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CENTRE FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4 th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE Good for all and all for good

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Page 1: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

CENTRE FOR ETHICS

DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY

4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE

YENEPOYA UNIVERSITY, MANGALORE

Good for all and all for good

Page 2: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

Having perceived the need for closing the gap between technological health

advancements and medical ethics, Yenepoya University, in a bold, academic leadership

initiative, established the Centre for Ethics, in February 2011. The Centre for Ethics at

Yenepoya University is fostering a renaissance movement in the field of bioethics,

which will lead to a paradigm shift in the approach of the various stakeholders towards

ethics in health care and research; and enrich the curriculum of other academic fields.

VISION:

The Centre for Ethics, Yenepoya University will, through a process of change

management and collaborative leadership, bring bioethics into the mainstream of all

health care academics, clinical and research applications.

MISSION:

To inculcate in all professionals a sense of ethical responsibility towards their job, family

and society thereby making them better citizens, in a global sense.

OBJECTIVES:

The Centre for Ethics, Yenepoya University will

1. Promote ethical concepts among the various stakeholders in the University, and

foster a sense of ethical practices that will enhance the quality of health care.

2. Train interested individuals in the fields of Bioethics, Medical Ethics, Health Care

Ethics, Clinical Ethics, Research Ethics and other interdisciplinary areas,

empowering them with skills necessary for resolving ethical problems.

3. Provide service support to the clinical faculty in the form of clinical ethics

consultation, within the Yenepoya Medical College Hospital.

4. Encourage trans-cultural explorations of ethical practices and assist stakeholders

in accepting every view point, however digressive.

5. Provide a platform for interdisciplinary dialogue in ethics and thereby promote the

national values of professional and ethical leadership.

6. Explore research in different fields of ethics & encourage collaborative research.

7. Seek out similar centres/departments and enter into partnerships with them for a

broader interaction and cooperation.

Page 3: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

FACULTY:

Director: Dr. Vina Vaswani is a qualified bioethicist with a

background of Forensic Medicine & Toxicology. She completed

her Masters (MA) in Bioethics in 2008, as an Erasmus Mundus

scholar from three European Universities (Belgium, Netherlands

and Italy). She also has postgraduate diplomas in Medical Law &

Ethics and Human Rights Law, both from National Law School of

India University, Bengaluru.

VISITING PROFESSORS:

Prof. Dr. Norbert W Paul is the Director of the Department of

History, Philosophy and Ethics in Medicine, at the Johannes

Gutenberg Medical University, Mainz, Germany. Dr. Paul is the

founder editor of Medicine Studies (Springer Link), created and

conceived as a platform for interdisciplinary scientific inquiry, at

“the intersection of medicine, science and society beyond

disciplinary boundaries”.

Dr. Amar Jesani is an eminent bioethicist based and working out

of Mumbai, India. Dr. Jesani is the founder of and currently editor

Indian Journal of Medical Ethics (www.issuesinmedicalethics.org)

and Trustee of Anusandhan Trust (www.anusandhan.org), a trust

dedicated to empowering disadvantaged peoples and providing

technical assistance to organizations doing research and

advocacy in bioethics.

Page 4: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

PART TIME FACULTY:

1. Dr. Ravi Vaswani, MD, PGDBEME, PGDHPE

Professor & Head, Department of Internal Medicine, Yenepoya Medical College

2. Dr. Vinitha Pai, MSc, PhD, PGDBEME

Professor, Department of Biochemistry, Yenepoya Medical College

3. Dr. Uma Kulkarni, MS, PGDBEME

Associate Professor, Department of Ophthalmology, Yenepoya Medical College

4. Dr. Rashmi Jain, MS, PGDBEME

Associate Professor, Department of Ophthalmology, Yenepoya Medical College

5. Dr. Vijayalakshmi S, MS, PGDBEME

Assistant Professor, Department of ENT, Yenepoya Medical College

TECHNICAL AND SUPPORT STAFF:

1. Ms. Prema, Junior Research Fellow

2. Ms. Lily Chandran

3. Ms. Bhavani (YUEC work)

4. Mr. Nelson Liston D’Souza

Page 5: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

ACADEMIC COURSES:

Preamble:

The Medical Council of India and Dental Council of India do not specify the details of

medical ethics in the curriculum, both for the Undergraduate and Postgraduate

courses. None of the Health Science Institutions were offering any formal academic

program at the time when Yenepoya University launched the first Post Graduate

Diploma in Bioethics and Medical Ethics (January 2011) and Certificate Course in

Clinical Ethics Consultation (November 2011).

