medical ethics committee college of medicine › ethics › manual › y3pdf › title page year...

Compiled & Edited by:

Medical Ethics Committee

College of Medicine King Faisal University,

P.O. Box No. 400, Al-Ahsa-[31982]. Kingdom of Saudi Arabia

IN THE NAME OF ALLAH, THE MOST

GRACIOUS, THE MOST MERCIFUL

GMCA 2012

COLLEGE OF MEDICINE, KING FAISAL UNIVERSITY

Compiled by:


College of Medicine

King Faisal University, Al -Ahsa

Copyr i ght by K ing Fa i sa l Uni ve rs i t y . Al l r ights

r eser ved. No par t o f th i s publ ica t ion should be

r epr oduced, s tor ed i n a re t r i eva l sys t em, or

t r ansmi t ted i n any f o rm by any m eans: e l ec t r on ic ,

mechani ca l , photocopyi ng , record ing , or o therw ise

w i thout t he p r i or w r i t ten pe rmiss ion of t he Medica l

E th i cs Commi t t ee .


Dr Imran Sabri

Coordinator, Medical Ethics Committee

Email: [email protected]

Dr Fathia Omer Mohamed

Member


Dr Habeebuddin Shaji Mohammed

Member


Address:

College of Medicine, Al-Ahsa

King Faisal University

Building No. 24, P.O. Box: 400, Al-Ahsa [31982]

Telephone: +966-135808573 Fax: the +966-135800820

Website:

http:/ /www.kfu.edu.sa

Contact us.

Imr an Sabr i , MD

Coord ina to r , Med i ca l E th i cs Comm i t t ee

Ass i s tan t Pr o f essor , Fo rens ic Med i c i ne D i v i s i on

Depar tm en t o f B io -Med i c a l Sc iences . Co l lege o f Med i c ine ,

K ing Fa i sa l Un i ve rs i t y , P .O . Box No . 400 A l - Ahs a - [31982 ] . KSA

Te l . [O ] . +966 -135897810 ]

Ema i l : im ransabr i@gma i l . c om i k han@kf u .edu . sa

W eb: www.k f u .edu .s a f o rens i c ind ia . com m edbea ts . c om

Ass oc ia t e Ed i t o r , Jou rna l Med ico lega l Upda t e , INDI A

Ass o . Ed i t o r , I nd ian Journa l o f Fo r en s i c Med i c i ne & Tox i c o log y

Ass t . Ed i t o r , I nd . I n t . Jou r . o f Fo r . Med . & Tox .

Peer Rev iewe r , Jou rna l o f Eng ineer ing and Tec hno log y J ETR,

Peer Rev iewe r , BJMP , Un i t ed K ingdom

W ebmas te r , i c f m t .ne t , [W ebs i t e o f ICFMT]

W eb Adm in i s t ra to r , s p ic .o rg . in

Mem ber , W ebs i t e Comm i t t ee , KFU, A l -Ahs a , Saud i A rab ia

Mem ber , I n te r na t iona l Soc ie t y o f Fo r ens ic Gene t i c s , Aus t r ia

L i f e Member , I nd ia Academ y o f Fo r ens i c Med ic i ne

L i f e Member , I nd ian Cong res s o f FMT [ I CFMT, I NDIA] .

L i f e - Mem ber , SOPI , I NDI A.

L i f e Member , Pun jab As soc ia t ion o f F MT [ PAFMAT] , I NDI A.

Mem ber , I n te r na t iona l Ass oc ia t i ons o f Fo ren s ic Nurs ing , I NDI A.

Mem ber Armen ian Med i c a l As soc ia t ion , A rmen ia

D r . Mohamm ed Habeebuddi n Sha j i ,

Ass i s tan t Pr o f essor , Fo rens ic Med i c i ne D i v i s i on ,

Depar tm en t o f B iomed ic a l Sc iences ,

Co l lege o f Med i c ine , K ing Fa is a l Un i ve rs i t y ,

PO Box No . 400 , A l - Ahs a - [31982 ] .

