Prelim Flashcards
The English word is based on the Latin maxim jurisprudentia:
Jurisprudence
juris is the genitive form of jus, meaning
Law
prudentia meaning
“prudence” or discretion, foresight, forethought, circumspection.
It refers to the exercise of good judgment, common sense, and even caution, especially in the conduct of practical matters.
Jurisprudence
the science, study, and theory of law. It includes principles behind law that make law.
Jurisprudence
is the branch of philosophy that involves systematizing, defending, and recommending concepts of right and wrong conduct.
ETHICS or moral philosophy
ETHICS is derived from the Ancient Greek word “Ethikos, which is derived from the word
‘ethos’ or habit/custom.
-is the branch of Ethics that deals with moral issues in medical practice.
is closely related, but not identical to, bioethics (biomedical ethics)
Medical Ethics
What year in the history of medical ethics?
Medicine is considered paternalistic in nature; a setting where Doctors would give advice while patients were expected to follow without being able to exercise autonomy. They could be enrolled in experiments without their knowledge, which was widely condoned.
1930
After ____________, the world learned the horrors of German doctors working in the concentration camps and conducting deadly scientific experiments in which the subjects had no say.
World War II
This was established to amend the rampant disregard of the patient’s autonomy and basic medical knowledge. It signaled the beginning of modern medical ethics.
It took time before these changes could be purely cemented into the system and become accepted as the norm.
Nuremberg code
What year in the history of medical ethics?
The Tuskegee syphilis experiment in Alabama appeared in the media. Since 1946, researchers in an observational study of the disease at the US Public Health Service had been enrolling African Americans infected with syphilis under the guise of offering them free healthcare. Even though penicillin became the standard treatment for syphilis in 1947, it was withheld from the Tuskegee subjects. They were lied to and given placebos.
As a result, many of them died of syphilis, and many of their wives and children became infected.
1972
What are the Ethical Codes? And their year?
•Hippocratic Oath- 5th Century BC
• Nuremberg Code - 1948
• Declaration of Geneva - 1948
• Universal Declaration of Human Rights - 1948
• Helsinki Declaration- 1964
• International Code of Medical Ethics
• Indian Medical Council ( Professionals Conduct, Etiquettes and Ethics) Regulations; 2002
• One of the earliest document in medical ethics - 5th century BC
• Traditionally, all doctors recite this oath at swearing in. It is considered sacred for its religious foundation and sanctity.
Hippocratic Oath
• Voluntary informed consent
• Avoidance of physical psychological injury or harm
• Benefits should outweigh risks
• Proper experience of researcher
• Right to withdraw consent
• Research must stop if harm resulting
Nuremberg Code - 1948
• Declaration of physicians’ dedication to the humanitarian goals of medicine.
• Adopted at World Medical Association
General Assembly in 1948 (multiple amendments: 1968, 1984, 1994, 2005 and 2006)
Declaration of Geneva
• Set of ethical principles regarding human experimentation developed by the World Medical Association in 1964.
• More specifically addressed clinical research, reflecting changes in medical practice from the term (Human Experimentation’ used in the 4
Nuremberg Code.
Helsinki Declaration- 1948
• The code applies both in peace and war. It codifies the duties of physician in general, duties to patients and colleagues.
International Code of Medical Ethics - 2006
is the mental process that
a person set in motion to come to some decision of right or wrong in any moral dilemma.
Moral reasoning
are motivational preferences or dispositions. Moral values are those preferences that are integral to any moral reasoning process.
Values
As with beliefs and values, personal ethics can differ widely from person to person. Beliefs and values often motivate a person by defining what they see as being important. In turn, they influence a person’s attitudes and how they behave.
Personal behavior standards
is a key distinguisher between simply having skills and having a true sense of professionalism.
Ethical Competence
It is a guide of principles designed to help professionals conduct business honestly and with integrity
Code of Ethics
It is a guide of principles designed to help professionals conduct business honestly and with integrity
Code of Ethics
WHAT ARE PRINCIPLES OF MODERN ETHICS?
A - AUTONOMY
B - BENEFICENCE
C - CONFIDENTIALITY
D - DO NO HARM I NON-MALEFICENCE
E - EQUITY OR JUSTICE
• Patient has freedom of thought,
intention and action when making decisions regarding health care procedures.
• For a patient to make a fully informed decision, helshe must understand all risks and benefits of the procedure and the likelihood of success.
Autonomy
the need to tell the truth
Veracity
to be faithful to one’s commitments
Fidelity