The essence of the philosophy behind establishing the Centre and running academic

courses is to create a reawakening about the importance and central position of

bioethics in the professional work of healthcare providers. The Centre believes that

ethics education and training requires discussions, deliberations and face-to-face

interactions for the proper understanding of ethics. At the same time we understand

that it is not a main stream subject approved by regulatory authorities and therefore only

pursued by existing busy professionals with personal interest in self development and

lifelong learning. Thus our courses are hybridized to include contact programs and

online learning.

1. Postgraduate Diploma in Bioethics & Medical Ethics: Postgraduate Diploma

in Bioethics & Medical Ethics (PGDBEME) is a one-year contact program based

academic course that is reinforced by field visits and mock reviews. This

program begins every January and covers all the areas of bioethics such as

morality, theories of ethics, duty-based ethics, research ethics and clinical ethics.

2. Certificate Course in Clinical Ethics Consultation (CCCEC): Since 20011

November, the Centre was running a Certificate Course in Clinical Ethics

Consultation (CCCEC) in collaboration with the Department of History,

Philosophy and Ethics of Medicine, Johannes Gutenberg University, Mainz,

Page 6: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

Germany. Dr. Norbert W Paul, Professor and Head of the Department is the

visiting Professor at the Centre for Ethics and engages students in the CCCEC

course. Additionally Dr. Anand Zachariah, Sr. Professor of Medicine, Christian

Medical College, Vellore, was also a resource faculty. The first batch of CCCEC

enrolled 5 students and also had the unique distinction of being the first course

offered in India. This was a six-month academic program enabling the

participants to be familiar with the ethical issues in health care practices. Since

2013 the Certificate Course has been converted to a Post Graduate Diploma

course and runs for one year on the same design as the Post Graduate Diploma

in Bioethics & Medical Ethics. Clinical ethics is covered in depth and the

participant will be trained to successfully run a clinical ethics consultation in

his/her institution.

3. Intensive Short Training course in Ethical issues in Bio medical research:

Since 2012, every May, the Centre for Ethics, runs an innovative course

“Intensive Short Training Course on Ethical Issues in Biomedical Research”.

This five-day hands-on workshop trains and empowers participants who are

presently engaged in research or are serving on institutional ethics committees;

or are likely to do so in the coming years - empower them to recognize and deal

with various ethical issues arising out of research in India. The workshop is

structured using the current guidelines of the Indian Council of Medical

Research, the Schedule Y of the Drugs and Cosmetics Act, the ICH-GCP and

other relevant national and international bodies. In 2012, 18 participants

attended the program and in 2013, 30 participants attended.

The resource faculty includes luminaries like:

a) Dr. Richard Cash: Senior Lecturer on Global Health, Department of Global

Health and Population, Harvard School of Public Health, Harvard University, USA

(presently with Public Health Foundation of India - PHFI).

b) Dr. Amar Jesani: Honorary Trustee of Anusandhan Trust, Mumbai and

Founder/Current Editor - Indian Journal of Medical Ethics.

c) Dr. Arun Bhatt: President Clininvent Research Pvt.Ltd. Mumbai

Page 7: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

d) Dr. Mala Ramanathan: Additional Professor, Achuta Menon Centre for Health

Science Studies and Member, Institutional Ethics Committee, Sri Chitra Tirunal

Institute of Medical Science and Technology, Trivandrum.

e) Dr. Vina Vaswani: Head –Department of Forensic Medicine and Toxicology,

Yenepoya Medical College and Director, Center for Ethics, Yenepoya University.

f) Dr.Nandini K Kumar: Former Deputy Director General Senior Grade of the

Indian Council of Medical Research (ICMR), New Delhi and Adjunct Visiting

Prof., Kasturba Medical College, Manipal.

For the 2013 edition, Indian Council of Medical Research (ICMR), New Delhi, granted a

financial assistance of Rs.50, 000/- for organizing the Research Ethics Workshop.

The Karnataka Medical Council Trust ®, Bangalore had awarded ten hours of

accreditation for the five days program and one hour per day accreditation to faculty.

