Spirituality & Healing: Faith and Medicine-IMC/IMANA Dec 29-30

2013. Shaaban 26,1435. • Topic: How to Bring Spirituality to Clinical

Practice in a Multicultural, Multiethnic, Multi-religious Environment: Personal Experience from New York;

• Prof. Faroque Ahmad Khan, M.A.C.P.• E-mail: faroquekhan@yahoo.com.

• With respect to personal financial relationships, contracted research includes research funding where the institution gets the grant and manages the funds and the person is the principal or named investigator on the grant.

• Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial relationship.

• The ACCME considers financial relationships to create actual conflicts of interest in CME when individuals have both a financial relationship with a commercial interest and the opportunity to affect the content of CME about the products or services of that commercial interest. The ACCME considers “content of CME about the products or services of that commercial interest” to include content about specific agents/devices, but not necessarily about the class of agents/devices, and not necessarily content about the whole disease class in which those agents/devices are used.

• With respect to financial relationships with commercial interests, when a person divests themselves of a relationship it is immediately not relevant to conflicts of interest but it must be disclosed to the learners for 12 months.

• The provider collects disclosure information from all • Individuals in control of content. Those who refuse to disclose this • information are disqualified from participating. For any person • who reports a relevant financial relationship, the provider uses • a peer review process to resolve the potential conflict of • interest. For presentations that have the greatest potential for • bias, the provider asks an independent third party reviewer to • conduct a second peer review as an additional mechanism to • resolve conflicts of interest. (SCS 2.1, SCS 2.2, SCS 2.3)

disclose relevant financial relationships to me and to the learners who participate in my activities?

Disclosure Information

In compliance with the guidelines established by ACCME

I have NO actual or potential conflict of interest in relation.

I have no relevant financial interest

to this program or presentation.

Spirituality-Religion-Ethics

• Spirituality: Trancendence questions: Meaning, value, relationships –answers.

• Religion: Community of persons who share a particular set of beliefs about the trancendent along with shared practices, texts, rituals, teaching etc.

• Ethics:Custom, habit—from ethos. Relating to morals, teaching the duty and reasons for it.Caring and sound judgement key elements.

For Starters: Basics.

Case Studies: NUMC/NY

• First Pt: Adult female tourist from Pakistan with cavitary PTB. Responded to Rx.

• PGY 1-Jewish, PGY 2--Egyptian Muslim. Consultant: Jewish.—None spoke Urdu.

• Issues: Communication—Language barrier• Intercessory prayer request—Appropriate

Response by Staff.• ACP Write Up: Hindu pts request.—No 11.

Case Studies: NUMC/NY

• Second Pt: 24 male lawyer with ALS and respiratory failure.

• Pts classmate from school was the PGY 1.• Mothers request regarding mechanical

ventilation.• Consultant: Pros, cons, options, unknowns,

personal biases.

Share of World Population of Major Religious Groups.

• Christianity—32%--Age 30 yrs• Muslims—23%--Age 23 yrs• Unaffiliated—16%---Age 34yrs• Hindus—15%--Age 26 yrs• Buddhists—7%--Age 34 yrs.• Bahais, Jains,Sikhs,Taoists etc —6% Age 33yrs• Jews—0.5%--Age 36 yrs.• Pew Research Center : NYT-Mon Dec 17th 2012

Long Island—Nassau/Suffolk Suburb of New York City.

• Estimated Population: Three million Plus.• Majority : Christians –over 50% in Nassau.• Muslims – Estimate’s—80,000 plus (2.7%).• Diversity of Religious Groups.(12 Faith Groups)• At ICLI over thirty ethnic Muslim groups.• In USA Muslims represent about two percent

of the population—six million plus.

Multi Faith Forum—Long Island

Outreach Program’s at ICLI--Elderhosteliers

Special Needs of Muslim Patients.

Sephardic Jews at ICLI

ICLI—Telicare-Catholic Interaction.

Share of World Population of Major Religious Groups.

• Christianity—32%--Age 30 yrs• Muslims—23%--Age (In USA=2% Rest 98%)• Unaffiliated—16%---Age 34yrs• Hindus—15%--Age 26 yrs• Buddhists—7%--Age 34 yrs.• Bahais, Jains,Sikhs,Taoists etc —6% Age 33yrs• Jews—0.5%--Age 36 yrs.• Pew Research Center : NYT-Mon Dec 17th 2012

Spirituality-Religion-Ethics

• Spirituality: Trancendence questions: Meaning, value, relationships –answers.

• Religion: Community of persons who share a particular set of beliefs about the trancendent along with shared practices, texts, rituals, teaching etc.

• Ethics: Custom, habit—from ethos. Relating to morals, teaching the duty and reasons for it.

• Caring and sound judgement key elements.

Probing Spirituality-Religiosity

• “Do you consider yourself spiritual?. Do you have a religious faith?”

• “How important are these beliefs, how might they influence decisions related to your health”. “Are you part of a religious or spiritual community?How might I address your spiritual needs?.

• What helps you get through tough times. To whom do you turn when you need support?.

Case Studies: NUMC/NY

• First Pt: Adult female from Pakistan with cavitary PTB. Responded to Rx. PGY 1-Jewish, PGY 2-Egyptian Muslim. Consultant: Jewish.

• Issues: Communication & Intercessory prayer.• Second Pt: 24 male lawyer with ALS and

respiratory failure. Mothers request regarding mechanical ventilation. Consultant: Pros, cons, options, unknowns, personal biases.

Take Home Messages:

• 1)Familiarize yourself with the environment, patient base, prevalent customs ex AA-(Tusk).

• 2)Incorporate key questions regarding patients belief system.

• 3)Science & belief interplay, work on both.• 4)Seek the advice of support staff.• 5)Don’t hesitate to draw the line-Euthanasia.• www.gwumc.edu/gwish/clinical/fica.cfm

• Topic: Spiritual Assessment in Medical Interview- in a Multicultural, Multiethnic, Multi-religious Environment: Personal Experience from New York;

• Prof. Faroque Ahmad Khan, M.A.C.P.• Stonington SD: The Debt of Life: Thai Lessons

—Editorial-New Engl J Med: 369:17-1583-85 Oct 24,2013.

Spirituality & Healing: Faith and Medicine-IMC/IMANA Dec 29-30

2013. Shaaban 26,1435.

Thank You—Shukriya.

ACP-Chair Elect 2014-Valedectorian GMC --Kashmir.

LIJMC-NUMC-NSUH-NYU.

Regent ACP.

ACP-NYS Laureatte.NDMF Award-Vice Chair ICLI BOT.

Parvez Mir—FCCP—Spouse

Kids: Tania-Natashe-Nabil.

KSA—KAAU 2001, Buraidah, KFMC.