(F) L2.2: MT Code of Ethics (History of Medical Ethics and Development of the Framework) Flashcards
This was written in the 5th century BC which includes “covenants” to Apollo, the God of Medicine, to medical teachers, students, and patients
Hippocratic Oath
This includes clauses on “appropriate/limiting” means, confidentiality, and accountability
Hippocratic Oath
This was the basis of medical ethics with input from Christians, Jews, and Muslims right through to the 20th century; a modern version is still sworn by many medical school students
Hippocratic Oath
These people carried out a range of experiments on human subjects before and during WWII
Nazi clinicians
Aside from the Nazis, other human experimentation projects were also carried out by what nationality and where?
The Imperial Japanese Army in China
Details of the human experimentation projects that were done by the Nazis and Japanese came to light during what event?
Nuremberg Trials
T or F: Human experimentation at the time was considered illegal
False (there was no legal framework for such research yet so it was not illegal)
This code was formulated as a first attempt to address the issues of human experimentation
Nuremberg Code
Nuremburg Code:
How many main requirements did the code have?
10
Nuremburg Code:
Voluntary _____ is absolutely necessary
Consent
Nuremburg Code:
Experiments must yield _______ results not otherwise obtainable by other means
Useful
Nuremburg Code:
______ protocols must be designed to achieve useful results
Study
Nuremburg Code:
Experiments should be conducted to avoid ________
Clue: 2 acceptable answers
Suffering or Injury
Nuremburg Code:
Experiments where there was an expectation of ______ or _______ were not allowed
Death or serious injury
Nuremburg Code:
The degree of risk must be outweighed by expected _____ in terms of solving problems
Benefit
Nuremburg Code:
Good preparation and appropriate _______ must be available
Facilities
Nuremburg Code:
Experiments are to be conducted by _________ persons
Scientifically-qualified
Nuremburg Code:
Volunteers are free to _______ at any time
Withdraw
Nuremburg Code:
The experiment must be ________ if new information makes the research _____ or leads to an increase in the expectations of death/injury
- Terminated
- Redundant
This oath within the declaration of Geneva reinforces the framework of modern medical ethics
Physician’s Oath
The physician’s oath is within the declaration of _____ and reinforces the framework of modern medical ethics
Geneva
This declaration was done by the General Assembly of the World Medical Association in 1964
Declaration of Helsinki
This extended the declaration of Geneva to cover research, diagnosis, and therapy; it also held the same principles as the Nuremburg Code
Declaration of Helsinki
This recognized that all medical procedures (diagnostic, therapeutic, and research) involve hazards and risks
Declaration of Helsinki
This drew a distinction between research aimed at a specific increase in knowledge and pure research; it has been revised many times
Declaration of Helsinki
The Framework for Review of Medical Practice + Research:
This is evidence-based and peer reviewed
Scientific
The Framework for Review of Medical Practice + Research:
The employer must consider legality
Legal
The Framework for Review of Medical Practice + Research:
Must be an independent committee or a professional body
Ethical
The Framework for Review of Medical Practice + Research:
The employer must confirm resources available to ensure safe practices
Logistics
T or F: What is legal is ethical
False (and vice versa)