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6/17/2015 1 WELCOME TO THE 2 ND ANNUAL ISLAMIC BIOETHICS WORKSHOP: DISSECTING THE ETHICS OF ORGAN DONATION HOUSEKEEPING ITEMS Registration Desk: Name Badges Course Packets Readings, Information Material, Evaluation Forms Tumbler Course Evaluations [2] Please fill out and return to desk CME Certificates (APPNA Members online; Non-APPNA @ desk) Food Refreshments outside Boxed Lunches Provided Friday Prayers- We will walk over at 12:45 promptly
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Page 1: HOUSEKEEPING ITEMS - Program on Medicine and … 3 THE INITIATIVE ON ISLAM & MEDICINE Methodology: ‐Bring together religious scholars, Islamic studies experts, medical and social

6/17/2015

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WELCOME TO THE 2ND ANNUAL ISLAMIC BIOETHICS WORKSHOP:

DISSECTING THE ETHICS OF ORGAN DONATION

HOUSEKEEPING ITEMS

Registration Desk: Name Badges

Course Packets Readings, Information Material, Evaluation Forms

Tumbler

Course Evaluations [2] Please fill out and return to desk

CME Certificates (APPNA Members online; Non-APPNA @ desk)

Food Refreshments outside

Boxed Lunches Provided

Friday Prayers- We will walk over at 12:45 promptly

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EXPRESSIONS OF GRATITUDE

Program on Medicine & Religion Dr. Dan Sulmasy & Daniel Kim

MacLean Center for Clinical Medical Ethics Dr. Mark Siegler

American Islamic College Dr. Ali Yurtsever

II&M Staff & Volunteers Elham Mireshghi Tasmiha Khan Hadiyah Muhammad Amanda Giles Milkie Vu Alia Azmat Hina Muneeruddin Sofia Sami Azam Zariff Munzareen Padela

All the lecturers & my teachers/mentors

Healthcare System

Seminary

MuslimCommunity

Academy

Islam

American Muslim Health

Translation

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THE INITIATIVE ON ISLAM & MEDICINE

Methodology:‐Bring together religious scholars, Islamic studies experts, medical and social scientists to fill in the knowledge gaps around Islamic bioethics

‐Host intensive workshops, symposia and conferences that disseminate this new knowledge

OVERARCHING GOALS FOR WORKSHOP

Gained conceptual literacy in “Islamic” Bioethics

Equipped with greater understanding regarding the ethico-legal debates surrounding organ donation from Islamic perspectives

Increased interest in studying the intersections of Islam, healthcare, and bioethics

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PEDAGOGICAL APPROACH

Balance Knowledge: Theoretical and Practical

Presentation: Didactic and Narrative/Case-based

Disciplinary Focus: Theology, Law and Sociology

COURSE OVERVIEW

Day 1: Survey of the fieldActors & Material- Practical Lens Typology for end-users of Islamic bioethics literature

Constructing an “Islamic” Bioethics?- Theological Lens Discuss moral theology informed reviewEpistemology of the “normative” in Islamic ethics

Fiqh to Tasawwuf – Legal Lens Empirical and theoretical methods of bioethics

Health Risk Assessment…- Multidisciplinary Theoretical dialogue between clinicians and Islamic scholars

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COURSE OVERVIEW

Day 2: Deep Dive into Organ Donation Ethics Ethical Issues in Living Organ Donor Transplant-

Practical Lens Process & Procedures – Practical Lens Islamic Legal Views on Organ Donation…-Legal Lens Literature review of juridical opinions

Muslim Medical Ethics and Diversity of Ulama- Applied Lens Examine interventions aimed at promoting organ donation amongst

Muslims

Shia Opinions…- Theological and Legal Lens Contexts of Organ Donation…- Sociology &

Anthropology

COURSE OVERVIEW

Day 3: Applied Islamic Bioethics

Role of Muslim Physicians…- Practical Lens

Case Discussion

Conceptual Review

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MOSQUE-BASED SURVEY OF AMERICAN MUSLIMS [MI;N=97]

