James A Tulsky, Professor of Medicine

Contact Info:
Office Location:  Hock Plaza, Suite 602
Office Phone:  (919) 668-7215
Email Address: send me a message
Web Page:  http://faculty.duhs.duke.edu/faculty/info?pid=1980

Education:

M.D.University Of Illinois1987
Research Interests:

Dr. Tulsky's primary interests are end-of-life care, physician-patient communication, and medical ethics.  He studies quality of life at the end of life, decision-making in serious illness, negotiation of patient expectations in managed care, and evaluates interventions to improve the care of dying patients.  Methodologically, he has used techniques of health services research and has focused particularly on content analysis of audio-recorded conversations.  He also uses qualitative and quantitative methods to develop assessment tools for palliative care.

Past projects include studies of audiotaped discussions between physicians and patients about advance directives, a prospective, controlled trial to teach medical house staff palliative care skills, and a randomized controlled trial using interactive voice response technology to elicit patients' expectations about care and to improve outcomes of diabetes and osteoarthritis in a primary care setting.  He has also conducted two projects that explore how physicians negotiate patients' requests for medically unindicated tests, referrals and treatments in a resource constrained environment.  Finally, his team has developed a new measure of quality of life at the end of life (QUAL-E).  

Current major projects include SCOPE (Studying Communication in Oncologist Patient Encounters), an NCI funded project to observe and enhance discussions between oncologists and patients with advanced cancer, and PATHWAYS, an NINR funded longitudinal study of the clinical and psychosocial trajectories of patients with advanced life-limiting illness.  

Dr. Tulsky has gained national recognition for his work on end-of-life care.  He was a Project on Death in America Faculty Scholar, a Robert Wood Johnson Generalist Physician Faculty Scholar and received a VA Health Services Research Career Development Award.  He serves on the editorial board of the Journal of Palliative Medicine, is a Director of the Greenwall Foundation, and sits on numerous national panels and committees. In 2002, he was awarded the Presidential Early Career Award for Scientists and Engineers (PECASE) and in 2006 he received the American Academy on Hospice and Palliative Medicine Award for Research Excellence.

Keywords:

Advance Directives • Physician-Patient Relations • Ethics, Medical • Suicide, Assisted • Ethics, Clinical • Decision Making • Attitude to Death • Terminal Care • Communication • Resuscitation Orders • Judaism • Religion and Medicine • Quality of Life • Spirituality • Patient Satisfaction • Physician-Patient Communication • Death and Dying • Informed Consent • Palliative Care • Questionnaires • Terminally Ill • Family • Disease Management • Practice Guidelines • Emotions • HIV Seroprevalence • Ethics, Institutional • Personal Autonomy • Education, Medical, Continuing • Internal Medicine • Medical Oncology • Internship and Residency • Family Relations • Professional-Family Relations • Professional-Patient Relations • Gynecology • Cultural Diversity • Truth Disclosure • Patient Selection • Cause of Death • Mentally Ill Persons • African Americans • Consumer Satisfaction • European Continental Ancestry Group • Advance Care Planning

Representative Publications   (More Publications)

  1. DE Bailey Jr, K Steinhauser, C Hendrix, JA Tulsky, Pairing Self-Management with Palliative Care: Intervening in Life-Limiting Illness., Journal of nursing and healthcare of chronic illness, vol. 3 no. 1 (March, 2011), pp. 1-3, ISSN 1752-9824 [doi]
