What will future physicians do when they face with ethical dilemmas? An overview of forensic medicine internship guidance
DOI:
https://doi.org/10.17986/blm.1533Keywords:
Ethical dilemmas, Forensic medicine, Law, Human rights, CurriculumAbstract
Objective: In this study, the guidance of forensic medicine education to medical students on ethical dilemmas and its effect on their attitudes and behaviours on ethical approach were examined, at the same time, common ethical dilemmas tried to be solved through discussion.
Methods: A survey, trying to determine the attitudes and behaviors of the students in the face of possible scenarios including ethical dilemmas in their medical professional life, was applied on 111 volunteer participants covering fifth semester medical students. “SPSS for Windows 17.0” package program was used to analyze the acquired data.
Results: It was observed that medical faculty students taking forensic medicine internship training stated that they would present a statistically significant level of ethical approach compared to those not taking forensic medicine internship training in all six scenarios with ethical dilemma (Scenarios 1, 2, 4, 5, 6 p<0.01 / Scenario 3 p<0.05).
Conclusion: Ethical dilemmas are the significant issues that a physician will often encounter throughout his career. Physicians should solve these dilemmas by knowing about their ethical responsibilities and the national and international regulations on these responsibilities. Thus, teaching about the medical ethics and these regulations in medical education have a particular importance. It was thought that there should not be such a significant difference of an ethical approach among the students in the same period of their education process. Since ethic is the common ground of all medical branches, each branch should include the education of ethic in its curriculum.
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References
Margaret A, Burkhardt N. Ethics & Issues in contemporary nursing: Elsevier Health Sciences; 2013.
Koptagel-İlal G. Bio-Psycho-Social Ethics and Salutogenetic Approach in Medicine. Nobel Matbaacılık. Hadımköy-İstanbul: Nobel Tıp Kitabevleri; 2011.
Baysan Arabacı L, Mutlu E. Etik İlkeler Işığında Geçmişten Günümüze Psikiyatri. Türkiye Klinikleri Tıp Etiği-Hukuku Tarihi Dergisi. 2018;26(3):148-55. https://doi.org/10.5336/mdethic.2018-60605 DOI: https://doi.org/10.5336/mdethic.2018-60605
İşgüden B, Çabuk A. Meslek Etği ve Meslek Etiğinin Meslek Yaşamı Üzerindeki Etkileri. Balıkesir Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2006;9(16):59-86.
Türk Tabipler Birliği. Hekimlik Meslek Etiği Kuralları. Maltepe / Ankara: Türk Tabipleri Birliği Yayınları; 1999. Available from: https://https://www.ttb.org.tr/kutuphane/h_etikkural.pdf.
Williams JR. Medical ethics manual: World Medical Association; 2015. Available from: https://www.wma.net/wp-content/uploads/2016/11/Ethics_manual_3rd_Nov2015_en.pdf.
Can İÖ, Direk N, Özdemir MH. Adli Olgu Bildirimiyle İlgili İkilemlerde Hekimlerin Tutumları. The Bulletin of Legal Medicine. 2018;23(1):1-5. https://doi.org/10.17986/blm.2017332862 DOI: https://doi.org/10.17986/blm.2017332862
Altun G, Özçelik Z, Karaca D. Cinsel Suç Mağdurlarının Muayenelerinde Etik Yaklaşımlar ve Hukuki Sonuçları. Toplum ve Hekim. 2019;34(2):93-105.
Council of Europe. Convention for the Protection of Human Rights and Dignity of the Human Being with Regard to the Application of Biology and Medicine: Convention on Human Rights and Biomedicine. Oviedo; 1997 [Internet]. Available from: https://rm.coe.int/CoERMPublicCommonSearchServices/DisplayDCTMContent?documentId=090000168007cf98.
UN General Assembly. Convention on the Rights of the Child. United Nations, Treaty Series. 1989;1577(3). [Internet]. Available from: http://wunrn.org/reference/pdf/Convention_Rights_Child.PDF.
World Medical Association - Declaration on the Relation of Law and Ethics. 2019 [accessed 2020 Nov 17] [Internet]. Available from: https://www.wma.net/policies-post/wma-council-resolution-on-the-relation-of-law-and-ethics/.
Council of Europe. European Convention on Human Rights. Strasbourg; 2010. [Internet]. Available from: https://www.echr.coe.int/Pages/home.aspx?p=basictexts&c.
ECHR. Case of Aizpurua Ortiz And Others v. Spain. 2010. [Internet]. Available from: https://hudoc.echr.coe.int/eng#{%22itemid%22:[%22001-97047%22]}.
ECHR. Case of Saunders v. United Kingdom. 1996. [Internet]. Available from: https://hudoc.echr.coe.int/eng#{%22fulltext%22:[%2219187/91%22],%22documentcollectionid2%22:[%22GRANDCHAMBER%22,%22CHAMBER%22],%22itemid%22:[%22001-58009%22]}.
ECHR. Case of Y.F. v. Turkey. 2003. [Internet]. Available from: https://hudoc.echr.coe.int/eng#{%22fulltext%22:[%2224209/94%22],%22documentcollectionid2%22:[%22GRANDCHAMBER%22,%22CHAMBER%22],%22itemid%22:[%22001-61247%22]}.
Gürsoy E, Arslan Özkan H. Turkish youth’s perception of sexuality/“honor” in relation to women. Journal of Psychiatric Nursing. 2014;5(3):149-59. https://doi.org/10.5505/phd.2014.18480 DOI: https://doi.org/10.5505/phd.2014.18480
Işık R, Sakallı-Uğurlu N. Namusa ve namus adına kadına uygulanan şiddete ilişkin tutumlar ölçeklerinin öğrenci örneklemiyle geliştirilmesi. Türk Psikoloji Yazıları. 2009;12(24):16-24.
Sahinoglu Pelin S. The question of virginity testing in Turkey. Bioethics. 1999;13:256-61. https://doi.org/10.1111/1467-8519.00154 DOI: https://doi.org/10.1111/1467-8519.00154
Bayraktar Z. Elective male circumcision; Medicolegal discussions and current literature. Yeni Üroloji Dergisi. 2018;13(2):77-86.
Kadıoğlu HH, Aydın İH, Bekiryazıcı E. Dini ve Tıbbi Açıdan Sünnet. Atatürk Üniversitesi İlahiyat Fakültesi Dergisi. 2006(25):1-16.
Şahin F, Beyazova U, Aktürk A. Attitudes and practices regarding circumcision in Turkey. Child: care, health and development. 2003;29(4):275-80. https://doi.org/10.1046/j.1365-2214.2003.00342.x DOI: https://doi.org/10.1046/j.1365-2214.2003.00342.x
Yavuz M, Demir T, Doğangün B. Sünnetin çocuk ruh sağlığı üzerine etkisi: Gözden geçirme çalışması. Türk Psikiyatri Dergisi. 2012;23(1):63-70.
Yilmaz E, Batislam E, Basar MM, Basar H. Psychological trauma of circumcision in the phallic period could be avoided by using topical steroids. International Journal of Urology. 2003;10(12):651-6. https://doi.org/10.1046/j.1442-2042.2003.00722.x DOI: https://doi.org/10.1046/j.1442-2042.2003.00722.x
McCall-Smith K. United Nations Standard Minimum Rules for the Treatment of Prisoners (Nelson Mandela Rules). International Legal Materials. 2016;55(6):1180–1205. https://doi.org/10.1017/S0020782900030898 DOI: https://doi.org/10.1017/S0020782900030898
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