The systematization of bioethical deliberation processes in emerging clinical fields holds significant relevance in ensuring ethical outcomes, progression, and sustainability. Systematization helps uncover hidden risks, even when there's no immediate evidence. Deductive systematization involves establishing criteria to align inductively produced knowledge, including frameworks, tools, methods, and resources. The definition of success becomes a central criterion for alignment. Therefore, the objective of this study is to outline a comprehensive framework for the systematization of bioethical deliberation processes, through a detailed exploration of the Mexican experience in Vascularized Composite Allotransplantation towards systematization and development of a Bioethical Deliberation Model. This study elucidates methods and key questions to systematize deliberation processes and aims to offer practical insights for the operationalization of axioms defining success via critical variables such as that of multisystemic and objective resilience. In essence, the study seeks to provide practical guidance on how to define, measure, and integrate these critical variables into bioethical deliberation processes, with the goal of ensuring ethical outcomes and sustainability in this emerging clinical field.

Anneke Farías-Yapur is a Professor at Universidad Panamericana and works at the Interdisciplinary Center for Bioethics at the same university. She is engaged in interdisciplinary work at the intersection of bioethics, psychology, and philosophical anthropology. She is a member of the Subcommittee for Vascularized Composite Allotransplantation (VCA) in Mexico, serving on both the Psychology and Bioethics Subcommittees. In this role, she has played a key role in developing innovative tools for the evaluation and enhancement of VCA procedures, such as a Multisystemic Approach to Psychosocial Evaluations for the identification of potential unknown risk factors in developing countries. As well as a method to assess autonomous choosing aiming to mitigate deferential vulnerabilities compromising consent.