  2. SC Alexander, KI Pollak, PA Morgan, J Strand, AP Abernethy, AS Jeffreys, RM Arnold, M Olsen, KL Rodriguez, SK Garrigues, JR Manusov, JA Tulsky, How do non-physician clinicians respond to advanced cancer patients' negative expressions of emotions?, Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, vol. 19 no. 1 (January, 2011), pp. 155-9, ISSN 1433-7339 [doi]  [abs]
  3. JC Hays, L Wood, K Steinhauser, MK Olson, JH Lindquist, JA Tulsky, Clergy-laity support and patients' mood during serious illness: a cross-sectional epidemiologic study., Palliative & supportive care, vol. 9 no. 3 (September, 2011), pp. 273-80, ISSN 1478-9523 [doi]  [abs]
  4. KS Johnson, M Kuchibhatla, JA Tulsky, Racial differences in location before hospice enrollment and association with hospice length of stay., Journal of the American Geriatrics Society, vol. 59 no. 4 (April, 2011), pp. 732-7, ISSN 1532-5415 [doi]  [abs]
  5. KS Johnson, JA Tulsky, JC Hays, RM Arnold, MK Olsen, JH Lindquist, KE Steinhauser, Which domains of spirituality are associated with anxiety and depression in patients with advanced illness?, Journal of general internal medicine, vol. 26 no. 7 (July, 2011), pp. 751-8, ISSN 1525-1497 [doi]  [abs]
  6. TW Leblanc, JA Tulsky, DL Simel, Autopsy and Grief: A Case of Transformative Postmortem Examination., Journal of palliative medicine (August, 2011), ISSN 1557-7740 [doi]  [abs]
  7. FR Loberiza, BA Swore-Fletcher, SD Block, AL Back, RE Goldman, JA Tulsky, SJ Lee, Coping styles, health status and advance care planning in patients with hematologic malignancies., Leukemia & lymphoma (August, 2011), ISSN 1029-2403 [doi]  [abs]
  8. KE Steinhauser, RM Arnold, MK Olsen, J Lindquist, J Hays, LL Wood, AM Burton, JA Tulsky, Comparing three life-limiting diseases: does diagnosis matter or is sick, sick?, Journal of pain and symptom management, vol. 42 no. 3 (September, 2011), pp. 331-41, ISSN 1873-6513 [doi]  [abs]
  9. JA Tulsky, RM Arnold, SC Alexander, MK Olsen, AS Jeffreys, KL Rodriguez, CS Skinner, D Farrell, AP Abernethy, KI Pollak, Enhancing communication between oncologists and patients with a computer-based training program: a randomized trial., Annals of internal medicine, vol. 155 no. 9 (November, 2011), pp. 593-601, ISSN 1539-3704 [doi]  [abs]
  10. KI Pollak, SC Alexander, CJ Coffman, JA Tulsky, P Lyna, RJ Dolor, IE James, RJ Brouwer, JR Manusov, T Østbye, Physician communication techniques and weight loss in adults: Project CHAT., American journal of preventive medicine, vol. 39 no. 4 (October, 2010), pp. 321-8, ISSN 1873-2607 [doi]  [abs]
  11. AP Abernethy, CF McDonald, PA Frith, K Clark, JE Herndon 2nd, J Marcello, IH Young, J Bull, A Wilcock, S Booth, JL Wheeler, JA Tulsky, AJ Crockett, DC Currow, Effect of palliative oxygen versus room air in relief of breathlessness in patients with refractory dyspnoea: a double-blind, randomised controlled trial., Lancet, vol. 376 no. 9743 (September, 2010), pp. 784-93, ISSN 1474-547X [doi]  [abs]
  12. AL Back, RM Arnold, WF Baile, KA Edwards, JA Tulsky, When praise is worth considering in a difficult conversation., Lancet, vol. 376 no. 9744 (September, 2010), pp. 866-7, ISSN 1474-547X
  13. AL Back, RM Arnold, JA Tulsky, WF Baile, K Edwards, "Could I add something?": Teaching communication by intervening in real time during a clinical encounter., Academic medicine : journal of the Association of American Medical Colleges, vol. 85 no. 6 (June, 2010), pp. 1048-51, ISSN 1938-808X [doi]  [abs]
  14. KL Rodriguez, NK Bayliss, SC Alexander, AS Jeffreys, MK Olsen, KI Pollak, SK Garrigues, JA Tulsky, RM Arnold, Effect of patient and patient-oncologist relationship characteristics on communication about health-related quality of life., Psycho-oncology (August, 2010), ISSN 1099-1611 [doi]  [abs]