Dr. Richard Cash of Harvard School of Public Health

delivering the Chief Guest’s address at the inaugural of the

five-day Intensive Short Training Course on Ethical Issues in

Biomedical Research at Centre for Ethics, Yenepoya

University. Also seen are (from left to right) Dr. Qadiri,

Principal Yenepoya Medical College, Dr. Nandini Kumar,

Former Dy Director General ICMR, Dr. P Chandramohan,

Vice Chancellor, Yenepoya University, Dr. Amar Jesani,

founder editor Indian Journal of Medical Ethics, Dr. Corinna

Porteri, Bioethics Head, Fatebenefratelli, Brescia, Italy and

Dr. Konaje, Registrar, Yenepoya University.

Page 8: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

5. Elective courses for Undergraduate students in Environmental Ethics: The

Centre for Ethics and Yenepoya University realize the need for increasing awareness

among health care professionals about the urgent and pressing need for restoring

ecological and environmental balance. To this end we offer elective course on

environmental ethics, a total of ten hour five classes for 5 Fridays, for the undergraduate

students of Yenepoya University.

6. Elective courses for Undergraduate students in Biomedical Ethics: The

Centre for Ethics and Yenepoya University realize the need for increasing awareness

among undergraduate students about the central and critical role of bioethics in the

discharge of professional duties and responsibilities. To this end we offer, elective

course on bioethics, a total of 12 hour classes on every alternate Fridays for the

undergraduate students of Yenepoya University.

7. Applied ethics for Bachelor in Physiotherapy (BPT) Interns: Following the

basic training during the BPT curriculum, the Centre for Ethics engages Interns in

interactive and self developing case scenarios in the area of applied Bioethics (six two-

hour sessions)

8. Bioethics teaching for Bachelor in Physiotherapy (BPT) and Masters in

Physiotherapy (MPT): The Centre for Ethics engages these students as per Yenepoya

University Physiotherapy curriculum, for 20 hours of basic bioethics.

Group photo of 2013

Page 9: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

9. Continuing Medical Education Programs organized:

a. CME on Research Integrity and Publication Ethics

A CME on Research Integrity and Publication Ethics was conducted by the Centre for

Ethics, Yenepoya University on Tuesday the 28th May 2013 from 12.00 to 3.00p.m. at

Lecture Hall IV, Academic Block with the main objective of increasing awareness

among health care practitioners who are likely to submit manuscripts for publication to

journals. Research is becoming an important component of every medical college

teacher’s responsibilities. Doing research will reach a meaningful and logical

conclusion only if the findings are published. Publishing an article is not an easy

process, and requires time, care and some training. Due to overflow of information on

the internet and technological advances, plagiarism is being increasingly discovered,

leading to authors’ discredit. Increasingly journal editors are requesting manuscript

submitters about the ethical standards maintained during the data collection. Therefore

the Centre for Ethics organized this unique CME on Ethical Issues in publishing. The

following were the resource persons.

1. Dr.Amar Jesani, Honorary Trustee of Anusandhan Trust, Mumbai and also an

Independent Consultant, Resource person and Trainer in Bioethics, Gender and

Health.

2. Dr.Richard Cash, Senior Lecturer on Global Health, Department of Global Health

and Population, Harvard School of Publication, Harvard University, USA.

102 participants registered for the CME. The participants were the faculty, Post

Graduates and Interns of Yenepoya University and staff and students from neighboring

colleges too. The presentations were followed by interaction with the participants.

b. First International CME on Public Health Ethics at Yenepoya University

The Centre for Ethics, Department of

Forensic Medicine & Toxicology, in

collaboration with the departments of

Internal Medicine and Community

Medicine, Yenepoya Medical College,

Page 10: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

organized yet another innovative academic leadership initiative - a half-day Continuing

Medical Education (CME) program “Public Health Ethics in India-Issues and

Challenges” on 12th September 2013, Professor (Dr.) Angus Dawson, Professor of

Public Health Ethics, who also heads the Medicine, Ethics, Society and History

Department at the Birmingham University, U.K. was the chief resource person. Along

with him, Prof Dr. Amar Jesani, Founder Editor of the Indian Journal of Medical Ethics

and Visiting Professor at the Centre for Ethics, and Prof. Abhay Nirgude of the

department of Community Medicine, Yenepoya Medical College were the other

resource persons.

The objective of this half day CME was to increase awareness among health care

professionals about their role in Public Health policy and decision making and ethical

issues that could arise from this. Dr.Abhay Nirgude, introduced the audience to the

basic concepts of Public Health and principles of Bioethics. This was followed by a

session by Dr. Angus Dawson on ethical issues and challenges that India is facing in

the area of public health research and surveillance. Dr. Amar Jesani spoke briefly on

the scenario of vaccine trials in India. The last session was covered by Dr. Dawson on

Ethical issues of Vaccination. More than 250 participants from different professions

including public health, community medicine, public health dentistry and other clinical

and para clinical branches were present.