K ingdom o f Saud i A rab ia

Te l . [ O ] . +966 -35897811

Ema i l : mdhsha j i@hotm a i l . com, hmohammed@k f u .edu . sa

D r . Fa th i a Omer Moham ed

Ass oc ia t e Pro f ess or ,

Teach ing Men ta l Hea l t h and Med i ca l E th ic s

D i v i s ion C l i n i c a l psyc ho log y Neu ros c ienc es

Co l lege o f Med i c ine , K ing Fa is a l Un i ve rs i t y

Ema i l : f a th i aom er62@yahoo . com

Te l . [ O ] . +966 -3589 7893

DEDICATED TO

Students of the

College of Medicine

Advisors:

Professor Abdul Aziz bin Jamaluddin Alsaati

President of the University

King Faisal University, Al-Ahsa

Dean of the College:

Dr. Waleed Hamed Albuali

Tel.: +966-135800000 [Ext: 3003] Fax: +966-135800820


Vice Dean for Academic Affairs

Dr. Abdulrahman Abdulhadi Alsultan

Tel : +966135800000 [Ext. 3006]


Vice Dean for Clinical Affairs

Dr. Mohammed Farhan A Alfarhan

+966-135800000 [Ext.-3076] Direct: +966-135897880


Vice Dean for Female Students' Affairs

Dr. Nadia Al-Jadidi

Tel.: +966-135800000 [Ext: 3015] Fax: +966-135800820


Vice Dean for Post-Graduate Studies and Research

Dr. Ibrahim Khalid Al-Jabr

Tel.: +966-135800820 [Ext: 3163] Fax: +966-135800820 [Ext-3164]


Coordinator, GMCA-2012

Dr. Magdy Hassan Balaha

Professor of Obstetrics and Gynaecology

Tel: Office: +96635800000 Ext 3168

Chairman of Clinical Neuroscience

Dr Ossama Al-Saeed

Coordinator, FAMCO

Dr Abdul Sattar Khan

College of Medicine

Dr. Ghaiath MA Hussein, MBBS, MHSc (Bioethics)

Doctoral Researcher

Ethics, Society & History (MESH)

School of Health & Population Sciences

University of Birmingham United Kingdom

Mohammed Saleh Madadin , MBBS , SBFLM (MD)

Assistant professor of forensic medicine , University of Dammam , KSA

Associate Editor of Egyptian Journal of forensic sciences

Founder member of international Association of Law and Forensic Sciences

Editorial Advisory Board Member of the International Journal of the A J Institute of

Medical Sciences (IJ-AJIMS)

Member of Saudi Society of Forensic Medicine

Professor T.D. Dogra

Professor of Forensic Medicine and Ex-Director

All India Institute of Medical Sciences [AIIMS, New Delhi]

Professor Jawed Ahmad Usmani,

Department of Forensic Medicine and Toxicology,

J. N. Medical College, A.M.U. Aligarh

Acknow ledgem ent :

I feel extremely privi leged when it comes to expressing my

grat itude to Dr Waleed Hamed Albuali , Dean of the Col lege, Col lege

of Medicine, King Faisal University . His enormous dedication towards

his profession has been a source of inspirat ion for me. He has been a

guide and a teacher in the true sense of the word. Working with him

made me understand that it ’s just your unrelent ing hard work and your

eagerness to learn that can make a dif ference. I t wa s his constant

encouragement and meticulous guidance that made this work acquires

the impr int of his dynamic personal i ty, wise counsel, meticulous

suggestions and incessant support.

I am extremely grateful to my revered teacher Dr. Magdy

Hassan Balaha, Coordinator GMCA-2012, Col lege of Medicine, King

Faisal University, Al -Ahsa, KSA, for his keen interest, expert guidance,

constant encouragement and invaluable help he rendered during the

course of this work .

I acknowledge my grat itude to Dr . Abdu l rahman Abdul hadi

Al su l tan , V i ce Dean f o r Ac ademic A f f a i r s , Col lege of Medicine,

King Faisal University, Al -Ahsa, KSA, for his reassur ing presence,

invaluable suggestions and tremendous concern.

I express my deepest regards and grat itude to Dr . Mohammed

Far han A Al f ar han , V ic e Dean f o r C l i n i c a l A f f a i r s , Col lege of

Medicine, King Faisal University, Al -Ahsa, KSA, for his constant

guidance and advise are truly praise worthy.

I am deeply indebted to Dr . Nadia Al -Jad i d i , V i ce Dean f o r

Fema le S tuden ts ' A f f a i r s , College of Medicine, King Faisal

University, Al-Ahsa, KSA, for advice and guidance.

I acknowledge my grat itude to Dr . I brah im Kha l id Al - Jabr ,

V i ce Dean f o r Pos t -Gradua te S tud ies and Res earc h , Col lege of

Medicine, King Faisal University, Al -Ahsa, KSA, for his t imely and

fruitful guidance with respect to the ethical dif ferences between Global

and Saudi law and invaluable suggestions and tremendous concern.

