The history of medical ethics in research and its relation to clinical practice

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-Voltaire, Churchill, Teddy Roosevelt, FDR and Spiderman

“With great power comes great responsibility”

The history of medical ethics in research and its

relation to clinical practice

Tor Ercleve

•Importance of research and ethicsPremodern research VS modern research

Unethical researchCode of ethicsApplication to clinical medicine

The history of medical ethics in research and its

relation to clinical practice

•Importance of research and ethics

The history of medical ethics in research and its

relation to clinical practice

Importance of research

• Improvement of health• Patient and third parties benefit• Exploitation

Importance of ethics

•Premodern research

The history of medical ethics in research and its

relation to clinical practice

•Modern research

The history of medical ethics in research and its

relation to clinical practice

•Unethical research

The history of medical ethics in research and its

relation to clinical practice

wikipedia.org/wiki/Unethical_human_experimentation_in_the_United_States

http://www.sott.net/article/279560-Americas-shame-the-N-bomb-guinea-pigs

Bad Pharma: Ben Goldacre

http://www.the-scientist.com/?articles.view/articleNo/27383/title/Elsevier-published-6-fake-journals/

•Code of ethics

The history of medical ethics in research and its

relation to clinical practice

Council for Int Org of medical Sciences (CIOMS) Research Guidelines• Independent review protocols• Community partnership• Social value• Scientific validity• Fair subject selection• Favourable risk / benefit ratio• Informed consent• Respect for enrolled subjects

http://www.bioethics.nih.gov/international/declarat/helsinki.rtf

•Application to clinical medicine

The history of medical ethics in research and its

relation to clinical practice

http://www.nhmrc.gov.au/publications/synopses/e72syn.htm

http://www.findlaw.com.au/articles/432/age-of-consent-to-medical-treatmentwikipedia.org/wiki/Gillick_competence

images are not of the respective cases

“With great power comes great responsibility”

“With great power comes great responsibility”

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