Program WMA International Code of Medical Ethics conscientious objection 220630

30 June 2022
1
World Medical Association International Code of Medical Ethics
Dedicated conference on physician conscientious objection
4-5 July 2022
The Pullman Hotel at CBD Thamrin
Jakarta, Indonesia
PROGRAM
Day 1
11 a.m. –
12 p.m.
Closed ICoME workgroup meeting
12:00 –
2:00 p.m.
Lunch provided for all participants
On-site registration
2:00 –
2:30 p.m.
Welcome remarks
 Dr. Otmar Kloiber, WMA Secretary General
 Dr. M Adib Khumaidi, President of the Indonesian Medical Association
 Budi Gunadi, Ministry of Health, Indonesia
 Anies Baswedan, Governor of Jakarta
Session 1
Chair: Dr. Ravindra Wankhedkar, treasurer of the WMA, India
Co-chair: Indonesian Medical Association
2:30 –
2:45 p.m.
Introduction to the International Code of Medical Ethics (ICoME) and the
revision process, followed by reading of the current draft of the ICoME
paragraph focused on physician conscientious objection
 Dr. Ramin Parsa-Parsi, Chair of WMA ICoME revision workgroup;
German Medical Association
2:45 –
3:05 p.m.
Introduction: Addressing physician conscientious objection in a pluralistic
society
 Prof. Urban Wiesing, ICoME workgroup ethics advisor; University of
Tübingen, Germany
3:05 –
3:25 p.m.
Regional perspective
 Dr. Henry Okwuokenye, Medical Council of Nigeria
3:25 –
3:45 p.m.
Coffee break
30 June 2022
2
World Medical Association International Code of Medical Ethics
Dedicated conference on physician conscientious objection
4-5 July 2022
The Pullman Hotel at CBD Thamrin
Jakarta, Indonesia
DRAFT PROGRAM
Day 1
Session 2
Chair: Dr. Mvuyisi Mzukwa, Chair of Board, South African Medical Association
Co-chair: Indonesian Medical Association
3:45 –
4:25 p.m.
Mandated referrals or other limits to physician conscientious objection
Keynote: Prof. Angela Ballantyne, University of Otago, Wellington, New Zealand
(20 mins.)
Responses:
 Dr. Alberto Giubilini, The Oxford Uehiro Centre for Practical Ethics, UK
(virtual) (15 mins.)
 Leah Wapner, Secretary General, Israeli Medical Association, Israel (10
mins.)
 Discussion
4:25 –
5:05 p.m.
In defense of permitting physicians with a moral objection to a practice not to
refer patients
Keynote: Dr. Daniel Sulmasy, Director, Kennedy Institute of Ethics, USA (20
mins.)
Responses:
 Dr. Jung Yul Park, Chair of the WMA Finance and Planning Committee,
South Korea
 Balancing conscientious objection: The Dutch approach
Dr. René Héman, President, Royal Dutch Medical Assoc., Netherlands
 Discussion
5:05 – 5:10 p.m. Presentation of abstract
 Shared autonomy and physician conscientious objection
Dr. Peter Johannes Manoppo, Bioethicist and General Surgeon
5:10 – 5:25 p.m. Ethical limits to a physician’s right to conscientious objection
 Dr. Otmar Kloiber, WMA Secretary General
5:25 – 5:30 p.m. Closing remarks and housekeeping announcements
 Indonesian Medical Association
7 p.m. Dinner
30 June 2022
3
World Medical Association International Code of Medical Ethics
Dedicated conference on physician conscientious objection
4-5 July 2022
The Pullman Hotel at CBD Thamrin
Jakarta, Indonesia
DRAFT PROGRAM
Day 2
Session 3
Chair: Dr. Kar Chai Koh, President, Malaysian Medical Association
Co-chair: Indonesian Medical Association
9:00 – 9:05 a.m.
9:05 – 9:15 a.m.
Welcome remarks
 Dr. Pukovisa Prawiroharjo, Indonesian Medical Association
Brief recap of day one
 Dr. Otmar Kloiber, Secretary General of WMA
9:15 –
10:00 a.m.
A balanced approach to physician conscientious objection
 Reasons to be a moderate in the physician conscientious objection
debate
Prof. Robert Card, State University of New York Oswego, USA (virtual)
(15 mins.)
 Prof. Mark Wicclair, University of Pittsburgh Center for Bioethics and
Health Law, USA (virtual) (15 mins.)
 Dr. Patrice Harris, Past President, American Medical Association, USA
(15 mins.)
 Discussion
10:00 –
10:15 a.m.
Summary and briefing for group discussion on physician conscientious
objection
 Dr. Marit Hermansen, Chair of the WMA Medical Ethics Committee,
Norway
10:15 –
10:35 a.m.
Coffee break
Session 4
Moderator: Dr. Marit Hermansen, Chair of the WMA Medical Ethics Committee, Norway
10:35 a.m. –
12:00 p.m.
Moderated panel discussion with keynote speakers and Q&A
 Dr. Daniel Sulmasy, Director, Kennedy Institute of Ethics, USA
 Prof. Angela Ballantyne, University of Otago, Wellington, New Zealand
 Dr. Henry Okwuokenye, Medical Council of Nigeria
12:00 –
1:30 p.m.
Lunch
1:30 –
3:30 p.m.
Closed ICoME workgroup meeting
4 p.m. onward Sightseeing tour and dinner provided by the Indonesian Medical Association
30 June 2022
4
Annex
The paragraph below on conscientious objection has been extracted from the current revised draft of the
ICoME and has been included to serve as a reference for discussion. All paragraphs of the current revised
draft of the ICoME are still subject to change.
Paragraph Text
28 The physician has an ethical obligation to minimise disruption to patient care.
Conscientious objection must only be exercised if the individual patient is not
discriminated against or disadvantaged, and the patient’s health is not endangered.
If a physician intends to exercise a conscientious objection to a specific treatment or
procedure, the physician must inform the patient of this objection. If it is not practicable
for the patient to see another physician who will perform the treatment or procedure, the
physician must initiate, without delay, arrangements for the patient to consult with a
suitably qualified physician or authorised health care professional who does not object
to the treatment or procedure.
The physician must minimise distress for the patient and must not disrespect the
patient on the grounds of the patient’s conviction. The physician must respect other
physicians’ and health professionals’ conscientious objections provided they are in line
with this Code.