  15. JA Tulsky, Decision-making in serious illness: a matter of life, death and words., Patient education and counseling, vol. 80 no. 1 (July, 2010), pp. 1-2, ISSN 1873-5134 [doi]
  16. M Unroe, JM Kahn, SS Carson, JA Govert, T Martinu, SJ Sathy, AS Clay, J Chia, A Gray, JA Tulsky, CE Cox, One-year trajectories of care and resource utilization for recipients of prolonged mechanical ventilation: a cohort study., Annals of internal medicine, vol. 153 no. 3 (August, 2010), pp. 167-75, ISSN 1539-3704 [doi]  [abs]
  17. AL Back, RM Arnold, WF Baile, JA Tulsky, GE Barley, RD Pea, KA Fryer-Edwards, Faculty development to change the paradigm of communication skills teaching in oncology., Journal of clinical oncology : official journal of the American Society of Clinical Oncology, United States, vol. 27 no. 7 (March, 2009), pp. 1137-41, ISSN 1527-7755
  18. CS Skinner, KI Pollak, D Farrell, MK Olsen, AS Jeffreys, JA Tulsky, Use of and reactions to a tailored CD-ROM designed to enhance oncologist-patient communication: The SCOPE trial intervention., Patient education and counseling (March, 2009), ISSN 0738-3991  [abs]
  19. KE Steinhauser, SC Alexander, IR Byock, LK George, MK Olsen, JA Tulsky, Do preparation and life completion discussions improve functioning and quality of life in seriously ill patients? Pilot randomized control trial., Journal of palliative medicine, United States, vol. 11 no. 9 (November, 2008), pp. 1234-40, ISSN 1557-7740  [abs]
  20. SL Kennifer, SC Alexander, KI Pollak, AS Jeffreys, MK Olsen, KL Rodriguez, RM Arnold, JA Tulsky, Negative emotions in cancer care: Do oncologists' responses depend on severity and type of emotion?, Patient education and counseling (November, 2008), ISSN 0738-3991  [abs]
  21. KS Johnson, M Kuchibhatla, JA Tulsky, What explains racial differences in the use of advance directives and attitudes toward hospice care?, Journal of the American Geriatrics Society, United States, vol. 56 no. 10 (October, 2008), pp. 1953-8, ISSN 1532-5415  [abs]
  22. LA Allen, JE Yager, MJ Funk, WC Levy, JA Tulsky, MT Bowers, GC Dodson, CM O'Connor, GM Felker, Discordance between patient-predicted and model-predicted life expectancy among ambulatory patients with heart failure., JAMA : the journal of the American Medical Association, United States, vol. 299 no. 21 (June, 2008), pp. 2533-42, ISSN 1538-3598  [abs]
  23. TM Robinson, SC Alexander, M Hays, AS Jeffreys, MK Olsen, KL Rodriguez, KI Pollak, AP Abernethy, R Arnold, JA Tulsky, Patient-oncologist communication in advanced cancer: predictors of patient perception of prognosis., Support Care Cancer (January, 2008), ISSN 0941-4355  [abs]
  24. KS Johnson, M Kuchibhatla, D Tanis, JA Tulsky, Racial differences in hospice revocation to pursue aggressive care., Archives of internal medicine, United States, vol. 168 no. 2 (January, 2008), pp. 218-24, ISSN 0003-9926  [abs]
  25. KI Pollak, RM Arnold, AS Jeffreys, SC Alexander, MK Olsen, AP Abernethy, C Sugg Skinner, KL Rodriguez, JA Tulsky, Oncologist communication about emotion during visits with patients with advanced cancer., Journal of clinical oncology : official journal of the American Society of Clinical Oncology, United States, vol. 25 no. 36 (December, 2007), pp. 5748-52, ISSN 1527-7755  [abs]
  26. WG Anderson, SC Alexander, KL Rodriguez, AS Jeffreys, MK Olsen, KI Pollak, JA Tulsky, RM Arnold, "What concerns me is..." Expression of emotion by advanced cancer patients during outpatient visits., Support Care Cancer (October, 2007), ISSN 0941-4355  [abs]
  27. DH Taylor, J Ostermann, CH Van Houtven, JA Tulsky, K Steinhauser, What length of hospice use maximizes reduction in medical expenditures near death in the US Medicare program?, Social science & medicine (1982), England, vol. 65 no. 7 (October, 2007), pp. 1466-78, ISSN 0277-9536  [abs]
