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Latest News
Dr.Padela recently got published in the Chest. The manuscript uses a clinical case to work through Muslim controversies over brain death and withdrawing life support Here is the link
The recording for our Live Webinar on "Advancing equity for Muslim physicians in the healthcare workforce" and the policy report that stems from our research is available now at : click here
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Religion, Bioethics, and Medicine

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MacLean Center for Clinical Medical Ethics (ethics fellowship, Spring Module)

Instructors: Aasim Padela MD, MSc & M. Jeanne Wirpsa, MA, BCC

Course Description:

Religious traditions provide frameworks for understanding the human being and disease, and for attending to the moral dimensions of healthcare within the clinical encounter. For many patients (and healthcare providers) their religious identity strongly informs their health and healthcare behaviors, and religious authorities (texts as well as interpreters of those texts) provide ethical guidance by which to navigate the challenges of contemporary clinical medicine. This course will provoke learners to consider the religious dimensions of health and the clinician-patient relationship and will look closely at salient clinical medical ethical challenges faced by adherents of various religious traditions and the theologicial/ethico-legal concepts that undergird these challenges.

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Mufti Nazim Khutbah

Padela Khutbah

Shkifah Khutbah

Intervention Study

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Qualitative Study and Interviews

Fifty Muslim multiethnicity women (40 years old and above) were interviewed (6 focused group) and 19 in individual interviews. We found religious beliefs did informed mammography intention, which includes (1) the perceived religious duty to care for one’s health, (2) religious practices as methods of disease prevention, (3) fatalistic notions about health, and (4) comfort with gender concordant health care.

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Quantitative Study and survey

240, 40 years of age or older, were surveyed (72 respondents were Arab, 71 South Asian, 59 African American, and 38 from another ethnicity). We found that positive religious coping and perceived religious discrimination in health settings significantly (negatively) affected mammogram adherence among Muslim women in Chicago.

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American Cancer Society mammogram recommendations

Mammogram recommendation for women at average risk or breast cancer

  • Women between 40 and 44 have a choice to have a mammography every year.
  • Women 45 to 54 should get mammograms every year.
  • Women 55 and older can switch to a mammogram every other year, or they can choose to continue yearly mammograms.
Chicago
Michigan
Californa

3R model

Reframing “switch train tracks”
  • Keep the barriers belief intact but change the way one thinks about it so it is consonant with the desired health behavior
  • Normalizes the barrier belief
Reprioritize: “show them a better train”
  • Introduce a new belief and create higher valence for it than the barrier belief
  • Normalization of the barrier belief is optional
Reform: “breakdown the train carriage”
  • Negate the barrier belief by demonstrating its faults by appealing to authority structures
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