, recommended on the advice of the Institute of Medicine (IOM), has evoked a heated debate about whether religiously affiliated organizations should be required to provide contraceptive ... Full text Cite

Holy transgressions: breaching the wall between public religion and patient care.

Journal Article Narrat Inq Bioeth · 2014 The stories in this collection can be described as stories of transgression. The writers have learned that public expressions of religious faith or reasoning are to be kept separate from the practices of caring for patients. Mixing the two is dangerous. Ye ... Full text Link to item Cite

Religion in Organized Medicine: The AMA's Committee and Department of Medicine and Religion, 1961-1974.

Journal Article Perspect Biol Med · 2014 The history commonly told of the relationship between modern medicine and religion is one of steady, even inevitable, separation rooted in the Enlightenment. The divorce between medicine and religion, it is thought, had become nearly total before a recent ... Full text Link to item Cite

Religion and United States physicians' opinions and self-predicted practices concerning artificial nutrition and hydration.

Journal Article J Relig Health · December 2013 This study surveyed 1,156 practicing US physicians to examine the relationship between physicians' religious characteristics and their approaches to artificial nutrition and hydration (ANH). Forty percent of physicians believed that unless a patient is imm ... Full text Link to item Cite

Religion and disparities: considering the influences of Islam on the health of American Muslims.

Journal Article J Relig Health · December 2013 Both theory and data suggest that religions shape the way individuals interpret and seek help for their illnesses. Yet, health disparities research has rarely examined the influence of a shared religion on the health of individuals from distinct minority c ... Full text Link to item Cite

The moral psychology of rationing among physicians: the role of harm and fairness intuitions in physician objections to cost-effectiveness and cost-containment.

Journal Article Philos Ethics Humanit Med · September 8, 2013 INTRODUCTION: Physicians vary in their moral judgments about health care costs. Social intuitionism posits that moral judgments arise from gut instincts, called "moral foundations." The objective of this study was to determine if "harm" and "fairness" intu ... Full text Link to item Cite

Religion and anxiety treatments in primary care patients.

Journal Article Anxiety Stress Coping · September 2013 Earlier data suggested that religious physicians are less likely to refer to a psychiatrist or psychologist. This follow-up study measures how religious beliefs affect anxiety treatments in primary care. We surveyed US primary care physicians and psychiatr ... Full text Link to item Cite

Intentional sedation to unconsciousness at the end of life: findings from a national physician survey.

Journal Article J Pain Symptom Manage · September 2013 CONTEXT: The terms "palliative sedation" and "terminal sedation" have been used to refer to both proportionate palliative sedation, in which unconsciousness is a foreseen but unintended side effect, and palliative sedation to unconsciousness, in which phys ... Full text Link to item Cite

Substituted judgment in principle and practice: a national physician survey.

Journal Article Mayo Clin Proc · July 2013 OBJECTIVE: To describe the extent to which US physicians endorse substituted judgments in principle or accommodate them in practice. PATIENTS AND METHODS: We surveyed a stratified, random sample of 2016 physicians by mail from June 25, 2010, to September 3 ... Full text Link to item Cite

Providing guidance to patients: physicians' views about the relative responsibilities of doctors and religious communities.

Journal Article South Med J · July 2013 OBJECTIVES: Patients' religious communities often influence their medical decisions. To date, no study has examined what physicians think about the responsibilities borne by religious communities to provide guidance to patients in different clinical contex ... Full text Link to item Cite

Authors' reply to Dirksen et al.

Journal Article J Pain Symptom Manage · May 2013 Full text Link to item Cite

Physicians' Beliefs about the Nature of Addiction: A Survey of Primary Care Physicians and Psychiatrists

Journal Article American Journal on Addictions · March 8, 2013 Background and Objectives: Society debates whether addiction is a disease, a response to psychological woundedness, or moral failing. Method: We surveyed a national sample of 1427 US primary care physicians (PCPs) and 487 psychiatrists, asking "In your jud ... Full text Cite

A spiritual problem? Primary care physicians' and psychiatrists' interpretations of medically unexplained symptoms.

Journal Article J Gen Intern Med · March 2013 BACKGROUND: Patients commonly present to their physicians with medically unexplained symptoms (MUS), and there is no consensus about how physicians should interpret or treat such symptoms. OBJECTIVE: To examine how variations in physicians' interpretations ... Full text Link to item Cite

"Righteous minds" in health care: measurement and explanatory value of social intuitionism in accounting for the moral judgments in a sample of U.S. physicians.