  28. JC Munn, S Zimmerman, LC Hanson, CS Williams, PD Sloane, EC Clipp, JA Tulsky, KE Steinhauser, Measuring the quality of dying in long-term care., Journal of the American Geriatrics Society, United States, vol. 55 no. 9 (September, 2007), pp. 1371-9, ISSN 0002-8614  [abs]
  29. KS Johnson, M Kuchibhatla, D Tanis, JA Tulsky, Racial differences in the growth of noncancer diagnoses among hospice enrollees., Journal of pain and symptom management, United States, vol. 34 no. 3 (September, 2007), pp. 286-93, ISSN 0885-3924  [abs]
  30. JS Barclay, LJ Blackhall, JA Tulsky, Communication strategies and cultural issues in the delivery of bad news., Journal of palliative medicine, United States, vol. 10 no. 4 (August, 2007), pp. 958-77, ISSN 1096-6218  [abs]
  31. SA Keitz, KM Stechuchak, SC Grambow, CM Koropchak, JA Tulsky, Behind closed doors: management of patient expectations in primary care practices., Archives of internal medicine, United States, vol. 167 no. 5 (March, 2007), pp. 445-52, ISSN 0003-9926  [abs]
  32. AL Back, RM Arnold, WF Baile, KA Fryer-Edwards, SC Alexander, GE Barley, TA Gooley, JA Tulsky, Efficacy of communication skills training for giving bad news and discussing transitions to palliative care., Archives of internal medicine, United States, vol. 167 no. 5 (March, 2007), pp. 453-60, ISSN 0003-9926  [abs]
  33. KE Steinhauser, EC Clipp, JC Hays, M Olsen, R Arnold, NA Christakis, JH Lindquist, JA Tulsky, Identifying, recruiting, and retaining seriously-ill patients and their caregivers in longitudinal research., Palliative medicine, England, vol. 20 no. 8 (December, 2006), pp. 745-54, ISSN 0269-2163  [abs]
  34. CM Koropchak, KI Pollak, RM Arnold, SC Alexander, CS Skinner, MK Olsen, AS Jeffreys, KL Rodriguez, AP Abernethy, JA Tulsky, Studying communication in oncologist-patient encounters: the SCOPE Trial., Palliative medicine, England, vol. 20 no. 8 (December, 2006), pp. 813-9, ISSN 0269-2163  [abs]
  35. SC Alexander, SA Keitz, R Sloane, JA Tulsky, A controlled trial of a short course to improve residents' communication with patients at the end of life., Academic medicine : journal of the Association of American Medical Colleges, United States, vol. 81 no. 11 (November, 2006), pp. 1008-12, ISSN 1040-2446  [abs]
  36. KS Johnson, K Elbert-Avila, M Kuchibhatla, JA Tulsky, Racial differences in next-of-kin participation in an ongoing survey of satisfaction with end-of-life care: a study of a study., Journal of palliative medicine, United States, vol. 9 no. 5 (October, 2006), pp. 1076-85, ISSN 1096-6218  [abs]
  37. K Fryer-Edwards, RM Arnold, W Baile, JA Tulsky, F Petracca, A Back, Reflective teaching practices: an approach to teaching communication skills in a small-group setting., Academic medicine : journal of the Association of American Medical Colleges, United States, vol. 81 no. 7 (July, 2006), pp. 638-44, ISSN 1040-2446  [abs]
  38. WG Evans, TM Cutson, KE Steinhauser, JA Tulsky, Is there no place like home? Caregivers recall reasons for and experience upon transfer from home hospice to inpatient facilities., Journal of palliative medicine, United States, vol. 9 no. 1 (February, 2006), pp. 100-10, ISSN 1096-6218  [abs]
  39. KE Steinhauser, CI Voils, EC Clipp, HB Bosworth, NA Christakis, JA Tulsky, "Are you at peace?": one item to probe spiritual concerns at the end of life., Archives of internal medicine, United States, vol. 166 no. 1 (January, 2006), pp. 101-5, ISSN 0003-9926  [abs]
  40. KS Johnson, M Kuchibhatala, RJ Sloane, D Tanis, AN Galanos, JA Tulsky, Ethnic differences in the place of death of elderly hospice enrollees., Journal of the American Geriatrics Society, United States, vol. 53 no. 12 (December, 2005), pp. 2209-15, ISSN 0002-8614  [abs]
  41. JA Tulsky, Beyond advance directives: importance of communication skills at the end of life., JAMA : the journal of the American Medical Association, United States, vol. 294 no. 3 (July, 2005), pp. 359-65, ISSN 1538-3598  [abs]