10. Guest Lectures Organized by the Centre for Ethics

a. Dr. Nandini Kumar, Former

Deputy General Sr. Grade, (ICMR)

and Adjunct Visiting Professor,

Kasturba Medical College, Manipal,

delivered a Special Lecture Series

on 26th September 2012. Later she

had an informal interaction with

centre for ethics faculty. She

appreciated the work done by the

Centre for Ethics.

Page 11: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

b. A Window To Higher Education In Europe, The Erasmus Mundus Initiative:

The third Erasmus Mundus

sensitization program was

conducted on Thursday, 8th

November 2012 in the Indoor

Auditorium, Yenepoya University

Mangalore. Dr. Vina Vaswani,

Director, Centre for Ethics, is the

first alumnus of Erasmus Mundus

from Mangalore, having completed her Master’s in Bioethics, in 2008. The event

was attended by more than 200 participants from various colleges in and around

Mangalore.

Dr Ricardo Chavez, the Coordinator for all the regional chapters of Erasmus

Mundus Association, and chief guest of the function, delivered the thematic

address. He provided a brief overview regarding the various types of programs

being offered through Erasmus Mundus program.

c. Prof Alastair V. Campbell, Chen Su Lan Centennial Professor of Medical Ethics

and Director, Centre for Bio

Medical Ethics, Yong Loo Lin

School of Medicine, National

University of Singapore, delivered

a talk on 30.11.2012 at 10.00 am

in Indoor Auditorium on “Uses

and Abuses of Body in Modern

Medicine”.

Page 12: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

d. Dr. Seetharam M.R, President, Swami Vivekananda Youth Movement, Mysore

delivered a talk on 26.12.12 at 11.00 am in lecture hall 4. He addressed the

audience on “Beyond Pills and Prescription”. The talk was attended by Yenepoya

University faculty, post graduate students, interns and undergraduate students. It

was a very interactive and motivating presentation and highly appreciated by all.

e. Dr. Russel D’ Souza, UNESCO Asia Pacific Bioethics Network Chair delivered a

guest lecture on 11 May 2013, on

Teaching Bioethics to Clinician. He

elaborated on the way UNESCO has

prepared its educational program and

how better understanding of ethics in

modern health care issues will lead to

better health care delivery system.

COLLABORATIONS:

Immediately after its establishment, the

Centre for Ethics, Yenepoya University

signed a Memorandum of Understanding

with the Department of History,

Philosophy and Ethics of Medicine and

Allied Sciences, Johannes Gutenberg

University, Mainz, Germany. The

objectives of this collaboration were:

starting of academic courses,

encouraging staff/student exchange so as

to enrich both signatories in cross-cultural

ethical applications and research in the

field of Clinical Bioethics. Dr.Norbert

Paul, Department Head and Dr.Vina

Vaswani, Director Centre for Ethics are

Page 13: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

coordinators for this Memorandum of Understanding. Every year medical interns from

Johannes Gutenberg University, Germany undergo a four week clinical observership at

our University. Certificate Course in Clinical Ethics Consultation (CCCEC) was also

started in this collaboration. Prof Dr Norbert Paul, who is a visiting professor at the

Centre for Ethics, is the main resource person in this certificate course.

Centre for Ethics has also developed a collaboration with Department of Health Care

Ethics, Duquesne University, Pittsburgh, USA. Dr.Henk ten Have, Former Director

of Bioethics division of UNESCO is the

Professor and Head of the Centre for

Health Care Ethics. The MoU has similar

objectives to that signed with Johannes

Gutenberg University. In this

collaboration Drs. Vina & Ravi Vaswani

have co-authored a chapter in a book,

where Prof ten Have is the Chief Editor:

Bioethics Education in a Global

Perspective

STUDENT EXCHANGE:

The first student from Germany was a 23-year old medical intern Ms.Theresa Sophie

Volz who did a four-week clinical

observership from 9th March 2012 to 8th

April 2012 in Infectious Diseases

(Department of Internal Medicine,

Yenepoya Medical College). She got to

see firsthand many interesting cases of

tuberculosis, HIV, leptospirosis, dengue

and malaria. She also visited the Sneha

sadan HIV care centre at Gurupur and

spent time with the affected children.

