Importance of teaching ethics in Brazilian Medical Schools

Stethoscope

(Marcelo Leal, Unsplash)

This article was exclusively written for The European Sting by Ms. Angela Theresa Zuffo Yabrude, currently a second-year medical student at the Regional University of Blumenau, Brazil. She is affiliated to the International Federation of Medical Students Associations (IFMSA), cordial partner of The Sting. The opinions expressed in this piece belong strictly to the writer and do not necessarily reflect IFMSA’s view on the topic, nor The European Sting’s one.


The dichotomy that exists between good and evil. The tenuous line between right and wrong. Choices. Decisions that make the minds of the youth, future doctors, who are exposed daily to ambiguous and delicate situations inserted in a specific context and that require the physician’s decision making, who is responsible for the situation.

The lack of building an ethical basis, as well as the lack of knowledge of the norms proposed by the Federal Council of Medicine, are the main causes of mistaken decisions, which took greater dimensions when involves a modern technological range, being it  through misusing a more sophisticated treatment, or the simple difficulty of separating erroneous information as well as avoiding its dissemination in social networks and the exposure of the patient.

Indecision, insecurity, failures, misconduct, in general, are taken for lack of information about the actual damage of certain decisions and are reflections of the shortage of guidance of academics in their respective medical schools on conducts that go beyond the Pathology.

Thus, investment in medical education should have a theoretical focus that allows the student to establish an individual medical ethic in which it encompasses concrete decisions without being influenced by the range of random information that is received virtually. The individual, according to Kant’s vision, must act in a way that treats individuals similarly in similar cases, without considering emotional involvement. Furthermore, to have an appropriate ethical medical conduct, the 4 principles of bioethics must be respected.

The first of them is Beneficence which preaches the physician’s moral obligation to cause good in his intentions and his actions. Second consists of the Non-Maleficence that defends decision making that doesn’t affect the individual causing harm, thus, the abstention of care can be an act seen as more positive than the application of risky treatments for the patient’s life.

The third principle, Justice, defends the universal health right for all individuals preaching equality and equity and is also the main principle that bases the Unified Health System (SUS). Finally, the Autonomy of the patient and the doctor should be respected, as well as the patient’s right to know all his clinical states and to have an active voice in the treatment decisions.

As well as the opinion about the exposure of his case, the Autonomy of the physician refers to the right to refuse to perform any procedure as long as it does not leave the patient unaided, that is, have another professional in the qualified place to accomplish whatever is necessary. All acts should aim at Efficiency and better effect with less expense and possible damage.

Therefore, by strengthening the teaching of medical ethics in universities and hospitals, would help to construct concepts of basic ethics, such as the aforementioned. The academic will then establish an individual conduct in certain situations without being affected by erroneous information and, therefore, situations of divergence and damage to both, the physician and the patient, would be reduced and all benefited.

References

WANSA, Maria do Carmo Demassi. Autonomy versus beneficence. Bioethics Magazine. 2011. Pages 105-116;

PENA, Moira Maxwell; DUARTE, A.; COHN, Claudio; OLIVEIRA, Reinaldo; Conception of the principle of non-maleficence and its relations with prudence. Bioethics Magazine, 2012. Pages 78-86;

About the author

Angela Theresa Zuffo Yabrude is currently a second-year medical student at the Regional University of Blumenau, Brazil. She is 20 years old and is affiliated to the International Federation of Medical Students Associations (IFMSA) where she works as Vice President for Internal Affairs of the Local committee of IFMSA Brazil FURB. She is involved in research and scientific publication, especially in areas of global health and medical education.

 

 

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

the European Sting Milestones

Featured Stings

These campaigners want to give a quarter of the UK back to nature

How to build a more resilient and inclusive global system

Stopping antimicrobial resistance would cost just USD 2 per person a year

Measles cases nearly doubled in a year, UN health agency projects

What people want – ignore at your peril

Monday’s Daily Brief: biodiversity and forests, labour and road safety, women’s rights, and fallen UN staff remembered

‘Antagonistic gestures and accusations’ drown out Kosovo dialogue hopes, Security Council hears

Don’t dismiss start-ups founded by millennials. This is how they succeed

Is Europe ready to cooperate with the rest of the world? Can Germany change its selfish policies?