  42. AL Back, RM Arnold, JA Tulsky, WF Baile, KA Fryer-Edwards, On saying goodbye: acknowledging the end of the patient-physician relationship with patients who are near death., Annals of internal medicine, United States, vol. 142 no. 8 (April, 2005), pp. 682-5, ISSN 1539-3704
  43. KS Johnson, KI Elbert-Avila, JA Tulsky, The influence of spiritual beliefs and practices on the treatment preferences of African Americans: a review of the literature., Journal of the American Geriatrics Society, United States, vol. 53 no. 4 (April, 2005), pp. 711-9, ISSN 0002-8614  [abs]
  44. L Emanuel, C Alexander, RM Arnold, R Bernstein, R Dart, C Dellasantina, L Dykstra, J Tulsky, Palliative Care Guidelines Group of the American Hospice Foundation, Integrating palliative care into disease management guidelines., Journal of palliative medicine, United States, vol. 7 no. 6 (December, 2004), pp. 774-83, ISSN 1096-6218  [abs]
  45. BM Peck, PA Ubel, DL Roter, SD Goold, DA Asch, AS Jeffreys, SC Grambow, JA Tulsky, Do unmet expectations for specific tests, referrals, and new medications reduce patients' satisfaction?, Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine, United States, vol. 19 no. 11 (November, 2004), pp. 1080-7, ISSN 0884-8734  [abs]
  46. KE Steinhauser, EC Clipp, HB Bosworth, M McNeilly, NA Christakis, CI Voils, JA Tulsky, Measuring quality of life at the end of life: validation of the QUAL-E., Palliative & supportive care, England, vol. 2 no. 1 (March, 2004), pp. 3-14, ISSN 1478-9515  [abs]
  47. B Lo, LW Kates, D Ruston, RM Arnold, CB Cohen, CM Puchalski, SZ Pantilat, MW Rabow, RS Schreiber, JA Tulsky, Responding to requests regarding prayer and religious ceremonies by patients near the end of life and their families., Journal of palliative medicine, United States, vol. 6 no. 3 (June, 2003), pp. 409-15, ISSN 1096-6218  [abs]
  48. AL Back, RM Arnold, JA Tulsky, WF Baile, KA Fryer-Edwards, Teaching communication skills to medical oncology fellows., Journal of clinical oncology : official journal of the American Society of Clinical Oncology, United States, vol. 21 no. 12 (June, 2003), pp. 2433-6, ISSN 0732-183X
  49. KE Steinhauser, HB Bosworth, EC Clipp, M McNeilly, NA Christakis, J Parker, JA Tulsky, Initial assessment of a new instrument to measure quality of life at the end of life., Journal of palliative medicine, United States, vol. 5 no. 6 (December, 2002), pp. 829-41, ISSN 1096-6218  [abs]
  50. SL Clever, JA Tulsky, Dreaded conversations: moving beyond discomfort in patient-physician communication., Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine, United States, vol. 17 no. 11 (November, 2002), pp. 884-5, ISSN 0884-8734
  51. RC Kolarik, RM Arnold, GS Fischer, JA Tulsky, Objectives for advance care planning., Journal of palliative medicine, United States, vol. 5 no. 5 (October, 2002), pp. 697-704, ISSN 1096-6218  [abs]
  52. WA Ury, RM Arnold, JA Tulsky, Palliative care curriculum development: a model for a content and process-based approach., Journal of palliative medicine, United States, vol. 5 no. 4 (August, 2002), pp. 539-48, ISSN 1096-6218  [abs]
  53. KE Steinhauser, EC Clipp, JA Tulsky, Evolution in measuring the quality of dying., Journal of palliative medicine, United States, vol. 5 no. 3 (June, 2002), pp. 407-14, ISSN 1096-6218  [abs]
  54. JA Tulsky, Hope and hubris., Journal of palliative medicine, United States, vol. 5 no. 3 (June, 2002), pp. 339-41, ISSN 1096-6218
  55. B Lo, D Ruston, LW Kates, RM Arnold, CB Cohen, K Faber-Langendoen, SZ Pantilat, CM Puchalski, TR Quill, MW Rabow, S Schreiber, DP Sulmasy, JA Tulsky, Working Group on Religious and Spiritual Issues at the End of Life, Discussing religious and spiritual issues at the end of life: a practical guide for physicians., JAMA : the journal of the American Medical Association, United States, vol. 287 no. 6 (February, 2002), pp. 749-54, ISSN 0098-7484  [abs]