37% 16% 26% 18%

NATIONAL SURVEY OF AMERICAN MUSLIM PHYSICIANS [IMANA;N=255]

15% 85%

67% 33%

8% 92%

35% 65%

3% 97%

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VISION OF THE II&M

To  become  the  leading center  for  study, dialogue,  and  education  at  the  intersection of  the  Islamic  tradition and  biomedicine

THE ACTORS & MATERIALS OF “ISLAMIC” BIOETHICS

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BACKGROUND

Islamic Bioethics Newly ‘birthed’ field of academic inquiry with interest

from many corners

Lack of clarity about the “Islamic”What content qualifies as Islamic implications for

methods of derivation and research

Questions about scope and nature of “bioethics” Emerge from the multi- and interdisciplinarity of

bioethics

ISLAMIC BIOETHICS LITERATURE

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Who needs (searches for) is Islamic Bioethical Guidance?

Who are the consumers of Islamic Bioethics?

MANY CONSUMERS

Muslim patients Concordance between medical care and Islamic regulations

Muslim healthcare providers Islam does influence medical practice - an “Islamic” ethos

Religious leaders To advice clinicians and patients regarding biomedicine

Healthcare inst i tut ions Culturally-sensitive care that improves quality

Policy and Community Stakeholders Advocate for a more culturally accommodating healthcare system

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Who are the producers of Islamic Bioethics?

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ANYBODY ELSE?

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Who is an Islamic Bioethics Expert?

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REPORTING ON ISLAMIC BIOETHICS IN THE MEDICAL LITERATURE: WHERE ARE THE EXPERTS?

SHANAWANI & KHALIL

Reviewed Pubmed from 1950-2005“Islam or Muslim” & “Bioethics” 146 papers

Content:Only 11 mention more than 1 ‘universal’ Islamic

position

5 mention concepts/sources of Islamic law Implication Writings lack depth and do not meet scholarly and practical needs

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64% never or rarely consult Islamic jurists

55% never or rarely read Islamic bioethics books

79% never or rarely look to Islamic medical fiqh academy verdicts

77% never or rarely seek guidance from Imams

National Survey of American Muslim physicians [n=255; IMANA]

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SocialScience

Medical Sciences

Philosophy &Bioethics

HealthPolicy

Ethics(Adab)

Moral Theology

(usul al fiqh)

IslamicLaw

(fiqh, hukm)

ClinicalPractice

AnIslamic

Bioethics

DiscursivePartners

Inputs

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CONSTRUCTING AN ‘”ISLAMIC BIOETHICS:

CRITICAL CONCEPTS FROM THEOLOGY & LAW

What is Islam? A tradition of practices

with meaning observed by a community

A meaning-making system (cultural system)

Teachings with sources

What makes something “Islamic”?

Tied to sources (Q&S)

Bounded within a shared understandings of a scholarly class (a discursive tradition)

TERMINOLOGY

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TERMINOLOGY

What is (Bio)ethics? - the “right/good/most appropriate” way to do something

what is the objective criterion?

ISLAMIC MORAL THEOLOGY: CORE CONCEPTS

Revelation (wahy) Matloo Qur’an

Ghayr matloo Sunnah

An “Islamic” “Bioethics” Revelatory guidance for human behavior relating to biomedicine

that accords with the “good”/”right”

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WHAT IS GOOD/RIGHT?

What is the end-goal of action?

What is right/good? What are the sources for assessment?

Labelling authority vs. Characteristic of action Theological voluntarism or Deistic Subjectivism

‘Ashari vs. Mu’tazali; Maturidi theology regarding intellect

Are God’s commands are purposeful? What is the purpose? (human benefit?)

Is there a “rule” of God? [two camps]

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“Fatwa”

Qur’an, Sunnah, Maqasid (objectives),

Qawa’id (maxims)

What are Islamic ethico-legal perspectives on….?

