1 / 12

T eaching of M edical E thics in P ostgraduate M edical Education

FEAMC, Bratislava, Slovak Republic, 1. - 4. 7. 2004. T eaching of M edical E thics in P ostgraduate M edical Education. Jozef Glasa Slovak Health University - Dpt. of Clinical Pharmacology ; Institute of Medical Ethics and Bioethics n.f.; Central Ethics Committee, Ministry of Health

aya
Télécharger la présentation

T eaching of M edical E thics in P ostgraduate M edical Education

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. FEAMC, Bratislava, Slovak Republic, 1. - 4. 7. 2004 Teaching of Medical Ethicsin Postgraduate Medical Education Jozef Glasa Slovak Health University - Dpt. of Clinical Pharmacology; Institute of Medical Ethics and Bioethics n.f.; Central Ethics Committee, Ministry of Health Bratislava, Slovak Republic

  2. Europe

  3. In CEE - NEUMS: Legislation changes towards the full comptibility with EUAcquis communitairee.g. Directive 2001/20/EC on GCP

  4. Ethics Committees in NEUMS - Types & Tasks • National (Central) (Bio)Ethics Committee • legislation, national policies & standards, conceptual and consulting work, education, public debate, etc. • Regional (Research) (Bio)Ethics Committee • mulicentric clinical trials, multicentric biomedical research, regional policies, consulting work, education, public debate, etc. • Local (Institutional) (Research) Ethics Committee • institutional clinical trials & biomedical research, local aspects of multicentric trials, institutional policies, consulting work, education, public debate, etc.

  5. RECs in CEE NEUMS- Status Quo • Question: What is the Situation in CEE - NEUMS? • Answers are scarce. • Some resources: • NECs - Council’s of Europe Comparative Study (1998) http://www.coe.int; Sabatier, S., 2000 • ECs in Central and Eastern Europen CountriesGlasa, J. (Ed.), CE & IMEB Fdn., 2000 • Legislation in biomedical research in NAS (NEUMS), survey, European Commission, Directorate C - ERA: Science and Society, Rhode, B., Bitušíková, A. (Eds.), 2004, in press • RECs in EU and some NAS PRIVIREAL Project - 5FP EC, survey,2004, in press • other surveys, occasional reports, etc.

  6. ECs in CEE: ‚Internal‘ Problems&Future Challenges • recognition, authority, influence of RECs • independence, conflicts of interest • professional & ethical competenceof members • moral/ethical pluralism/relativism & REC‘s decisions (consensus - compromise, deadlocks ?) • workload (quality of review) • ethics review- or just „procedural“ ethics ? mere bureaucracy ? mere paperwork ? • manpower problem (rewards, payments, motivation) • participation of the „lay persons“, public

  7. ECs: Possible Ethical Dilemas in CEE • interests of science/scientistsvs. interests of individual or society (benefits/risks) • local policies & local „politics“ (hidden agendas) • „conservative“ vs. „liberal“ views & attitudes • ethnic, national, religious & „political“ aspects • appropriatness of rewards/payments (reimbursements, salaries, fees, etc.) • informed consent(information, autonomy, protection,...) • insurance policies • benefits of the research for the subjects/participants, community(ies) and population of the country

  8. Developments in the Slovak Republic • 1990 - Central Ethics Committee (CEC; MH SR) • 1991/2 - (Research) Ethics Committees in research institutions and major teaching/university hospitals • 1992 - Guidelines on establishment and work of ethics committees(prepared by CEC; MH SR) • 1994 - new Health law (No. 277/1994 Coll.) - provision on RECs • 1998 - Law on drugs(No. 140/1998 Coll.) - provision on RECs • 2002 - program of revitalisation of the system of ethics committees in the Slovak Republic (by CEC) • 2002 - Draft Regulation on ethics committees (by CEC) • 2002 - 1st national meeting of (R)ECs (sponsored by CEC) • 2003 - 2nd national meeting of (R)ECs (sponsored by CEC) • 2004 - amendments of the Health law (No. 277/1994 Coll.) and Law on Drugs (No. 140/1998 Coll.)

  9. RECs system in the Slovak Republic • Central Ethics Committeeof the Ministry of Health • national bioethics advisory body (since 1990) • reviews protocols exceptionally, when no other (L)REC exists • (Local Research) Ethics Committees • established at the health care facilities/research institutes • favourable opinion/statement necessary [prior/in paralel to permission of the State Institute for Drug Control - for CTs; Law No. 140/1998 on drugs and health equipment; prior to permission of biomedical research of the director of the health facility; Law No. 277/1994 on health care] • to assess ‚local aspects‘ in multicentric biomedical research/CTs • Regional Ethics Committees • to be established (legislation/regulations pending) • to review multicentric biomedical research/CTs‘ protocols in compliance with the Directive 2001/20/EC

  10. Medical Ethics (Bioethics) Teaching Institutionsin the Slovak Republic • Institute of Medical Ethics and Bioethics (n.f.) Bratislava • Institute of Social Medicine and Medical Ethics, Faculty of Medicine, Bratislava • Department of Medical Ethics, Slovak Medical University, Bratislava • programs in medical ethics: • Faculty of Medicine, PJSU, Košice • Faculty of Medicine, CU, Martin • programs in nursing ethics • Institute of Nursing, FoM CU, Martin • University of Trnava (FoNSW), Trnava • programs in nursing ethics at schools of nursing (ETC.)

  11. Thanks for your attention!

More Related