Journal Article PLoS One · 2013 The broad diversity in physicians' judgments on controversial health care topics may reflect differences in religious characteristics, political ideologies, and moral intuitions. We tested an existing measure of moral intuitions in a new population (U.S. p ... Full text Link to item Cite

Religion and beliefs about treating medically unexplained symptoms: a survey of primary care physicians and psychiatrists.

Journal Article Int J Psychiatry Med · 2013 OBJECTIVE: Historical evidence and prior research suggest that psychiatry is biased against religion, and religious physicians are biased against the mental health professions. Here we examine whether religious and non-religious physicians differ in their ... Full text Link to item Cite

Physicians' Beliefs about the nature of addiction: a survey of primary care physicians and psychiatrists.

Journal Article Am J Addict · 2013 BACKGROUND AND OBJECTIVES: Society debates whether addiction is a disease, a response to psychological woundedness, or moral failing. METHOD: We surveyed a national sample of 1427 US primary care physicians (PCPs) and 487 psychiatrists, asking "In your jud ... Full text Link to item Cite

Following the call: How providers make sense of their decisions to work in faith-based and secular urban community health centers

Journal Article · January 1, 2013 The recruitment and retention of well-trained, motivated health care providers in underserved communities is a well described, longstanding, and refractory problem. In 1998, Singer and colleagues reported that the median tenure of primary care practitioner ... Cite

Religiosity, spirituality, and end-of-life planning: a single-site survey of medical inpatients.

Journal Article J Pain Symptom Manage · December 2012 CONTEXT: Prior studies suggest that terminally ill patients who use religious coping are less likely to have advance directives and more likely to opt for heroic end-of-life measures. Yet, no study to date has examined whether end-of-life practices are ass ... Full text Link to item Cite

Primary care physicians' and psychiatrists' approaches to treating mild depression.

Journal Article Acta Psychiatr Scand · November 2012 OBJECTIVE: To measure how primary care physicians (PCPs) and psychiatrists treat mild depression. METHOD: We surveyed a national sample of US PCPs and psychiatrists using a vignette of a 52-year-old man with depressive symptoms not meeting Major Depressive ... Full text Link to item Cite

Dignity in end-of-life care: results of a national survey of U.S. physicians.

Journal Article J Pain Symptom Manage · September 2012 CONTEXT: Debates persist about the relevance of "dignity" as an ethical concept in U.S. health care, especially in end-of-life care. OBJECTIVES: To describe the attitudes and beliefs regarding the usefulness and meaning of the concept of dignity and to exa ... Full text Link to item Cite

Obstetrician-gynecologists, religious institutions, and conflicts regarding patient-care policies.

Journal Article Am J Obstet Gynecol · July 2012 OBJECTIVE: The purpose of this study was to assess how common it is for obstetrician-gynecologists who work in religiously affiliated hospitals or practices to experience conflict with those institutions over religiously based policies for patient care and ... Full text Link to item Cite

Physicians' beliefs about faith-based treatments for alcoholism.

Journal Article Psychiatr Serv · June 2012 OBJECTIVE: The study examined physicians' beliefs about faith-based alcohol treatments vis-à-vis Alcoholics Anonymous, pharmacologic treatment, and residential treatment. METHODS: A survey was mailed to a national sample of U.S. primary care physicians and ... Full text Link to item Cite

What we don't talk about when we don't talk about sex: results of a national survey of U.S. obstetrician/gynecologists.

Journal Article J Sex Med · May 2012 INTRODUCTION: Sexuality is a key aspect of women's physical and psychological health. Research shows both patients and physicians face barriers to communication about sexuality. Given their expertise and training in addressing conditions of the female geni ... Full text Link to item Cite

Obstetrician-gynecologists' beliefs about when pregnancy begins.

Journal Article Am J Obstet Gynecol · February 2012 OBJECTIVE: The purpose of this study was to assess obstetrician-gynecologists' regarding their beliefs about when pregnancy begins and to measure characteristics that are associated with believing that pregnancy begins at implantation rather than at concep ... Full text Link to item Cite

Predictors of hospitalised patients' preferences for physician-directed medical decision-making.

Journal Article J Med Ethics · February 2012 BACKGROUND: Although medical ethicists and educators emphasise patient-centred decision-making, previous studies suggest that patients often prefer their doctors to make the clinical decisions. OBJECTIVE: To examine the associations between a preference fo ... Full text Link to item Cite

Reply

Journal Article American Journal of Obstetrics and Gynecology · January 1, 2012 Full text Cite

Jewish physicians' beliefs and practices regarding religion/spirituality in the clinical encounter.

