16 found
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  1.  22
    The Consent Continuum: A New Model of Consent, Assent, and Nondissent for Primary Care.Marc Tunzi, David J. Satin & Philip G. Day - 2021 - Hastings Center Report 51 (2):33-40.
    The practice around informed consent in clinical medicine is both inconsistent and inadequate. Indeed, in busy, contemporary health care settings, getting informed consent looks little like the formal process developed over the past sixty years and presented in medical textbooks, journal articles, and academic lectures. In this article, members of the Society of Teachers of Family Medicine (STFM) Collaborative on Ethics and Humanities review the conventional process of informed consent and its limitations, explore complementary and alternative approaches to doctor‐patient interactions, (...)
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  2.  24
    Utilizing Community Research Committees to Improve the Informed Consent Process.Marc Tunzi, Robert P. Lennon, David Satin & Philip G. Day - 2021 - American Journal of Bioethics 21 (5):73-75.
    Millum and Bromwich’s excellent article provides both conceptual and practical rationale for reexamining the fundamentals of the informed consent process for research and clinical interventi...
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  3.  21
    Caring for the Undocumented: A View From the Safety Net.Marc Tunzi - 2019 - American Journal of Bioethics 19 (4):60-62.
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  4.  16
    Another Kind of Diversity: Honoring—or Not—the Decisions of People Who Refuse Care.Marc Tunzi - 2016 - American Journal of Bioethics 16 (2):78-79.
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  5.  20
    Facing Progress with Pragmatism: Telemedicine and Family Medicine.Marc Tunzi - 2023 - Hastings Center Report 53 (4):26-27.
    The singular expertise of family physicians is the ability to manage complexity with pragmatism, both clinically and ethically. Telemedicine raises multiple questions about the nature of the patient‐physician relationship as manifested in clinical encounters. Some of these questions are concerning, underscoring the need to assess whether medical care is better with this new technology—or if it is just different or maybe even worse. It seems clear, however, that, regardless of its limitations, telemedicine is here to stay. The pragmatic complex ethical (...)
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  6.  18
    In Defense of IECs.Rev David A. Buehler, Marc Tunzi & Stuart F. Spicker - 1987 - Hastings Center Report 17 (1):38-39.
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  7.  28
    In Defense of IECs.David A. Buehler, Marc Tunzi & Stuart F. Spicker - 1987 - Hastings Center Report 17 (1):38.
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  8.  15
    We Don’t Offer What Can’t Be Chosen: Why Harmful Consequences Should Not Be “Decisive” in Assessing Decision-Making.Philip Day, Marc Tunzi & David J. Satin - 2022 - American Journal of Bioethics 22 (10):60-62.
    In this Open Peer Commentary, we draw on our clinical experience to argue that instrumental paternalism carves a pathway to competent refusal of medical intervention. Whether C successfully navigat...
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  9.  8
    Language, Thought, and Reality.Joseph M. Foley & Marc Tunzi - 1989 - Hastings Center Report 19 (1):44-45.
  10.  9
    Advance Care Directives: Realities and Challenges in Central California.Marc Tunzi - 2011 - Journal of Clinical Ethics 22 (3):239-248.
    PurposeTo discover where patients with advance directives (ADs) obtain them and to learn what patients’ understanding is of how ADs function.MethodsAdult patients with ADs admitted to the four acute-care hospitals in Monterey County, California, were asked to participate in a survey during the study period 1 July to 8 September 2009.ResultsOf 5,811 total admissions, 455 patients (7 percent) had an AD. Of these 455 patients, 204 (45 percent) completed our survey. Participants included 146 patients with a power of attorney for (...)
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  11.  20
    A New Standard for Incapacitated Patient Decision Making: The Clinical Standard of Surrogate Empowerment.Marc Tunzi - 2012 - Journal of Clinical Ethics 23 (4):316-330.
    Founded upon the primacy of the principle of respect for autonomy, three methods of surrogate decision making traditionally have been promoted to help the family and friends of incapacitated patients. Unfortunately, the standards of advance directives, substituted judgment, and best interests are often inadequate in practice. Studies report that few patients have formal, written advance directives; that patients often change their minds about treatment over time; that many patients are simply not ready or willing to plan ahead—in part, because some (...)
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  12.  11
    Home.Marc Tunzi - 2016 - Hastings Center Report 46 (2):3-4.
    “Where's Dr. Tunzi?” Flor bellowed from the waiting room. “Is he here today?” Tattooed and built like a short middle linebacker, Flor is one of my favorite people. Despite schizophrenia, hepatitis C, and diabetes, she lives up to her name with a colorful and sunny personality. She and her partner, Nancy, have been my patients for about fifteen years, since I first met them at the small homeless clinic I help staff. I was away one day last year when Flor (...)
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  13.  11
    Health Reform and the Uninsured: The New Requirements of the Old Ethics.Marc Tunzi - 2013 - Hastings Center Report 43 (2):inside back cover-inside back co.
    I propose that a minimum standard of public service activities be defined and required by all U.S. medical specialties in order to ma.
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  14.  9
    Keeping Time.Marc Tunzi - 2013 - Hastings Center Report 43 (6):7-8.
    That's Brandenberg Concerto #3,” the Latino teenager informed me as I entered the exam room. I have a habit of whistling around the hospital. A little Bach. A little Gershwin. Disney. The Beatles. Italian folk songs. Christmas carols in December. I mix it up. As whistlers go, I'm pretty good—maybe a seven out of ten, all around—but I'm no virtuoso. In my work as a family physician, my repertoire is also quite broad, but not endlessly deep.My Latino teenager ostensibly came (...)
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  15.  33
    The Role of Patient Comfort and “Comfort Measures Only” in Organ Donation after Cardiac Death (DCD) After a Stroke.Marc Tunzi & Jeffrey P. Spike - 2014 - American Journal of Bioethics 14 (1):39-41.
    This case is in some ways unique, and in other ways very typical of ethics consults. No matter how many consults one has been involved with, new cases always pose new questions. This case is unique...
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  16.  9
    Ways of Being in Generalist Practice: Using Five “T” Habits of Mind to Guide Ethical Behavior.Marc Tunzi & William Ventres - 2020 - Journal of Clinical Ethics 31 (2):184-190.
    The practice of generalist medicine differs from the practice of other clinical disciplines. We postulate that the application of ethics in generalist practice similarly differs from its application in other healthcare settings. In contrast to the problem- focused practice of ethics in other medical specialties, the practice of ethics in generalist medicine blends habits of mind with behaviors applied routinely over time—an ethical way of being. Using a graphic summary and tabular matrix, we present five “T” habits of mind (time, (...)
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