Page 14: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

Ms.Leena Pramod, Museum Curator,

Yenepoya University and PhD scholar,

was deputed to the department of

Forensic Medicine, Johannes

Gutenberg University, Mainz, Germany

from 10th April to 4th June 2012 to learn

the technique of plastination for

preservation of museum specimens.

On her return, she was successfully

able to apply the new technique to several specimens in the museums.

Second batch of student exchange from Johannes Gutenberg University, Mainz:

In the second year of the collaboration nine German students from Johannes Gutenberg

University visited Yenepoya Medical College Hospital to do a four-week observer

internship at the various clinical departments of the hospital. The whole program was

coordinated by the Centre for Ethics.

Name Posting Dates

1 Moringlane, Alice Paediatrics 26 Feb - 12 Mar 2013

Surgery 13 Mar - 28 Mar 2013

2 Wolpert, Bente-Marei Medicine 26 Feb - 12 Mar 2013

Paediatrics 13 Mar - 28 Mar 2013

3 Klein, Lena Medicine 26 Feb - 12 Mar 2013

Paediatrics 13 Mar - 28 Mar 2013

4 K Podlinski, Katharina Paediatrics, 26 Feb - 12 Mar 2013

Medicine 13 Mar - 28 Mar 2013

5 Vosskühler, Eva Anaesthesia 26 Feb - 12 Mar 2013

Medicine 13 Mar - 28 Mar 2013

6 Herold, Stephanie Paediatrics, 26 Feb - 12 Mar 2013

Medicine 13 Mar - 28 Mar 2013

7 Euler, Alexandra Anaesthesia 26 Feb - 12 Mar 2013

Obs Gyn 13 Mar - 28 Mar 2013

8 Bühler, Jan-Darius Paediatrics 26 Feb - 12 Mar 2013

Medicine 13 Mar - 28 Mar 2013

9 Eichholz, Lorena Paediatrics 26 Feb - 12 Mar 2013

Obs Gyn 13 Mar - 28 Mar 2013

Page 15: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

From their reports it was clear that the students thoroughly enjoyed their stay and were

enriched both professionally and culturally. Excerpts from their diaries include:

“The way of diagnosing that the doctors have in India seems to be more upon clinica l

examination than in Germany” - Alice

“I didn’t expect to see a community room and just one bathroom for all the patients”…..

“The main difference between Germany and India is that all of the Germans have

statutory health insurance” - Bente-Marei

“What I liked most about the teaching in Mangalore is that differential diagnosis played

an important role in the classes” ……..” So all patients and doctors sitting at one table

next to each other like it is here in the O.P.D would not be possible in Germany” - Lena

“The most frequent question I was asked was, what we have for breakfast. That seems

to be an important topic here” - Alexandra

“Thanks to a lot of good-humored girls we learned how to dance indian style. I never

imagined that indians dance as crazy as they did and scream so loudly”……. “We

noticed that indian time ist not german time when we were waiting for some friends at

6.15pm and they picked us up at 7.45pm” - Katharina

“Some differences between the German and the Indian hygienic standard were quite

surprising for me. For example that people in India are wearing flip-flops in the

operating theater” - Eva

“But what I found was a tidy, well organized hospital where everything had its order”…..

“the adventure of driving in the Yenepoya bus for the first time including that particular

moment you are just about to touch the bus’ ceiling with your head” - Stephanie

Page 16: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

Visit of Dr. Venkat Shenoy, Postgraduate, Department of Forensic Medicine &

Toxicology, Yenepoya Medical College, Yenepoya University, Mangalore to

Department of Forensic Medicine & Toxicology, Johannes Gutenberg University,

Mainz, Germany:

Dr. Venkat Shenoy, PG in Forensic Medicine & Toxicology, Yenepoya Medical College

completed a short observership in the Department of Forensic Medicine & Toxicology at

the Johannes Gutenberg University, Mainz, Germany for a period of five weeks from 15

May to 21 June 2013. This included two weeks each in the DNA typing division

(training in comprehensive reporting of Paternity, Bone marrow and Identification) and

the Toxicology division (extraction of material from autopsy samples including blood,

urine and hair) and one week in Forensic Pathology. Toxicology also included analysis

for Cocaine, Opioids, THC, Creatinine, Amphetamine, TCA, Benzodiazepines and

Methadone. Blood alcohol concentration estimation was done by two methods, ADH

and Gas chromatography. In the autopsy side, he got to observe how the autopsies are

done and among the interesting cases was a case of dyadic death.

