Democratization of medical education as a need to teach ethics ghaiath hussein

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This talk was given by Dr. Ghaiath Hussein in the International Conference on Education in Ethics, held in Pittsburgh, PA, USA from 1-3 May 2012.presentation

Text of Democratization of medical education as a need to teach ethics ghaiath hussein

  • 1.Democratization of MedicalEducation as a need to TeachMedical Ethics: Perspectives fromDeveloping Countries Ghaiath HusseinAbdulaziz AlkaabbaDepartment of Biomedical EthicsFaculty of Medicine, King Fahad Medical CityKing Saud Bin Abdulaziz University for Health SciencesRiyadh, Saudi Arabia

2. Nikita: What is the big fuss youmake about the US as the land ofdemocracy...what is it anyway?Nixon: For example any Americancitizen can stand in front of theWhite House, protest against theAmerican President without beingarrested.Nikita: So what?!! Now any Sovietcitizen can stand in front ofKremlin, protest against theAmerican President without being 3. Outline of the presentation Developing Bioethics in the developing world, howdoes it differ? Bioethics: what affects teaching bioethics? What is democratization of medical education? How does it affect teaching bioethics? Challenges and Practical steps 4. The developing world.. A closer look The world map proportional to Human Development Source: 5. How does that affect Bioethicsdevelopment? Free to ask Free public The right to have debatesthem answered Politicians & Free presspractitionersaccountability DemocraticFreedom ofPoliticalspeechSystemCultural & DevelopedMoral Health Heritage System Set of ethical Sophisticatedvalues andservicesprinciples Higher expectation Community More Conflictsagreement 6. At the smaller scale the Medical College Poor/Noethicscurriculum Poor/Noaccountability DictatorStrict professor hierarchyVulnerable patientSub-ethical researcher Sub-ethical clinician Sub-ethical doctor? Sub-ethical teacherSub-ethicaletc. 7. Democratization of ME: Why? What? How? Hypothesis: Free informed medical students who contribute to the educational process without exploitation will be doctors who will work on making patients free, informed, and actively involved in healthcare. Ideally, students will practice what they have been taught as right, whether in classrooms, or at bedside affected by their community (social, cultural, religious, etc.) Democratization of medical education is about: Interactive teaching (listen, ask, answer, e.g. PBL & COME) Participatory decision-making (academic meeting, management & leadership) Make them informed and accountable (informed decision 8. Political level: Overall lack of freedom (people dont seek their rights) Inherited fear of participation Academic Level: Students dont get much extra-marks for being ethical Inherited traditional hierarchical teaching (resistance tochange) Institutional affiliations to the Gov. and laws (lack ofacademic independence) Public & Community Level: People do not miss what they do not know. Patients who dont dare (or want) to know & stand for their rightswill not help in making doctors who care to give them. 9. How to manage these challenges? Adopt interactive medical education, where students get marks for effective communication Adopt, develop and empower the ethics curriculum Establish safe routes and forums for student- student, student-dean, student-patients interactions Make university/teaching hospitals more patient- centered in their care. Enhance academic transparency and accountability through regulations and policies. Educate the people about their rights (preferably through students)