Forbidden

Discouraged

Permissible

Supererogatory

Obligatory

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ISLAMIC ETHICO-LEGAL DELIBERATION

Usul(sources)

•Textual- Quran & Prophetic example•Formal- Qiyas (analogy) & Ijma (consensus)•Secondary Sources- Istishab, Urf

Maqasid(objectives)

•Protection of life, religion, intellect, property, honor

•Maslaha (public interest) [also an usul]

Qawaid(maxims)

•Hardship calls for license•Dire necessity renders prohibited things

permissible

ETHICS IN ISLAM

What can I do What should I do?

Islam (legal minimum) Ihsan (perfected optimum)

Role of fuqaha ( jurists)= move community from sinful to realm of permissible actions

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TERMINOLOGY

Islamic Bioethics: Tied scriptural sources & bearers of tradition with 2

genres Fiqhi Literature = permissibility of therapies along an

ethico-legal gradient

Adabi Literature = inculcating of virtue-based practices

Muslim Bioethics:Sociological study of how Muslims respond to

ethical challenges with ‘Islam’ as one input

TERMINOLOGY

Applied Islamic Bioethics Research:Bridges Islamic & Muslim bioethics

methodologically

Examining the ways in which material of Islamic bioethics is understood and applied by consumers

Examining the translation of biomedical concepts into edifice of Islamic law

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THE INITIATIVE

ON ISLAM AND MEDICINE

WORKSHOP WRAP-UP

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SocialScience

Medical Sciences

Philosophy &Bioethics

HealthPolicy

Ethics(Adab)

Moral Theology

(usul al fiqh)

IslamicLaw

(fiqh, hukm)

ClinicalPractice

AnIslamic

Bioethics

DiscursivePartners

Inputs

FATAWA SHORTCOMINGS

Jurists Tendencies Legists use machinary of fiqh to ‘remove’ sin

Deference to ahl al-khibrah for details and concepts

Conceptualization of the Problem-space May occur prior to fatwa and be not written into

Or systematized after collation of juridical opinions performed Hukm al-shay far tasawurrih

Or faulty

Islamic ethico-legal constructs May require further theorization and conceptualization

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LIMITATIONS OF “FATWA-HUNTING”

Method “Publication” Bias

Tool for Policy Context-driven (contingent vs normative)

Ethico-legal Source subject to the inherent limitations of the constructs

Recognizing these shortcomings is necessary for Avoiding misapplication & misreading

RESEARCH METHODOLOGY

Level 1: Encyclopedia of Islamic Bioethics

Fiqh Academies Dar al Ifta Al Misrriyah

Islamic Fiqh Academy of the Muslim World League (Jeddah)

Islamic Fiqh Academy (India)

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RESEARCH METHODOLOGY

Level 2: Review Books by Islamic legal experts

Topical reviews in Islamic Medical and Scientific Ethics Research Library at Georgetown University

Level 3: Individual fatwas or opinion pieces Qibla for the Islamic Sciences (formerly Sunnipath)

IslamQA,

Islam Biomedicine

High-Quality Research

High-Quality Education

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Developing a Religiously-Tailored Intervention to Improve Mammography Rates in Mosque Communities

Associations between Religiosity & Workplace Discrimination & Bioethical Attitudes in American Muslim Physician Workforce

ISLAMIC THEOLOGY & THE HUMAN SCIENCES

Traditional ulema Clinicians Academicians

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UNFUNDED TRAINEES [2011-DATE]

Undergraduate Interns: Five 2 national conference presentations

Post-Graduate (Bachelor or Master’s): Five (+3) 6 presentations (+1); 1 paper

Medical Students Three 3 presentations, 2 papers

Doctoral Two 4 presentation, 1 paper

Post-doctoral Two 1 presentation, 2 papers under-review

Evaluation Forms

Publicize this workSocial Media, word-of-mouth

Support our work Connect to donors and collaborators (a lot of volunteerism in

II&M)

Host 5-hr workshops in community setting [EOL in Dallas, LA]

Stay TunedApr/May 2016 Interaction and Intersection:

Discourse and Dialogue at between Islamic Theology & Biomedicine 3 day Conference with abstract call

CLOSING REQUESTS

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