Page 17: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

VISITORS TO THE CENTRE:

International & National Faculty Visit

Ms.Claudia Buir, is a staff working at the HR attached to

Department of Ethics, Philosophy and History of Medicine

and was a visitor to Centre for Ethics from 23th April to 7th

May 2013. We had fruitful discussion with creative ideas

and positive networking in ways of making the Centre for

Ethics more visible. During her stay besides the three

meetings conducted with the department of Information

and Technology, she also exchanged the ideas with the

department of Human Resources and was invited as a

Chief Guest at the Orientation program in the Institute of

Chartered Accountants of India, Mangalore Chapter on 3rd

May 2013. Dr Norbert Paul, Visiting Professor to Centre

for Ethics visited Yenepoya University and discussed

Curriculum for Post Graduate Diploma in Clinical Ethics.

Dr. Corinna Porteri, is a researcher in Bioethics

and is the person responsible for the Bioethics Unit

at the IRCCS Saint John of God Fatebenefratelli in

Brescia, Italy. She visited the Centre from 14th May

to 7th June 2013 and was a resource person for

Research Ethics Workshop organized by Centre for

Ethics, YU. She was impressed with the activities

that are happening at our Centre for Ethics. Her

areas of interest include informed consent in

psychiatric conditions. She also had discussions

with Psychiatry Department and gave a

presentation in Mangalore Chapter of Psychiatric Association.

Page 18: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

Dr. Richard Cash: Senior Lecturer on Global Health, Department of Global

Health and Population, Harvard School of Public Health, Harvard University and

Visiting Professor at the Public Health Foundation of India, Delhi, from 27th to

31st May and 1st June 2012.

Dr. Neha Madhiwalla: Coordinator, Centre for Studies in Ethics and Research

Mumbai, from 27th to 31st May and 1st June 2012.

Dr. Nandini K Kumar: Former Deputy General Sr. Grade, (ICMR) and Adjunct

Visiting Professor, Kasturba Medical College, Manipal on 26th September 2012.

Dr. Ricardo Chavez: Coordinator - Regional Chapters, Erasmus Mundus

Association, Germany, on 8th November 2012.

Dr. Alastair Campbell: Chen Su Lan Centennial Professor Of Medical Ethics &

Director, Centre For Biomedical Ethics, Yong Loo Lin School Of Medicine,

National University Of Singapore on 30th November 2012.

Dr. Seetharam M.R: President, Sri Vivekananda Youth Movement, Saragur,

Mysore on 26th December 2012.

Dr. Russel D’Douza: Chair Of Asia Pacific Bioethics Network Of UNESCO,

North West Mental Health Melbourne, Australia on 11th May 2013.

Dr. Corinna Porteri : Researcher in Bioethics at the IRCCS Saint John of Cod

Fatebenefiatelli , Italy,.

Dr. Lavina Noronha: Director, Ave Maria Palliative Care Centre, Vamanjur,

Mangalore on 23rd August 2013.

Dr. Angus Dawson: Professor of Public Health Ethics and currently working as

Head, Department of Medicine, Ethics, Society and History at the University of

Birmingham, U.K. on 12th and 13th September 2013.

Page 19: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

RESEARCH PROJECTS BY STUDENTS:

PGDBEME: 2011 Batch

1. Dr. Ravi Vaswani: The concept of body image and ethical issues in healthy

amputations: the case of the apotemnophile

2. Fr. Siby Augustine: Wombs for rent

3. Dr. Uma Kulkarni: Ethical issues of website advertisements by Eye care centres

in India

4. Dr. Rashmi Jain: Unethical practices and misconduct in Scientific publication

5. Dr. Vijayalakshmi Subramaniam: Creating an awareness on the importance of

confidentiality of patient information and its ethical implications amongst medical

interns of Yenepoya Medical College

6. Dr. Vinitha R Pai: End-of-life care and ethical issues

7. Ms. Vineetha Jacob : A qualitatiave study to describe the perspectives of public

regarding end of life care

8. Dr. Nagesh K R : Ethical issues in cadaveric organ transplantation

PGDBEME: 2012 Batch

1. Ms. Soumya : The perception of autonomy of psychiatric patients by psychiatry

nursing staff

2. Dr. Rekha Raghavan : Willingness to participate in a study and the factors that

influence the decision in a South Indian population

3. Mr. Santhosh Kumar : A study to assess the knowledge regarding legal and

ethical concepts in nNursing care among staff nurses in selected hospitals at

Moodabidri with view to provide an information booklet.