My Special thanks to Dr Ali Rawabdeh and Dr Aboyazid,

Faculty Members, College of Medicine, King Faisal Uni versity, Al-

Ahsa, KSA for their energetic encouragement, guidance and important

input in the handbook .

I am also thankful to Walid Al-Mulhim, Dr Waseem Suleman,

Dr Feroze Kaliyadan, Dr Khalid Zahran, Dr O J Gosai, Dr Ossam

Zakaria, Dr Mohamed Yasser daoud, Dr Habeeb Qureshi, , Dr Seba

Ghreiz, Dr Ibrahim Ali, Dr Aboyazid, Dr Mohammed Bastawesy, Dr

Ayub Ali, Dr Latifa Lassoud, Dr Eglal, Dr Sheerin Rafae, Dr Sayeed

Quadri, Dr Utkarsh Shahi, Dr Ansari M. Aleem, Dr Bahgat, Dr

Imtiyaz Shaikh, Dr Azza, Dr Krishna Swaroop, Dr Salma Taha, Dr

Talha Khan Ghauri, Dr Manoj, Dr. Saba Firdos Mohamed Khan, Dr

Amr Foad, Dr.Naheed Kausar Ghulam Murtaz , Dr Abdul Wahab, Dr

Aneela Khalid, Dr Naglaa Siddiq, Dr Yograj Khinchi, Dr Naushad

Abid, Dr Kamal abo elhamd, Dr Arif Mohyuddin, Dr Joel Kuruvilla,

Dr Hatem Refat Hablass, Dr Mujtaba Hashir, Dr Riyaz Hussain, Dr

Ahmed Ramadhan, Dr Maujid Malik, Dr Surendra Bathula, Dr

Surendra Safaya, Dr Hesham Al -Touky, Dr Kaberi Feroze for their

t imely support and continuous guidance.

My sincere thanks are due to al l Non-Teaching staf f and

Producers Dr John Levardo, Bryan Kim J. Pascua, Mr. Jose Karlo M.

Pañgan Karlo, Phi l ip Crystal, Glenda, Hamed for their constant help,

encouragement and t imely support without any personal motive.

Lastly and most important is my Family, Wife Shazia Tariq, Sons

Hasan and Hamza, for stealing t ime from their t ime, man, in

preparat ion of this handbook

It wi l l be a great mistake on my part not to express my thanks to

al l my fellow faculty members of the College of Medicine who had

helped me and gave construct ive ideas t ime to t ime.

Special Acknowledgment:

Professor James Ware, MA, MB, FRCS, DMSc

Director of Medical Education and Postgraduate Studies

Department of Medical Education and Postgraduate Studies

Saudi Commission for Health Specialties, Riyadh, Saudi Arabia

Dr. Abdulaziz Fahad Al Kaabba, MBBS, JMHPE, MHSc, DCH, ABFM

Family Physician Consultant,

Associate Professor of Family Medicine & Bioethics

College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University, Riyadh, KSA

Dr. Ghaiath MA Hussein, MBBS, MHSc (Bioethics)

Doctoral Researcher

Ethics, Society & History (MESH)

School of Health & Population Sciences

University of Birmingham, United Kingdom

Professor Dr. Omar Hasan Kasule, Sr., MBChB (MUK), MPH & DrPH (Harvard)

Head of Knowledge Exchange and International Collaboration

Chairman, KFMC Ethics Committee and the Institutional Review Board (IRB)

Faculty of Medicine, King Fahad Medical City, Riyadh, Saudi Arabia

Ms. Vittoriana Crisera

Journal Manager, Journal of Health Specialties

Saudi Commission for Health Specialties, Riyadh, Saudi Arabia

Steven Z. Pantilat, MD, FAAHPM, MHM

Professor of Medicine,

Alan M. Kates and John M. Burnard Endowed Chair in Palliative Care

Director, Palliative Care Program and Palliative Care Leadership Center

Director, Palliative Care Quality Network [PCQN], Division of Hospital Medicine,

UCSF

Dr. Putul Mahanta, MD (FMT), FIAMLE

Associate Professor, Tezpur Medical College, Tezpur, Assam, India

Editor: Modern Text Book of Forensic Medicine &Toxicology

Editor-in-Chief: International Journal of Health Research & Medico Legal practice