  56. KE Steinhauser, NA Christakis, EC Clipp, M McNeilly, S Grambow, J Parker, JA Tulsky, Preparing for the end of life: preferences of patients, families, physicians, and other care providers., Journal of pain and symptom management, United States, vol. 22 no. 3 (September, 2001), pp. 727-37, ISSN 0885-3924  [abs]
  57. CM Breen, AP Abernethy, KH Abbott, JA Tulsky, Conflict associated with decisions to limit life-sustaining treatment in intensive care units., Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine, United States, vol. 16 no. 5 (May, 2001), pp. 283-9, ISSN 0884-8734  [abs]
  58. KH Abbott, JG Sago, CM Breen, AP Abernethy, JA Tulsky, Families looking back: one year after discussion of withdrawal or withholding of life-sustaining support., Critical care medicine, United States, vol. 29 no. 1 (January, 2001), pp. 197-201, ISSN 0090-3493  [abs]
  59. BM Peck, DA Asch, SD Goold, DL Roter, PA Ubel, LM McIntyre, KH Abbott, JA Hoff, CM Koropchak, JA Tulsky, Measuring patient expectations: does the instrument affect satisfaction or expectations?, Medical care, United States, vol. 39 no. 1 (January, 2001), pp. 100-8, ISSN 0025-7079  [abs]
  60. KE Steinhauser, NA Christakis, EC Clipp, M McNeilly, L McIntyre, JA Tulsky, Factors considered important at the end of life by patients, family, physicians, and other care providers., JAMA : the journal of the American Medical Association, UNITED STATES, vol. 284 no. 19 (November, 2000), pp. 2476-82, ISSN 0098-7484  [abs]
  61. KE Steinhauser, EC Clipp, M McNeilly, NA Christakis, LM McIntyre, JA Tulsky, In search of a good death: observations of patients, families, and providers., Annals of internal medicine, UNITED STATES, vol. 132 no. 10 (May, 2000), pp. 825-32, ISSN 0003-4819  [abs]
  62. GS Fischer, RM Arnold, JA Tulsky, Talking to the older adult about advance directives., Clinics in geriatric medicine, UNITED STATES, vol. 16 no. 2 (May, 2000), pp. 239-54, ISSN 0749-0690  [abs]
  63. JA Tulsky, R Ciampa, EJ Rosen, Responding to legal requests for physician-assisted suicide. University of Pennsylvania Center for Bioethics Assisted Suicide Consensus Panel., Annals of internal medicine, UNITED STATES, vol. 132 no. 6 (March, 2000), pp. 494-9, ISSN 0003-4819  [abs]
  64. KE Steinhauser, GL Maddox, JL Person, JA Tulsky, The evolution of volunteerism and professional staff within hospice care in North Carolina., The Hospice journal, UNITED STATES, vol. 15 no. 1 (2000), pp. 35-51, ISSN 0742-969X  [abs]
  65. M Danis, D Federman, JJ Fins, E Fox, B Kastenbaum, PN Lanken, K Long, E Lowenstein, J Lynn, F Rouse, J Tulsky, Incorporating palliative care into critical care education: principles, challenges, and opportunities., Critical care medicine, UNITED STATES, vol. 27 no. 9 (September, 1999), pp. 2005-13, ISSN 0090-3493  [abs]
  66. B Lo, T Quill, J Tulsky, Discussing palliative care with patients. ACP-ASIM End-of-Life Care Consensus Panel. American College of Physicians-American Society of Internal Medicine., Annals of internal medicine, UNITED STATES, vol. 130 no. 9 (May, 1999), pp. 744-9, ISSN 0003-4819
  67. JA Tulsky, GS Fischer, MR Rose, RM Arnold, Opening the black box: how do physicians communicate about advance directives?, Annals of internal medicine, UNITED STATES, vol. 129 no. 6 (September, 1998), pp. 441-9, ISSN 0003-4819  [abs]
  68. GS Fischer, JA Tulsky, MR Rose, LA Siminoff, RM Arnold, Patient knowledge and physician predictions of treatment preferences after discussion of advance directives., Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine, UNITED STATES, vol. 13 no. 7 (July, 1998), pp. 447-54, ISSN 0884-8734  [abs]