Journal Article J Relig Health · December 2011 We used data from a 2003 survey of US physicians to examine differences between Jewish and other religiously affiliated physicians on 4-D of physicians' beliefs and practices regarding religion and spirituality (R/S) in the clinical encounter. On each dime ... Full text Link to item Cite

Obstetrician-gynaecologists' opinions about conscientious refusal of a request for abortion: results from a national vignette experiment.

Journal Article J Med Ethics · December 2011 BACKGROUND AND OBJECTIVES: Conscientious refusal of abortion has been discussed widely by medical ethicists but little information on practitioners' opinions exists. The American College of Obstetricians and Gynecologists (ACOG) issued recommendations abou ... Full text Link to item Cite

Attention to inpatients' religious and spiritual concerns: predictors and association with patient satisfaction.

Journal Article J Gen Intern Med · November 2011 BACKGROUND: Little is known about how often patients desire and experience discussions with hospital personnel regarding R/S (religion and spirituality) or what effects such discussions have on patient satisfaction. OBJECTIVE, DESIGN AND PARTICIPANTS: We e ... Full text Link to item Cite

Obstetrician-gynecologists' objections to and willingness to help patients obtain an abortion.

Journal Article Obstet Gynecol · October 2011 OBJECTIVE: To describe obstetrician-gynecologists' (ob-gyns') views and willingness to help women seeking abortion in a variety of clinical scenarios. METHODS: We conducted a mailed survey of 1,800 U.S. ob-gyns. We presented seven scenarios in which patien ... Full text Link to item Cite

Abortion provision among practicing obstetrician-gynecologists.

Journal Article Obstet Gynecol · September 2011 OBJECTIVE: To estimate prevalence and correlates of abortion provision among practicing obstetrician-gynecologists (ob-gyns) in the United States. METHODS: We conducted a national probability sample mail survey of 1,800 practicing ob-gyns. Key variables in ... Full text Link to item Cite

Adolescents, contraception and confidentiality: a national survey of obstetrician--gynecologists.

Journal Article Contraception · September 2011 BACKGROUND: Given recent legislative efforts to require parental notification for the provision of reproductive health care to minors, we sought to assess how obstetrician-gynecologists (Ob/Gyns) respond to requests for confidential contraceptive services. ... Full text Link to item Cite

Obstetrician-gynecologists' beliefs about safe-sex and abstinence counseling.

Journal Article Int J Gynaecol Obstet · September 2011 OBJECTIVE: To examine obstetrician-gynecologists' beliefs about safe-sex and abstinence counseling. METHODS: Between October 2008 and January 2009, a survey was mailed to a national randomized sample of 1800 practicing US obstetrician-gynecologists. Study ... Full text Link to item Cite

Conscientious refusals to refer: findings from a national physician survey.

Journal Article J Med Ethics · July 2011 BACKGROUND: Regarding controversial medical services, many have argued that if physicians cannot in good conscience provide a legal medical intervention for which a patient is a candidate, they should refer the requesting patient to an accommodating provid ... Full text Link to item Cite

The rise of empirical research in medical ethics: a MacIntyrean critique and proposal.

Journal Article J Med Philos · April 2011 Hume's is/ought distinction has long limited the role of empirical research in ethics, saying that data about what something is cannot yield conclusions about the way things ought to be. However, interest in empirical research in ethics has been growing de ... Full text Link to item Cite

Obstetrician-gynecologists' views on contraception and natural family planning: a national survey.

Journal Article Am J Obstet Gynecol · February 2011 OBJECTIVE: The objective of the study was to characterize beliefs about contraception among obstetrician-gynecologists. STUDY DESIGN: National mailed survey of 1800 US obstetrician-gynecologists. Criterion variables were whether physicians have a moral or ... Full text Link to item Cite

An assessment of US physicians' training in religion, spirituality, and medicine.

Journal Article Med Teach · 2011 This study examined US physicians' training in religion and medicine and its association with addressing religious and spiritual issues in clinical encounters. Reports of receiving training were higher for highly spiritual physicians, psychiatrists, and ph ... Full text Link to item Cite

Factors influencing physicians' advice about female sterilization in USA: a national survey.

