medical ethics
TRANSCRIPT
• And if anyone saved a life, it would be as if he saved the life of the whole people." (Al Quran 5:32)• "No soul can die except by Allah's permission." (Al Quran 3:185)
Medical ethics
• Medical ethics is primarily a field of applied ethics, the study of moral values and judgments as they apply to medicine.
A noble profession
• Medical profession is the guardian of human life and is responsible for defending living beings from the miseries and death from disease.
Medical ethics is a code of conduct of practicing doctors/ dental surgeons evolved over centuries nationally and internationally that is based on the most admirable human values and principles.
Greek healers in the 4th Century B.C., drafted the Hippocratic Oath
and pledged to “prescribe regimens for the good of my patients according to my ability and my judgment and never do harm to anyone”.
intellectual contribute a lot in medical ethics
• Jewish thinkers such as Maimonides,• Roman Catholic scholastic
thinkers such as Thomas Aquinas,
Muslim physicians
• Ishaq bin Ali Rahawi • (who wrote the Conduct of a Physician, the
first book dedicated to medical ethics)
• Muhammad ibn Zakariya ar-Razi (known as Rhazes in the West)
Muslim physicians
• Ishaq bin Ali Rahawi, Who wrote the Adab al-Tabib (Conduct
of a Physician), the first treatise dedicated to medical ethics. He regarded physicians as "guardians of souls and bodies", and wrote twenty chapters on various topics related to medical ethics.
Peer review• Ethics of the Physician written by Ishaq bin Ali al-Rahwi
(854–931) of al-Raha, Syria, who describes the first medical peer review process
• state that a visiting physician must always make duplicate notes of a patient's condition on every visit.
• When the patient was cured or had died, the notes of the physician were examined by a local medical council of other physicians, who would review the practising physician's notes to decide whether his/her performance have met the required standards of medical care.
• If their reviews were negative, the practicing physician could face a lawsuit from a maltreated patient
Muhammad ibn Zakariya ar-Razi ( Rhazes)
• "The doctor's aim is to do good, even to our enemies, so much more to our friends, and my profession forbids us to do harm to our kindred, as it is instituted for the benefit and welfare of the human race, and God imposed on physicians the oath not to compose mortiferous remedies
• Razi advised practitioners to keep up with advanced knowledge by continually studying medical books and
exposing themselves to new information.
There are seven principles of Medical Ethics
1. A Moral Code and moral justification;
2. The Doctor-Patient Relationship;3. Patient Autonomy;4. Beneficence (the Good Samaritan);5. Do No Harm (or Nonmalificence); 6. Justice; 7. Physician's moral integrity and
virtuous character.
Autonomy –
The patient has the right to refuse or choose their treatment.
Beneficence –
A practitioner should act in the best interest of the patient.
Non-maleficence
- "first, do no harm"
We have been given the gift of life, for goodness sakes. Protect it!!! Respect it!!!
Justice – Concerns the distribution of scarce health resources, and the decision of who gets what treatment (fairness and equality).
Dignity – The patient (and the person treating the patient) have the right to dignity.
The spirit of humanity, respecting the worth of each person
Each person we encounter in our working day deserves our respect—patients, visitors, co-workers
TruthfulnessHonesty Informed consent
The Physician's moral integrity and virtuous
character
Confidentialityis commonly applied to conversations between doctors and patients. This concept is commonly known as patient-physician privilege.Legal protections prevent physicians from revealing their discussions with patients, even under oath in court.
Bad doctorAll doctors know that it is unethical, at a minimum, to have a sex relationship
with a patient.
•Thanks