Professor (Dr) R K Sharma

Director , Institute of Medico-legal Publications, New Delhi

President, Indian Association of Medico-Legal Experts ( Regd), New Delhi

Director, Supreme Medico-legal Protection Services Pvt Ltd , New Delhi

Former Head, Department of Forensic Medicine and Toxicology, AIIMS, New Delhi

Dr Imran Sabri, Coordinator, Medical Ethics

قسم الطبيب

أقسم باهلل العظيم

أن أراقب اهلل في مهنتي. وأن أصون حياة اإلنسان في كافة أدوارىا، في كل الظروف واألحوال، باذل وسعي في استنقاذىا من الموت والمرض

واأللم والقلق، وأن أحفظ للناس كرامتهم، وأستر عوراتهم، وأكتم وأن أكون على الدوام من وسائل رحمة اهلل، باذل رعايتي الطبية سرىم.

للقريب والبعيد، الصالح والطالح، والصديق والعدو. وأن أثابر على ره لنفع اإلنسان ل ألذاه. وأن أوقر من علمني، طلب العلم، أسخ

وأعلم من يصغرني، وأكون أخا لكل زميل في المهنة الطبية في نطاق قوى. وأن تكون حياتي مصداق إيماني في سري وعالنيتي، نقيا البر والت

مما يشينني أمام اهلل ورسولو والمؤمنين. واهلل على ما أقول شهيد.

Physician Oath

**I swear in the name of mighty Allah…

**To keep performing my duties in front of Allah…

**And to help save human life in all of its forms and ages, in all Circumstances and

conditions, doing all my best in saving the lives of my patients from illness, pain and anxiety.

**And to keep human dignity, to protect their privacy and to keep their Secrets.

** To be always one of the means of gods mercy, keeping medical care for everybody, for

good or bad, and for friend or enemy.

**To keep looking for knowledge, and using it for human benefits, not harming them.

** To respect and honor my teachers , to teach those who are younger than me, and to be a

brother for my fellow physicians , cooperating with them on faith and advising in the good.

**To keep my life a reflection of my faith in my own personal or public practice, pure from

what may disturb or shame my life in front of god.

May Allah witness all what I am saying.

Contents

Year 3

Chapter Topic/Activity Type Block Page

3.1.1 Ethical Aspects of Treatment T 3.1 01-04

3.1.2 Relevant Study Material 3.1 05-09

3.3.1 Medical Technologies & Ethics PS 3.3 10-12

3.3.2 Ethics and Medical Termination of

Pregnancy

T 3.3 13-16


3.4.1 Rights and Duties of Patient T 3.4 20-33

3.4.2 Ethical Issues in Child Abuse T 3.4 34-41

3.4.3 Rights and Duties of Physician T 3.4 42-50

3.4.4 Rules and Regulations on competence of

the physician

T 3.4 51-56

3.4.5 Ethics in treatment and decisions authority T 3.4 57-61

3.4.6 End of life decision; Legal Aspects T 3.4 62-66

3.4.7 Legal Aspect of Organ Donation T 3.4 67-73

3.4.8 Liability in healthcare T 3.4 74-78


Annexures 86-86

Bibliography 87-88

Introduction

The Students handbook of Medical Ethics is compiled and edited by Medical

Ethics Committee under the direct patronage of the Dr Waleed Hamed Albuali, Dean

of the College, College of Medicine, King Faisal University, AL-Ahsa, Kingdom of

Saudi Arabia.

The main purpose behind this book is to facilitate the students of the college,

who face difficulties in the field of medical ethics, in GMCA-2012 [Groningen Medical

Curriculum Adoption -2012].

The handbook is separate for different years to achieve optimum size of the

handbook and easy to keep. All measures were taken to make this handbook as

simple as possible so that the students can understand the complicated ethical

scenarios in a simplified manner. Various activities in a block are divided into chapter

format. The reference is given with each chapter separately to facilitate further

reading by the students. We aim at motivating the students for self-directed learning.

Multiple reviews are done to limit number of errors/corrections. However, since

this is the first edition, it is advisable to the readers to report any error/ corrections to

the committee as early as possible to rectify them in subsequent editions.

This handbook is dedicated to the students of College of Medicine, King Faisal

University, Al-Ahsa, Kingdom of Saudi Arabia. No part of it can be copied/ distributed

for any financial purpose. This handbook is strictly for academics purpose only.

Lastly many thanks to the college administration for giving us the opportunity

to serve our beloved college.

Imran Sabri, MD

Coordinator, Medical Ethics Committee

College of Medicine

King Faisal University. Al-Ahsa

medical ethics committee college of medicine › ethics › manual › y3pdf › title page year...

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