bioetik-basic concept of bioetik-prof sunarto

8/21/2019 Bioetik-Basic Concept of Bioetik-Prof Sunarto

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THE BASIC CONSEPT of BIOEHTICSin Health Education, Services, and Research

Soenarto SastrowijotoCenter for Bioethics, School of Medicine,

Gadjah Mada University, 2008E-mail : Bioetia!200"#yahoo $com

%hone : &'2 2"( )("(8*

mailto:[email protected]:[email protected]


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I. Introduction

I. Introduction

The International Standards in !edicalEducation "#$!E, %&&'( for Basic, Post)rad, andCP*

Pro+otes- The hi)hest scienti.c and ethical standards%- New instructional tools and new learnin) +ethods'- Innovative +ana)e+ent

Co+/etence 0 Based Curriculu+ "CBC( ,%- 1nowled)e "co)nitive( co+/ 2 writin) Scienti.c

+anuscri/ts%- S3ills "/s4cho+otor( co+/-'- Behavior and Ethical co+/-

Nure+5er) Code "678( '

#!A, !edical Practice Code- "679, 6:9(' - *eclaration of ;eneva "679(, S4dne4 "6:9(

%- International Code of !edical ethics "676(

'- 1ode Eti3 1edo3teran< =afal Su+/ah *o3ter%


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ETHICS : can +e descri+ed as a s+-+ranch of alied hilosohy thatsee .hat are the ri/ht and the.ron/, the /ood and the +ad set of

+ehaviors in a /iven circmstance

BIOETHICS : on the other hand, is a asi1 social science that oers soltions to

the moral con3icts that arise in medicaland +iolo/ical science ractice

4Sohin 5soy, 20026 7

'


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The basic moral/ethical principles>

1. Respect for persons (others)

autonomy, self determination/ choice,privacy, dignity, confidentiality, etc

2. Beneficence and Non-maleficence ma!imi"ed #enefits, minimi"ed ris$

do no harm (non-maleficence)

%. &ustice

'reat morally right and proper uita#le distri#ution

7


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- The Ethics of HealthResearch',:

( The ?ualit4 and ethical standards ofhealth research

%( Ethical and Re)ulator4 as/ect of

health research e-)- infor+ed 0consent-

'( The ethics of scienti.c +anuscri/twritin)

7( Ethics in health service "treat+ent(and research 0 /atients or research/artici/ants-

>


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2. The Ethics of Health Services8,9

(Clinical Ethics)

1) The fundamental principle clinical intervention is !ustified if and

onl" if the e#pected benefits out $ei%hthe e#pected burdens from theperspective of the patients

2) Shared &ecision 'ain%

aternalism Complete patient*s autonom"

Shared decision main%

:


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+) T$o rules competent patient

n incompetent patient

'edico , le%al perspective Competent /incompetent adults

Surro%ate decision , maer

Informed consent

-) Clinical decision main% Should bebased on

a) Scientific , basis , E'

b) Ethical basis , the basic moral /ethicalprinciples

c) 0e%al basis , ct /la$ and re%ulations

d) Humane basis , patient*s e#pectation.8


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3. Ethics in Medical / Health Education 8

Implementation Basic moral/ethics Principles.

The professionalism as a medical teacher /student

The minimal standards of teaching andlearning process – qualified process toproduce qualified outcome standards!

"ase#studies / discussions

in teaching – learning $ioethics for medicalstudents undergrad% post grad% "P&!


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7he Ethical %rinciles of 7eachin/

$ Content cometence

2$ %eda/o/ical cometent

9$ ealin/ .ith sensitive toic($ Stdent develoment

)$ al relationshi .ith stdents

'$ Con;dentiality

"$


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III- To Be A Professional 6,& *ecturer/teacher, researcher, and practitioner+ manager

students, etc (to #e trained in professionalism)

III- To Be A Professional 6,& *ecturer/teacher, researcher, and practitioner+ manager

students, etc (to #e trained in professionalism)

A- THE CO!PONENTS O$ PRO$ESSIONA=IS!

- Altruis+ - the essence of rofessionalism

- the +est interest of others 4stdents>client>atient>research articiant,collea/es, non acad$ Sta6, rather than self interest 1 isthe +lic

- advancement of science- honored ethical rinciles

'- E@cellence - Commitment to life-lon/ learnin/ and /oalsthe rofessionals to commnity

- shold +e/in on the ;rst day of hi/her Edcation

4Med$ School6 as a stdent$ &


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7- *ut4 - Commitment to service, teachin/, andresearch for the .elfare of the commnity- re/ardless of a+ility to ay$

>- Honor and Inte)rit4:- hi/hest standards of +ehavior

- @o violate ersonal A rofessional code- trstfl, commitments- no self 1 interest

:- Res/ect for Others: the essence of hmanities- to atient >stdent> research articiant>collea/es, and commnity

8- PERSONA= Co++it+ent- life lon/ learnin/- hi/hest ality of services, raid ro/ress of scienceA technolo/y and tools$

- acceted from the +e/innin/ 1mst +e honored 1thro/hot ones life as an eerts > scientist >rofessional$


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%

B. "hallenge '

1) Abuse of power2) Discrimination

3) Breach of confidentiality

4) Arrogancy5) Greedy

) !isrepresentation

") #mpairment

$) %eluctance

&) 'ac( of conscientiousness

1) *onflict of interest


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7eachin/ Ethics A 5ttitde for MedicalStdents

7eachin/ Ethics A 5ttitde for MedicalStdents

A )ood doctor and ethical /ractitioner

Do. ethics can +e ta/ht in a .ay this is enjo4a5le

and eective for life-lon/ leaner in medicine$ 5t the very least, they are een to avoidco+/laints +y their atients and collea/es, or5ein) sued for +al/ractice$

n the decade, medical ethics has taen its ri/htfllace at the centre of the crriclm$ 4Basic, ost /rad,C%6

Ethics as Fmoral rincile or codesF

Ethical : as conformin/ to a reco/niHed standardF'


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I Teachin) ethics and law

$ Use cases and vi/nettes2$ Create a safe

environment9$ Use stdents name($ Set ot /rond rles)$ Encora/e discssion'$ 5llo. eeriences to +e

shared"$ 5im to develo :

to lerance the a+ility to coe

.ith am+i/ity the a+ility to

areciate dierentvie.

$ Jee the sessioninteractive

2$ Use video clis and

other media9$ Set an ethicsde+ate

($ ivide the stdentsinto +HHF /ros

)$ 7eam 1 teach .ithother'$ =ary the style and

ace

7

S+all)rou/

=ar)e)rou/


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To/ic covered 4Under/rad6

$ 7he atients vale2$ 7he atients

narrative

9$ Goin/ into hosital

($ %rofessionalo+li/ation

)$ 7he individal andsociety

'$ Kstice andhealthcare

>

(ear #) *fternoon +essions + plenary presentation ,

small group tutorial-

(ear #3 # ethics s s,mposium + ethical dilemmas

+ clinical attachment.

obyn

(ear #- – further ethics –teaching

pre registration


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I Professionalis+ and Personaldevelo/+ent "Post )rad(

Commnication sills %rofessional dties and resonsi+ilities 5voidance of la/iarism A cheatin/

%ersonal resentation %nctality and /ood time 1 eein/


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I ;!C *uties doctors

$ Mae the care of atient their ;rstconcern

2$ 7reat every atient olitely andconsiderately

9$

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