Journal Article Hum Reprod · January 2011 BACKGROUND: Tubal ligation can be a controversial method of birth control, depending on the patient's circumstances and the physician's beliefs. METHODS: In a national survey of 1800 US obstetrician-gynecologist (Ob/Gyn) physicians, we examined how patient ... Full text Link to item Cite

Conflict and emotional exhaustion in obstetrician-gynaecologists: a national survey.

Journal Article J Med Ethics · December 2010 CONTEXT: Conflicts over treatment decisions have been linked to physicians' emotional states. OBJECTIVE: To measure the prevalence of emotional exhaustion and conflicts over treatment decisions among US obstetrician/gynaecologists (ob/gyns), and to examine ... Full text Link to item Cite

Obstetrician-gynecologist physicians' beliefs about emergency contraception: a national survey.

Journal Article Contraception · October 2010 BACKGROUND: Although emergency contraception (EC) is available without a prescription, women still rely on doctors' advice about its safety and effectiveness. Yet little is known about doctors' beliefs and practices in this area. STUDY DESIGN: We surveyed ... Full text Link to item Cite

Moral controversy, directive counsel, and the doctor's role: findings from a national survey of obstetrician-gynecologists.

Journal Article Acad Med · September 2010 PURPOSE: To explore physicians' attitudes toward providing directive counsel when dealing with morally controversial medical decisions, and to examine associations between physicians' opinions and their demographic and religious characteristics. METHOD: In ... Full text Link to item Cite

Obstetrician-gynecologists' beliefs about assisted reproductive technologies.

Journal Article Obstet Gynecol · July 2010 OBJECTIVE: To characterize the prevalence of objections to assisted reproductive technologies among obstetrician-gynecologists. METHODS: We conducted a national probability sample mail survey of 1,800 practicing U.S. ob-gyns. Criterion variables were wheth ... Full text Link to item Cite

Religious hospitals and primary care physicians: conflicts over policies for patient care.

Journal Article J Gen Intern Med · July 2010 BACKGROUND: Religiously affiliated hospitals provide nearly 20% of US beds, and many prohibit certain end-of-life and reproductive health treatments. Little is known about physician experiences in religious institutions. OBJECTIVE: Assess primary care phys ... Full text Link to item Cite

Factors that influence practitioners' interpretations of evidence from alternative medicine trials: a factorial vignette experiment embedded in a national survey.

Journal Article Med Care · April 2010 BACKGROUND: Clinical trial evidence in controversial areas such as complementary and alternative medicine (CAM) must be approached with an open mind. OBJECTIVE: To determine what factors may influence practitioners' interpretation of evidence from CAM tria ... Full text Link to item Cite

Justifying different levels of palliative sedation.

Journal Article Ann Intern Med · March 2, 2010 Full text Link to item Cite

A comparison of two spirituality instruments and their relationship with depression and quality of life in chronic heart failure.

Journal Article J Pain Symptom Manage · March 2010 Spirituality is a multifaceted construct related to health outcomes that remains ill defined and difficult to measure. Spirituality in patients with advanced chronic illnesses, such as chronic heart failure, has received limited attention. We compared two ... Full text Link to item Cite

What rheumatologists in the United States think of complementary and alternative medicine: results of a national survey.

Journal Article BMC Complement Altern Med · January 28, 2010 BACKGROUND: We aimed to describe prevailing attitudes and practices of rheumatologists in the United States toward complementary and alternative medicine (CAM) treatments. We wanted to determine whether rheumatologists' perceptions of the efficacy of CAM t ... Full text Link to item Cite

Religion, clinicians, and the integration of complementary and alternative medicines.

Journal Article J Altern Complement Med · September 2009 OBJECTIVE: The aim of this study was to compare religious characteristics of general internists, rheumatologists, naturopaths, and acupuncturists, as well as to examine associations between physicians' religious characteristics and their openness to integr ... Full text Link to item Cite

Physicians' beliefs about conscience in medicine: a national survey.

Journal Article Acad Med · September 2009 PURPOSE: To explore physicians' beliefs about whether physicians sometimes have a professional obligation to provide medical services even if doing so goes against their conscience, and to examine associations between physicians' opinions and their religio ... Full text Link to item Cite

Alternative medicine research in clinical practice: a US national survey.

Journal Article Arch Intern Med · April 13, 2009 BACKGROUND: Little is known about whether federally funded complementary and alternative medicine (CAM) research is translating into clinical practice. We sought to describe the awareness of CAM clinical trials, the ability to interpret research results, t ... Full text Link to item Cite

Autonomy, religion and clinical decisions: findings from a national physician survey.

