Extended Medical EthicsPRINCIPLES & GUIDELINES

Prof. Imran Iqbal

PRINCIPLES & GUIDELINES

FOR WORKING OF

HEALTH PROFESSIONALS

&

HEALTH WORKERS

Dear Health Professionals:-

This is your institution.

You are a very important person in this

institution.

You are the real asset for all of us.

We hope you will take care of few

recommendations during your clinical

working.

Oath Of Medical Practitioners:-

(PMDC Code of Ethics)

I devote my life to the service of humanity.

The health of my patient will be my first

consideration.

I will protect human life under all

circumstances, doing my utmost to rescue it

from death, malady, pain and anxiety.

I will act as an instrument of Allah’s mercy,

extending medical care of every one.

Medical Ethics

Medical ethics is the field

which considers the application of

principles and values

to attitude and behavior of

persons in medical practice

Islamic Medical Ethics

• Knowledge (Ilm)

• Honesty (Amanat)

• Sincerity (Ikhlas)

• Excellence (Ehsan)

Knowledge (Ilm)

And taught man what he knew not

Knowledge (Ilm)

Allah Taala taught Adam names of all things

Knowledge (Ilm)

And my Lord, enhance me in knowledge

Hadith

Whosoever practices medicine

without having

adequate knowledge

will be responsible

for his deeds

(translated meanings)

Hadith

Wisdom

is the

lost property of a muslim,

he should acquire it

wherever he finds it

(translated meanings)

Hadith

If anybody is having knowledge,

and he conceals it,

he will face hellfire

on the day of judgement

(translated meanings)

Knowledge (Ilm)

• Always try to enhance your knowledge

• Get your knowledge from authentic sources

• Books, Journals, websites

• NLM, Cochrane review, uptodate, wikipedia

Ethical Standards of Care & Competence

(PMDC Code of Ethics)

Keep abreast of latest information about

your subject.

Provide training & supervision to students

so that they are responsible and

competent.

Knowledge (Ilm)

• Do not claim to know what is not known to you

• Do not claim qualifications which are not achieved

• Do not perform the tasks unsupervised related to skills which you have not learned

Honesty (Amanat)

Honesty (Amanat)

And fulfill your promises (contracts), you will be asked about it. And complete the measure

and keep the balance straight, this is better for you

and has a good ending

Honesty (Amanat)

And those who complete their trusts (contracts) and fulfill their promises

Honesty (Amanat)

Woe to those who take from people fully, and reduce the measure when giving.

Do they not see that they will stand one day before the Lord of the worlds

Hadith

There is no faith for the person

who is not honest and trustworthy,

and

there is no religion for the person

who does not keep his promises(translated meanings)

Ethical Standards of Care & Competence

(PMDC Code of Ethics)

Ensure patient management consistent with

current, research, literature & practice .

Only undertake tasks which you are

competent to perform by education training

& Experience .

Ethical Standards of Conduct

(Character & Behavior)

(PMDC Code of Ethics)

Observe honesty & justice in dealing with

patients.

Do not permit motive of profit to influence

professional judgement.

Consult another physician whenever

needed.

Honesty (Amanat)

• Always remain present in your time of duty

• Put all efforts in your work

• Complete your responsibilities

• Do not avoid work or patient care in your duty time

Honesty (Amanat)

• Do not issue medical certificates which are untrue

• Do not receive or pay commission on services

• Do not receive personal benefits from Pharmacompanies

Sincerity (Ikhlas)

And I am sincere guide for you,

Hadith

Islam is sincerity

(translated meanings)

Hadith

Consultation is a trust

(translated meanings)

Principles of patient care

• Respect for autonomy

• Beneficience (best interest of patient)

• Non-maleficience (Do no harm)

RESPECT FOR AUTONOMY

• Respect for persons - the patient have the right to be treated with dignity.

• Truthfulness and honesty

• Informed consent

• Confidentiality is commonly applied to

conversations between doctors and patients.

Right of Patients

(PMDC Code of Ethics)

Patient has the right to receive information

about his care.

Patient has a right to make decision about

his treatment.

Patient has a right to courtesy, respect,

dignity and timely responsiveness of his/her

health needs.

Patient has a right to confidentiality.

Ethical Standards of Care & Competence

(PMDC Code of Ethics)

Provide adequate information to patients.

Provide timely & compassionate care.

Ensure patient management consistent with

current, research, literature & practice .

Only undertake tasks which you are

competent to perform by education training

& Experience .

Ethical Standards of Care & Competence

(PMDC Code of Ethics)

Safeguard the interests of patient and

protect him from any harm during clinical

trials & medical research .

Ethical Standards of Care & Competence

(PMDC Code of Ethics)

BEST INTEREST OF PATIENT

Respect the Patient & Parents

Own your patient

Try to make the your clinical diagnosis

Don’t hesitate in getting opinion

Don’t sit & wait for complaint, just go & seek

Do best possible efforts to manage your patient

Practice standard sterilization techniques

Proper documentation (procedures, serious notes)

Provide information /Counseling as needed

Sincerity (Ikhlas)

• Use effective medicines

• Do not put unnecessary financial burden on your patient

• Do not advise unnecessary investigations

Excellence (Ehsan)

Allah Taála loves those who work in an excellent manner

(graceful, beautiful, soft, compassionate)

Excellence (Ehsan)

And speak to the people what is best

Excellence (Ehsan)

Whosoever saved a life,

it is like saving all mankind.

Hadith

Allah Ta’ala has advised

Excellence (best manner) in everything

(translated meanings)

Hadith

(translated meanings)

Faith is completed by excellence

in ethics

(attitude and behaviour)

Hadith

(translated meanings)

Greatest virtue is

excellent behaviour

Excellence (Ehsan)

• Offer the best possible treatment

• Be cool in voice, soft in touch and kind in behaviour

• Give the hope of health

Empathy

Intellectual and emotional awareness and understanding of another's thoughts, feelings, and behavior

Treat the patient, not just the disease.

Your colleagues (PMDC Code of Ethics)

Observe honesty & justice in dealing with

colleagues

Be objective & unbiased as a reviewer.

Do not use abusive verbal language,

demeaning speech, insult , or exploitation in

any form.

Needs of Health Workers

Adequate training.

Sufficient salary.

Dignity

Good working environment.

William Osler

Learn to look, hear, feel, smell and

know that by practice alone

can you become expert.

Medicine is learned at the bedside and not in the classroom.

Thank You