Title: KNOWLEDGE OF BIOETHICS AMONGST P. G. TRAINEES OF A MEDICAL UNIVERSITY IN SOUTHERN PAKISTAN
1KNOWLEDGE OF BIOETHICS AMONGSTP. G. TRAINEES OF
A MEDICAL UNIVERSITYIN SOUTHERN PAKISTAN
- Dr INAYAT U. MEMON
- Sr. Pathologist
- Liaquat University Hospital,Jamshoro/ Hyderabad,
Sindh, PAKISTAN
2Outlines of Presentation
- Introduction of Institute
- Purpose and Background
- Methodology
- Results
- Discussion
- Conclusion
3PAKSISTAN
4SINDH PROVINCE IN PAKISTAN
5LIAQUAT UNIVERSITY OF MED HEALTH SCIENCES
6History LUMHS JAMSHORO, PAKISTAN (Liaquat
University of Medical Health Sciences)
- 1881 Started as Medical School
- 1942 Raised to the status of Medical College
- 1951 Named as Liaquat Medical College
- 1963 Started postgraduate courses
- 1965 Establishment Atomic Energy Med Centre
- 1967 Functioning of Eye Hospital
- 2001 Up-gradation to the Medical University
7PURPOSE AND BACKGROUND
- To train physicians to address emerging
bioethical issues - To respond to the public awareness about
patients rights and human rights in general - To accomplish above objects we need to train
medical graduates and PGs in the field of
bioethics - To develop appropriate curriculum for graduate
and postgraduate studies - To ascertain Base-line knowledge of Bioethics
8METHODOLOGY
- 15 item questionnaire was developed
- Administered on 74 PGs of various departments of
LUMHS. - Obs/Gynae, Int. Medicine, Paed. Medicine, G.
Surgery, Radiology, Anaesthesiology.
9QUSTIONNAIRE (Part A)
10QUESTIONNAIRE (Part B)
11 RESULTS
Table 01 Specialty and Gender-wise break-up of survey participants Table 01 Specialty and Gender-wise break-up of survey participants Table 01 Specialty and Gender-wise break-up of survey participants Table 01 Specialty and Gender-wise break-up of survey participants Table 01 Specialty and Gender-wise break-up of survey participants Table 01 Specialty and Gender-wise break-up of survey participants Table 01 Specialty and Gender-wise break-up of survey participants Table 01 Specialty and Gender-wise break-up of survey participants
Obs/ Gynae Paed. Med. G. Surgery Radio. Int. Med. Anaes. Total
Male 00 09 07 04 07 03 30
Female 24 07 04 05 00 04 44
Total 24 16 11 09 07 07 74
12RESULTS
Table 02 Frequency of encountering ethical problems in practice Table 02 Frequency of encountering ethical problems in practice Table 02 Frequency of encountering ethical problems in practice Table 02 Frequency of encountering ethical problems in practice Table 02 Frequency of encountering ethical problems in practice Table 02 Frequency of encountering ethical problems in practice
Reply Never Infrequently Once a month gt once a month Decline reply
Number 08 (11 ) 02 (3 ) 17 (23 ) 36 (49 ) 11 (14 )
63 (72) 63 (72)
13RESULTS
Table 03 Questions about knowledge of Bioethics Table 03 Questions about knowledge of Bioethics Table 03 Questions about knowledge of Bioethics Table 03 Questions about knowledge of Bioethics Table 03 Questions about knowledge of Bioethics
Question Yes No Cant decide Decline
Knowledge of existence of Ethics Committee 06 (8 ) 36 (49) 32 (43 )
Performance satisfaction about Ethics committee 01 (1 ) 39 (53 ) 30 (41 ) 04 (5 )
Necessity of informed consent in clinical practice 70 (95 ) 01 (1 ) 03 (4 )
Necessity of informed consent in surgery 74 (100 ) 00 00
Adherence to pats wishes 24 (32 ) 40 (54 ) 08 (11 ) 02 (3 )
Disclosure of patient inf. To relatives 24 (32 ) 40 (54) 09 (13 ) 01 (1 )
Disclosing errors to patients 38 (52 ) 18 (24 ) 18 (24 )
Treatment against Religious beliefs 23 (31 ) 32 (43 ) 18 (24 ) 01 (1 )
Recognition of eth. dilemma 32 (43 ) 28 (38 ) 13 (18 ) 01 (1 )
Need of teaching bioethics 68 (92 ) 02 (3 ) 04 (5 )
14RESULTS
Table 04 Questions about history of bioethics and current bioethical issues Table 04 Questions about history of bioethics and current bioethical issues Table 04 Questions about history of bioethics and current bioethical issues Table 04 Questions about history of bioethics and current bioethical issues Table 04 Questions about history of bioethics and current bioethical issues
Correct reply Incorrect Decline to reply
Meaning of euthanasia 26 (35 ) 40 (54 ) 08 (11 )
Correct knowledge of Helsinki Declaration 50 (67 ) 05 (7 ) 19 (26 )
Correct knowledge of Nuremberg Code 27 (36 ) 25 (34 ) 22 (30 )
15RESULTS
Table 05 Who is responsible for alleged increasing reports of Medical misconduct? Table 05 Who is responsible for alleged increasing reports of Medical misconduct? Table 05 Who is responsible for alleged increasing reports of Medical misconduct? Table 05 Who is responsible for alleged increasing reports of Medical misconduct? Table 05 Who is responsible for alleged increasing reports of Medical misconduct? Table 05 Who is responsible for alleged increasing reports of Medical misconduct?
Physician Public Lack of training Undecided Decline reply
Responsibility of medical misconduct 05 (7 ) 08 (11 ) 47 (63 ) 13 (18 ) 01 (1 )
16DISCUSSION
- High frequency of encountering Ethical dilemmas
(72 at least once a month) - Relatively low rate of correct recognition of
ethical dilemmas (43), needs to train them in
Bioethics - Problem of Invisible and Inactive Ethical
Committees, needs to addressed - Relative unawareness of current Bioethical issue
(Euthanasia 54, Nuremberg Code 34) AND - Positive insight and desire to learn bioethics
(92) - Provide fertile atmosphere to
- TEACH BIOETHICS
17CONCLUSION
- Current situation of
- Advanced Biotechnology
- Nanotechnology
- Genetic manipulation
- Organ transplantation etc
- Extensive medical research
- There is demand
- RECOGNIZE ETHICAL ISSUES IN MEDICINE
18Keen, Analytical EYE
19 RECOGNIZE ETHICAL ISSUE
Can anybody RECOGNIZE Any physical abnormality
in this picture?
20 CURRENT DEMAND
-
- Teach and Train
- Students and PGs
- BIOETHICS
21A BEGINNING TO MEET THE DEMANDS
22Collaboration of CBEC-SIUT Karachi
23Workshop Ethical Issues in Medical Research
24Talk by Prof. Dr. Farhat Moazam
25Vice Chancellor LUMHS Dr Jan Mohammad
Memonaddressing participants
26END OF THE BEGINNING
27MANY THANKS FOR PATIENT LISTENING