Journal Article J Med Ethics · April 2009 BACKGROUND: Patient autonomy has been promoted as the most important principle to guide difficult clinical decisions. To examine whether practising physicians indeed value patient autonomy above other considerations, physicians were asked to weight patient ... Full text Link to item Cite

An ethical façade? Medical students' miscomprehensions of substituted judgment.

Journal Article PLoS One · 2009 BACKGROUND: We studied how well first-year medical students understand and apply the concept of substituted judgment, following a course on clinical ethics. METHOD: Students submitted essays on one of three ethically controversial scenarios presented in cl ... Full text Link to item Cite

Commentary: A case for studying the relationship between religion and the practice of medicine.

Journal Article Acad Med · December 2008 A growing literature on the religious characteristics of health care professionals raises questions about how clinicians' religious traditions and commitments shape their clinical practices. Because medicine is a moral practice, theological and philosophic ... Full text Link to item Cite

Pediatricians are more supportive of the human papillomavirus vaccine than the general public.

Journal Article South Med J · December 2008 OBJECTIVE: The purpose of this study was to determine pediatricians' attitudes about the human papillomavirus (HPV) vaccine and to compare their attitudes with those expressed by the general public. METHODS: Eight-hundred and fifty pediatricians from the A ... Full text Link to item Cite

Paediatricians' attitudes and practices towards HPV vaccination.

Journal Article Acta Paediatr · November 2008 AIM: In June 2006, the human papillomavirus (HPV) vaccine, Gardasil, was licensed for use in the United States. We examined whether paediatricians would recommend the vaccine, obstacles they encountered and characteristics associated with not recommending ... Full text Link to item Cite

Prescribing "placebo treatments": results of national survey of US internists and rheumatologists.

Journal Article BMJ · October 23, 2008 OBJECTIVE: To describe the attitudes and behaviours regarding placebo treatments, defined as a treatment whose benefits derive from positive patient expectations and not from the physiological mechanism of the treatment itself. DESIGN: Cross sectional mail ... Full text Link to item Cite

Religion, conscience and clinical decisions.

Journal Article Acta Paediatr · March 2008 Full text Link to item Cite

Placebo prescribing among US physicians: Results of a national survey

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · March 1, 2008 Link to item Cite

To die, to sleep: US physicians' religious and other objections to physician-assisted suicide, terminal sedation, and withdrawal of life support.

Journal Article Am J Hosp Palliat Care · 2008 This study analyzes data from a national survey to estimate the proportion of physicians who currently object to physician-assisted suicide (PAS), terminal sedation (TS), and withdrawal of artificial life support (WLS), and to examine associations between ... Full text Link to item Cite

Clash of definitions: controversies about conscience in medicine.

Journal Article Am J Bioeth · December 2007 What role should the physician's conscience play in the practice of medicine? Much controversy has surrounded the question, yet little attention has been paid to the possibility that disputants are operating with contrasting definitions of the conscience. ... Full text Link to item Cite

Religion, spirituality, and medicine: psychiatrists' and other physicians' differing observations, interpretations, and clinical approaches.

Journal Article Am J Psychiatry · December 2007 OBJECTIVE: This study compared the ways in which psychiatrists and nonpsychiatrists interpret the relationship between religion/spirituality and health and address religion/spirituality issues in the clinical encounter. METHOD: The authors mailed a survey ... Full text Link to item Cite

In reply [4]

Journal Article Psychiatric Services · November 1, 2007 Full text Cite

The relationship between psychiatry and religion among U.S. physicians.

Journal Article Psychiatr Serv · September 2007 OBJECTIVE: This study compared the religious characteristics of psychiatrists with those of other physicians and explored whether nonpsychiatrist physicians who are religious are less willing than their colleagues to refer patients to psychiatrists and psy ... Full text Link to item Cite

Religion, conscience, and controversial clinical practices - Reply

Journal Article NEW ENGLAND JOURNAL OF MEDICINE · May 3, 2007 Link to item Cite

The authors reply [18]

Journal Article New England Journal of Medicine · May 3, 2007 Cite

Physicians' observations and interpretations of the influence of religion and spirituality on health.

Journal Article Arch Intern Med · April 9, 2007 BACKGROUND: In spite of a substantial body of empirical data, professional disagreement persists regarding whether and how religion and spirituality (hereinafter "R/S" and treated as a single concept) influences health. This study examines the association ... Full text Link to item Cite

Religion, conscience, and controversial clinical practices.