4. Ms. Preema Joyce D’ Souza: A comparative study to assess the knowledge of

bioethics among medical and paramedical students in selected colleges of

Dakshina Kannada District.

5. Dr.Sripada G Mehandale: Informed consent in medical research: Perceptions

among medical students - A survey

Page 20: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

6. Dr. Animesh Jain: Undergraduate research as a tool to create early awareness

regarding ethical principles among medical undergraduates: Experience from an

Indian Medical College

7. Dr. Pratik Vijay Tarvadi : Critique on Hippocratic Oath

PGDBEME: 2013 Batch

1. Dr. Ramya Shenoy Kudpi: Perceptions on pregnant women - low educational

attainment about informed consent after registering into randomized controlled

trial in India- A qualitative study.

2. Dr.Vivek S: Assessing ethical climate in Academic Dentistry

3. Dr. Manjula Shantharam: Stigma and discrimination of children with HIV AIDS

4. Dr. Salauddin Arif. K: Ethical Issues in perception of Human Dignity in Amputees

5. Dr. Bhagya.B: An empirical evaluation of dignity for children with intellectual

disability- A pilot study

6. Dr. Madona Joseph: Artificial reproductive techniques

7. Dr. Mini I V: Perception of consent- Laparoscopic Hysterectomy

8. Dr.Vivekasakthidharan : Who deserves the right? Ethics in Abortion

9. Dr. Suchetha Kumari M: Ethical challenges in the care of elderly persons

10. Dr. Blany John Lobo: Hahnemannian Oath A Bioethicist’s Interpretation

CCCEC – 2011 Batch (November)

1. Mr. Mohamed Sherif: Truth telling among health professionals in the case of

patients with cancer

2. Dr.Uma Kulkarni Assessment need for medical translators for patient counseling

in a hospital catering to multi linguistic population

3. Dr.Vijayalakshmi S: Improving medical students competiveness in empathy

4. Dr. Vinitha R Pai: Knowledge and attitude of medical students, Interns and PGs

towards Ethics.

Page 21: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

CCCEC – 2012 Batch (November)

1. Dr.Ravi Vaswani: Ethics of pharmaceutic and doctor interaction

GUEST LECTURE DELIVERED BY FACULTY AND ALUMNI

1. Dr. Rashmi Jain: Introductory workshop for

Bioethics educator on “Beginning of life- Ethical

issues”, on 7th July 2012 at Fr. Mullers Medical

College, Mangalore.

2. Dr. Vina Ravi Vaswani: “Professionalism in

Medical Ethics” on1st July 2013, on the occasion of

the Doctors Day celebration at Yenepoya Medical

College, Deralakatte, Mangalore.

3. Dr. Vina Vaswani: “Professional Etiquettes” to staff

of Fr. Mullers Homeopathic College, Deralakatte on

22nd July 2013.

4. Dr Animesh Jain , Alumni, Centre for Ethics, Associate

Professor of Community Medicine at Kasturba Medical

College, PGDBEME 2012, Mangalore

Invited to talk "Brewing issues and hot topics in

research ethics." On April 2013 at Institutional Ethics

Committee of Kasturba Medical College, Mangalore.

Page 22: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

Institutional Ethics Committee of Manipal College of Dental Sciences, Mangalore

invited to deliver a talk on "Autonomy, Vulnerability and Informed Consent in

Research Ethics" on 2nd Aug 2013.

Attended second Asia Pacific Research

Ethics Conference in 7- 9 March 2012

Singapore and presented a paper titled

Knowledge of ethical issues and

attitude of research amongst Medical

under graduates at a private Medical

college in India

Awarded a scholarship by the organizers of Advancing Ethical Research 2012, held at

San Diego, USA from December 4 to 6, 2012. He also attended the pre-conference

workshop on “Regulatory, Ethical and Technical Challenges in Internet Research.” He

was one among the 69 to be awarded the scholarship. He presented a poster titled

“Early exposure to ethical conduct of research amongst medical undergraduates:

Experience from an Indian medical college.” His presentation was appreciated and well

received by the audience. There were a total of 2269 delegates and Dr Jain was among

the five Indian delegates at the conference.