Will the outcome of the UK referendum “calm” the financial markets?

Japan should reform retirement policies to meet challenge of ageing workforce

Italy’s Letta: A European Banking Union soon or Eurozone collapses

G20 LIVE: “ISIL is the face of evil; our goal is to degrade and ultimately destroy this barbaric terrorist organisation”, US President Barack Obama cries out from Antalya Turkey

Tackling water scarcity: 4 ways to pull H20 out of thin air

EU Parliament: Deposit guarantee and trading platform transparency sought

Here are five tips to make your message clear in a crowded world

Draghi hands over to banks €77.7 billion more

FROM THE FIELD: ‘Harvested’ rainwater saves Tanzanian students from stomach ulcers, typhoid

Everything you need to know about water

Progress made in UN talks to end Yemen war, Envoy lauds ‘positive and serious spirit’

How has tech been used for good in civil society? We asked the experts

How energy infrastructure is shaping geopolitics in East Asia

UN chief urges top digital tech panel to come up with ‘bold, innovative ideas’ for an ‘inclusive’ future

Brexit: MEPs concerned over reported UK registration plans for EU27 citizens

WEF Davos 2016 LIVE: “We need more Schengen but reinforce control!”, France’s Minister of Economy Emmanuel Macron emphasises from Davos

Despite violence, ‘tremendous hunger’ for peace in Afghanistan: top UN official

IMF: How can Eurozone avoid stagnation

‘Crimes against humanity,’ ‘war crimes’ and risk of new ethnic violence in DR Congo, warn UN experts

Eurozone: Despite anemic growth and shaky banks marks record trade surplus

The COP24 Agreement: Yes, it happened at last

Making the most of the Sustainable Development Goal 3: its overlooked role in medical education

UN rights experts call on Philippines Government to halt ‘unacceptable attacks’ on Victoria Tauli-Corpuz

Libya: Thousands seek shelter in health clinics from Tripoli fighting, UN warns

EU growth in 2015 to be again sluggish; Can the Juncker Commission fight this out?

We have to fight for a fairer tech industry for women

Global Leaders Take The Stage At MWC Shanghai 2019, in association with The European Sting

In Tanzania visit, UNHCR official stresses freedom of choice is crucial for refugee returns

Two peacekeepers killed in an attack against UN convoy in Mali

Italian voters put again the European Peoples in the Brussels picture

Commission to decide definitely on genetically modified Maize 1507 seed

How will EU look after French, Dutch and German Elections and what will be the implications for Youth Entrepreneurship?

Superbugs: MEPs advocate further measures to curb use of antimicrobials

2 trillion drinks containers are made every year – so where do they go?

European Youth Forum welcomes establishment of new Youth Intergroup in the European Parliament

How Finland is fighting fake news – in the classroom

Dramatic funding shortages a ‘severe catastrophe’ for people of Gaza: UN Coordinator

The impossible end of the war in Syria

China’s Ambassador to the EU Zhang Ming wishes to Brussels a Happy 2019 Year of the Pig

Eurozone: Inflation plunge to 0.4% in July may trigger cataclysmic developments

ECB: Euro area should smooth out the consumption and income shocks of its members

Big world banks to pay $ 4.95bn for cheating customers; Is it a punishment or a gentle caress?

Who the US and China have trade disputes with

There is a way for Eurozone to reach a sustainable growth path

Children are still dying in Yemen war, despite partial ceasefire, says UNICEF chief

From Shadows to Sunlight, Paraguay’s Road to Transparency

Gig economy: Employment Committee MEPs want to boost workers’ rights

MEP Cristiana Muscardini @ European Business Summit 2014: International Trade in Europe

A Sting Exclusive: Towards better business opportunities for the EU and its neighbours, Commissioner Hahn live from European Business Summit 2015

The ECB accuses the politicians of inaction, continues injecting billions to banks

The European Commission, European Investment Bank and Breakthrough Energy Ventures establish a new €100 million fund to support clean energy investments

The UN supports Europe’s military action in Libya and the Mediterranean; Russia and China agree

UN rights chief says ‘bar must be set very high’ for investigation of murdered Saudi journalist

The ECB again takes care of the bankers not the people

More Stings?

Speak your Mind Here

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s