{"id":4442,"date":"2023-07-27T16:04:00","date_gmt":"2023-07-27T15:04:00","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-ethics\/?p=4442"},"modified":"2023-07-27T16:04:00","modified_gmt":"2023-07-27T15:04:00","slug":"can-representatives-of-more-than-10-million-physicians-worldwide-agree-on-a-foundation-of-medical-ethical-principles","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-ethics\/2023\/07\/27\/can-representatives-of-more-than-10-million-physicians-worldwide-agree-on-a-foundation-of-medical-ethical-principles\/","title":{"rendered":"Can representatives of more than 10 million physicians worldwide agree on a foundation of medical ethical principles?"},"content":{"rendered":"

By Ramin W Parsa-Parsi, Raanan Gillon, Urban Wiesing.<\/p>\n

In today\u2019s polarised world, achieving unanimous support for anything is a rare occurrence \u2013 let alone anything ethical. Simply agreeing to disagree to avoid outright confrontation is already a high enough bar to clear. It is in this climate that the World Medical Association (WMA) faced the monumental task of revising and modernising its International Code of Medical Ethics (ICoME), which was adopted unanimously in its revised form in October 2022 by the WMA\u2019s General Assembly in Berlin, Germany.<\/p>\n

Originally adopted in 1949, the ICoME is not as well-known as its high-profile siblings, the Declaration of Helsinki or the Declaration of Geneva: The Physician\u2019s Pledge, but we would argue that its relevance as a foundation of medical ethical principles remains indisputable. However, social changes since its last revision in 2006 \u2013 especially ever increasing ethical pluralism within countries and the ever increasing globalisation of medicine and health care provision meant that the ICoME did require an overhaul.<\/p>\n

The road to revision was long and not without hurdles. Representatives of medical organisations from nearly all continents held regular meetings to dissect and examine intricate ethical questions, informed by a broad range of cultural, religious, and political perspectives and experiences. One of the greatest challenges facing the workgroup \u2013 namely, how to develop a common ethical language amidst a diversity of perspectives and backgrounds \u2013 ultimately translated into a much stronger and more representative document.<\/p>\n

The broad consensus achieved by the WMA under these circumstances \u2013 manifested by the unanimous adoption of the revised ICoME by its General Assembly, representing more than 10 million physicians worldwide \u2013 could potentially raise some eyebrows. At a time when ideological polarisation seems to know no bounds, one could ask whether the unanimous support for this document reflects a lack of depth or an evasion of the most controversial ethical questions \u2013 just another example of agreeing to disagree, an ethical lowest common denominator, so to speak. To this we emphatically respond that we believe the WMA has succeeded in providing a really useful framework of the global medical profession\u2019s core moral commitments. Ethically speaking, the ICoME represents a remarkably high \u2018common denominator\u2019.<\/p>\n

While the ICoME intentionally avoids detailed definitions or examples, it does not shy away from controversial topics like participation or oversight of cruel, inhuman, or degrading practice and punishments, physician conscientious objection, potential justifications for breaching patient confidentiality, the duties of physicians in emergency situations, decision making for those who can\u2019t make their own medical decisions, and the permissibility of advertising and marketing by physicians. The consensus achieved on these and other issues indicates a clear understanding, despite linguistic, cultural and other differences, of the foundation of medical ethics \u2013 that is, establishing and maintaining patients\u2019 trust in the medical profession, wherever and whenever they seek care.<\/p>\n

The WMA was founded in response to the deplorable violations of medical ethics and professionalism carried out by physicians during WWII. Given this historical context and the organisation\u2019s commitment to respond to new changes and challenges, it is our opinion that the WMA has a strong mandate to provide such a pivotal document for the world\u2019s physicians as a model of global ethical and professional self-regulation.<\/p>\n

In our article, The Revised International Code of Medical Ethics: an exercise in international professional ethical self-regulation<\/a>, we highlight both the controversial and uncontroversial amendments made to the revised ICoME, along with the ethical theories and approaches that informed and influenced us throughout this 4-year revision process.\u00a0 But we look forward to reading feedback and suggestions for its next revision, whenever that may be.<\/p>\n

 <\/p>\n

Paper title<\/strong>: The Revised International Code of Medical Ethics: an exercise in international professional ethical self-regulation<\/a><\/p>\n

Authors<\/strong>:\u00a0 Ramin W Parsa-Parsi, Raanan Gillon, Urban Wiesing<\/p>\n

Affiliations:<\/strong><\/p>\n

RWP-P: Department for International Affairs, German Medical Association, Berlin, Germany<\/p>\n

RG: Department of Primary Care and Public Health, Imperial College London, London, UK<\/p>\n

UW: Institut f\u00fcr Ethik und Geschichte der Medizin, University of T\u00fcbingen, T\u00fcbingen, Germany<\/p>\n

Competing interests<\/strong>:<\/p>\n

RWP- P served as a council member of the World Medical Association (WMA), as a member of the WMA Medical Ethics Committee and as chair of the International Code of Medical Ethics (ICoME) revision workgroup.<\/p>\n

RG served as a member of the ICoME revision workgroup and UW serves as WMA ethics advisor and served as a member of the ICoME revision workgroup.<\/p>\n

All three authors received financial support for travel and accommodation for WMA ICoME<\/p>\n

related conferences or meetings. UW received grants or payments for lectures and presentations from the industry or organisations for other not directly related projects. RG is the Honorary President of the Insitute of Medical Ethics and an elected member of British Medical Association (BMA) Council.<\/p>\n","protected":false},"excerpt":{"rendered":"

By Ramin W Parsa-Parsi, Raanan Gillon, Urban Wiesing. In today\u2019s polarised world, achieving unanimous support for anything is a rare occurrence \u2013 let alone anything ethical. Simply agreeing to disagree to avoid outright confrontation is already a high enough bar to clear. It is in this climate that the World Medical Association (WMA) faced the […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":354,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8057],"tags":[],"class_list":["post-4442","post","type-post","status-publish","format-standard","hentry","category-medical-ethics"],"yoast_head":"\nCan representatives of more than 10 million physicians worldwide agree on a foundation of medical ethical principles? - Journal of Medical Ethics blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2023\/07\/27\/can-representatives-of-more-than-10-million-physicians-worldwide-agree-on-a-foundation-of-medical-ethical-principles\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Can representatives of more than 10 million physicians worldwide agree on a foundation of medical ethical principles? - Journal of Medical Ethics blog\" \/>\n<meta property=\"og:description\" content=\"By Ramin W Parsa-Parsi, Raanan Gillon, Urban Wiesing. 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