  69. Tulsky JA. Teaching physicians to deliver bad news: some practical advice.  J Pall Med 1998;1(4):423-26.
  70. LC Hanson, JA Tulsky, M Danis, Can clinical interventions change care at the end of life?, Annals of internal medicine, UNITED STATES, vol. 126 no. 5 (March, 1997), pp. 381-8, ISSN 0003-4819  [abs]
  71. JA Tulsky, BR Cassileth, CL Bennett, The effect of ethnicity on ICU use and DNR orders in hospitalized AIDS patients., The Journal of clinical ethics, UNITED STATES, vol. 8 no. 2 (1997), pp. 150-7, ISSN 1046-7890
  72. SJ Diem, JD Lantos, JA Tulsky, Cardiopulmonary resuscitation on television. Miracles and misinformation., The New England journal of medicine, UNITED STATES, vol. 334 no. 24 (June, 1996), pp. 1578-82, ISSN 0028-4793  [abs]
  73. JA Tulsky, MA Chesney, B Lo, See one, do one, teach one? House staff experience discussing do-not-resuscitate orders., Archives of internal medicine, UNITED STATES, vol. 156 no. 12 (June, 1996), pp. 1285-9, ISSN 0003-9926  [abs]
  74. JA Tulsky, A Alpers, B Lo, A middle ground on physician-assisted suicide., Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees, UNITED STATES, vol. 5 no. 1 (1996), pp. 33-43, ISSN 0963-1801
  75. JA Tulsky, CB Stocking, Obstacles and opportunities in the design of ethics consultation evaluation., The Journal of clinical ethics, UNITED STATES, vol. 7 no. 2 (1996), pp. 139-45, ISSN 1046-7890
  76. JA Tulsky, MA Chesney, B Lo, How do medical residents discuss resuscitation with patients?, Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine, UNITED STATES, vol. 10 no. 8 (August, 1995), pp. 436-42, ISSN 0884-8734  [abs]
  77. JA Tulsky, B Lo, Ethics consultation: time to focus on patients., The American journal of medicine, UNITED STATES, vol. 92 no. 4 (April, 1992), pp. 343-5, ISSN 0002-9343
  78. JA Tulsky, Ancient wisdom for modern medicine. The tradition of Judaism., North Carolina medical journal, UNITED STATES, vol. 61 no. 3 , pp. 141-4, ISSN 0029-2559
  79. AL Back, RM Arnold, WF Baile, JA Tulsky, K Fryer-Edwards, Approaching difficult communication tasks in oncology., CA: a cancer journal for clinicians, United States, vol. 55 no. 3 , pp. 164-77, ISSN 0007-9235  [abs]
  80. WG Evans, JA Tulsky, AL Back, RM Arnold, Communication at times of transitions: how to help patients cope with loss and re-define hope., Cancer journal (Sudbury, Mass.), United States, vol. 12 no. 5 , pp. 417-24, ISSN 1528-9117  [abs]
  81. DL Roter, S Larson, GS Fischer, RM Arnold, JA Tulsky, Experts practice what they preach: A descriptive study of best and normative practices in end-of-life discussions., Archives of internal medicine, UNITED STATES, vol. 160 no. 22 , pp. 3477-85, ISSN 0003-9926  [abs]
  82. AK Smith, AP Ries, B Zhang, JA Tulsky, HG Prigerson, SD Block, Resident approaches to advance care planning on the day of hospital admission., Archives of internal medicine, United States, vol. 166 no. 15 , pp. 1597-602, ISSN 0003-9926  [abs]