Dr. Rekha Raghavan, Reader, Educare

Institute of Dental Sciences,

Malappuram, Kerala, Alumni (PGDBEME

2012 batch)

Poster presentation on : Willingness to

participate in a research study and the

factors that influence the decision in a

South Indian population at the Fourth

Page 23: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

IJME National Bioethics Conference ( Ethical and Regulatory challenges in health

research), University of Hyderabad, Hyderabad, Dec 6-8, 2012.

Dr. Vijayalakshmi Subramaniam, Associate Professor, Department of ENT (Alumni

PGDBEME-2011 batch)

1. Attended Fourth IJME National Bioethics

Conference ( Ethical and Regulatory challenges in

health research), University of Hyderabad,

Hyderabad, Dec 6-8, 2012 and presented the

paper

2. Presented poster titled “Confidentiality

issues in clinical practice – Case vignette as

an innovative educational tool to create awareness among interns” at the

South East Asian International and Indian National on Health Professionals

Education (SEARAME- NCHPE), Sep 5-8, 2012. Coimbatore, India.

3. Abstract of above presentation published in SEARAME-NCHPE abstract book

ID No 52 Page 67

4. Poster published in F1000 posters

portal http://f1000.com/posters/browse/summary/109263

Dr. Uma Kulkarni, DOMS, DNB, Associate Professor,

Department of Ophthalmology, Yenepoya University,

(Alumni PGDBEME 2011 batch) attended Fourth

IJME National Bioethics Conference ( Ethical and

Regulatory challenges in health research), University

of Hyderabad,at Hyderabad from December 6-8,

2012 and presented the poster on “Ethical concerns in Website Advertisements by Eye

Care Centers in India”

Page 24: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

PUBLICATIONS BY FACULTY AND ALUMNI:-

Bridging the ethics gaps. Indian Journal of Medical Ethics. 2012;(9) 75-76

End of life decisions: Religious and Utilitarian perspectives. Formosan Journal of

Medical Humanities. 2010 May; 11(1&2): 49-54

Book Chapter-Bioethics teaching In India

Title-Global Bioethics Perspectives, Edited By Henk Ten Have, Springerlink,(Nov

2013)

Ms.Soumya, alumni PGDBEME(2012 batch) The International Journal’s

Research Journal of Social Science & Management “Perception about Autonomy

of Patients Having Psychiatric Disorder/Illness by Psychiatry Nursing Staff

(RJSSM:Volume:03, Number:07, November-2013)

PAPER PRESENTATIONS AND CONFERENCES ATTENDED BY FACULTY AND

ALUMNI:

Dr. Vina Vaswani, Dr. Uma Kulkarni, Dr. Rekha Raghavan, Dr. Sripada

Mehandale and Dr.Vijayalaxmi alumini PGDBEME attended National Bioethics

conference and presented papers and posters (topics)

Dr. Animesh Jain, alumni PGDBEME (2012 batch) awarded partial scholarship to

attend Advancing Ethics Research Conference at San Diego, California, USA.

Ms.Soumya, alumni PGDBEME(2012 batch) attended 10th Annual Biennial

Conference of Asian Association of Social Psychology 2013 in Yogyakarta,

Indonesia on 23rd August 2013 and presented a oral presentation on “Autonomy

of Patients Having Psychiatric Disorder/illness by Psychiatry Nursing Staff- a

Pilot Study”.

Dr. Vina Vaswani attended the UNESCO Workshop on Bioethics, Biodiversity

and Making a Repository of Ethical world view of nature at Hyderabad from 10th

to 12th October 2012. Presented a paper on “Role of Educational Institutions in

making environmental ethics a way of life”.

Dr. Vina Vaswani attended the National Bioethics Conference on Ethical and

Regulatory Challenges in Health Research University held at Hyderabad from 6th

Page 25: DEPARTMENT OF FORENSIC MEDICINE & … FOR ETHICS DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY 4th FLOOR, ACADEMIC BLOCK, YENEPOYA MEDICAL COLLEGE YENEPOYA UNIVERSITY, MANGALORE

to 8th December 2012 and presented a paper on “Are ethics Committees

empowered to decide compensation? The case of the roaring paper tiger”.

Dr. Vina Vaswani attended the 11th Indo Pacific Association of Law, Medicine

and Science Congress (INPALMS 2013) held at Shangri La Hotel, Kuala Lumpur

Malaysia from 5th to 10th October 2013. Presented a paper on “Juvenile

delinquency in India: Legal, ethical and social issues”.