Journal Article N Engl J Med · February 8, 2007 BACKGROUND: There is a heated debate about whether health professionals may refuse to provide treatments to which they object on moral grounds. It is important to understand how physicians think about their ethical rights and obligations when such conflict ... Full text Link to item Cite

Do religious physicians disproportionately care for the underserved?

Journal Article Ann Fam Med · 2007 PURPOSE: Religious traditions call their members to care for the poor and marginalized, yet no study has examined whether physicians' religious characteristics are associated with practice among the underserved. This study examines whether physicians' self ... Full text Link to item Cite

Erratum: No method, thus madness (Hastings Center Report (July-August 2006))

Journal Article Hastings Center Report · January 1, 2007 Cite

Following the call: how providers make sense of their decisions to work in faith-based and secular urban community health centers.

Journal Article J Health Care Poor Underserved · November 2006 We interviewed 49 health care providers from 6 faith-based and 4 secular community health centers (CHCs) to explore the ways they relate their religious commitments to practice among the underserved. Interviews were transcribed, coded, and analyzed for eme ... Full text Link to item Cite

The association of physicians' religious characteristics with their attitudes and self-reported behaviors regarding religion and spirituality in the clinical encounter.

Journal Article Med Care · May 2006 CONTEXT: Controversy exists regarding whether and how physicians should address religion/spirituality (R/S) with patients. OBJECTIVE: This study examines the relationship between physicians' religious characteristics and their attitudes and self-reported b ... Full text Link to item Cite

Partnering together? Relationships between faith-based community health centers and neighborhood congregations.

Journal Article South Med J · December 2005 OBJECTIVE: The US Bureau of Primary Health Care has promoted collaboration between federally funded community health centers and neighborhood religious congregations, yet little is known about how such organizations currently interact in underserved neighb ... Full text Link to item Cite

How are religion and spirituality related to health? A study of physicians' perspectives.

Journal Article South Med J · August 2005 BACKGROUND: Despite expansive medical literature regarding spirituality and medicine, little is known about physician beliefs regarding the influence of religion on health. METHODS: Semistructured interviews with 21 physicians regarding the intersection of ... Full text Link to item Cite

Religious characteristics of U.S. physicians: a national survey.

Journal Article J Gen Intern Med · July 2005 BACKGROUND: Patients' religious commitments and religious communities are known to influence their experiences of illness and their medical decisions. Physicians are also dynamic partners in the doctor-patient relationship, yet little is known about the re ... Full text Link to item Cite

Euthanasia in severely ill newborns.

Journal Article N Engl J Med · June 2, 2005 Link to item Cite

Euthanasia in severely ill newborns

Journal Article NEW ENGLAND JOURNAL OF MEDICINE · June 2, 2005 Link to item Cite

Errata

Journal Article Journal of General Internal Medicine · May 2005 Full text Cite

Strangers or friends? A proposal for a new spirituality-in-medicine ethic.

Journal Article J Gen Intern Med · April 2005 We argue that debate regarding whether and how physicians should engage religious concerns has proceeded under inadequate terms. The prevailing paradigm approaches dialogue regarding religion as a form of therapeutic technique, engaged by one stranger, the ... Full text Link to item Cite

When patients choose faith over medicine: physician perspectives on religiously related conflict in the medical encounter.

Journal Article Arch Intern Med · January 10, 2005 BACKGROUND: Patients at times disagree with medical recommendations for religious reasons. Despite a lively debate about how physicians should respond to patients' religious concerns, little is known about how physicians actually respond. We explored the w ... Full text Link to item Cite

Patient counseling and matters of conscience

Journal Article Virtual Mentor · January 1, 2005 Full text Cite

Can physicians' care be neutral regarding religion?

Journal Article Acad Med · July 2004 A recent critique of the growing field of spirituality and medicine suggests that physicians should foster a professional ethic that is deliberately neutral regarding religion. The critique reflects an anxiety that it is almost inherently coercive for phys ... Full text Link to item Cite

Physician religiosity and approaches to spirituality in medicine.

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2004 Link to item Cite

Racial, ethnic, and affluence differences in elderly patients' use of teaching hospitals.

Journal Article J Gen Intern Med · September 2002 OBJECTIVE: To understand the role of race, ethnicity, and affluence in elderly patients' use of teaching hospitals when they have that option. METHODS: Using a novel data set of 787,587 Medicare patients newly diagnosed with serious illness in 1993, we loo ... Full text Link to item Cite