Panasenko S.I., Kerbazh N.R., Panasenko T.V., Drabovskiy V.S.

MEDICAL EDUCATION

Scentific article

Introduction. The extraordinary advances in biomedical sciences and medical technologies in recent decades and their application in medical practice have posed new ethical dilemmas to higher medical school and society as a whole. The number of articles in mass and professional journals testifies to the importance of the topic and the concern of higher medical school teachers. The central role of ethics in medical practice cannot be overestimated. Medicine implies certain fundamental values, such as saving lives and alleviating suffering. These values distinguish medicine from other sciences and involve some special responsibilities, in particular for doctors and other members of the medical profession, and especially for those seeking medical education. Aim. To study the achievements and prospects for the development of higher medical education through the prism of bioethics, on the basis of an analytical review of scientific sources of information. Main part. The most widely accepted concept was proposed by the famous American philosophers Tom Beechamp and James Childress in the work «Principles of Biomedical Ethics». The authors put forward four basic, fundamental principles of biomedical ethics: autonomy, the desire not to harm, work for the benefit of the patient and justice. At the same time, since the second half of the last century, due to continuous progress in medical science, future physicians face more and more ethical issues, the relevance of which is already close to the basic principles of medical and bioethics of Hippocrates and needs immediate deepening and development of new principles of ethical education of doctors and scientists. Conclusions. Medical school in Ukraine, despite the constant dynamic changes in the structure of science and education, still remains at the appropriate level, but the state of the modern health care system in Ukraine forces doctors to work in constantly increasing ethical problems. Teachers of medical higher education institutions are also forced to continuously monitor changes in trends in health and ethics and the health care system in general. However, with the correct and proper provision of medical and biological ethics continuously throughout the training period of the medical education seekers, great success can be achieved in stabilizing the psycho-emotional state of the population and in representing Ukraine’s global interests to the world community.

bioethics, higher medical education, students, medical ethics.

1. Bankowski Z. Medical ethics. J Am Board Fam Pract. 1989;2(2):137–8.
2. World Health Organisation. Constitution of the World Health Organisation: Principles. WHO; 1948. 2 p.
3. Mackenzie R. Ethical Dimensions of Health Policy. Med Law Rev. 2003;11:250–6.
4. Beauchamp T L CJF. Principles of Biomedical Ethics, 8th edn. Oxford: Oxford University Press; 2019. 519 p.
5. Blackhall LJ, Murphy ST, Frank G, Michel V, Azen S. Ethnicity and Attitudes Toward Patient Autonomy. JAMA. 1995 Sep 13;274(10):820–5.
6. Mendus S. A theory of justice – Rawls, The Belknap Press. 2nd ed. Cambridge: Belknap Press: An Imprint of Harvard University Press; 1999. 560 p.
7. Hurst SA, Slowther AM, Forde R, Pegoraro R, Reiter-Theil S, Perrier A, et al. Prevalence and determinants of physician bedside rationing: Data from Europe. J Gen Intern Med. 2006 Nov;21(11):1138–1143.
8. Weinstein MC. Should physicians be gatekeepers of medical resources? J Med Ethics. 2001 Aug;27(4):268–74.
9. Castro-Molina FJ. Ethics VS. investigation pandemics, feelings and nursing. Cult los Cuid. 2020;24(57).
10. Shrestha B, Dunn L. The Declaration of Helsinki on Medical Research involving Human Subjects: A Review of Seventh Revision. J Nepal Health Res Counc. 2020 Jan 21;17(4):548–552.
11. Conti AA. Historical evolution of the concept of health in Western medicine. Acta Biomed. 2018;89(3):352–4.
12. Farrell RM, Metcalfe JS, Mcgowan ML, Weise KL, Agatisa PK, Berg J. Emerging ethical issues in reproductive medicine: Are bioethics educators ready? Hastings Cent Rep. 2014 Sep;44(5):21–9.
13. Messer N. Bioethics and practical theology: The example of reproductive medicine. Int J Pract Theol. 2017 Nov 30;21(2):291–314.
14. Sgro A, Blancafort P. Epigenome engineering: New technologies for precision medicine. Nucleic Acids Research. 2020 Dec 16;48(22):12453–82.
15. Tucker DE. Assessing Competence to Consent to Treatment: A Guide for Physicians and Other Health Professionals. Oxford: Oxford University Press; 1998. 224 p.
16. Levine RJ. Informed Consent: Some Challenges to the Universal Validity of the Western Model. Law Med Health Care. Fall-Winter 1991;19(3–4):207–13.
17. Sulmasy DP. Edmund pellegrino’s philosophy and ethics of medicine: An overview. Kennedy Inst Ethics J. 2014 Jun;24(2):105–12.
18. Durand-Zaleski I. Global Challenge of Healthcare Rationing. BMJ. 2000;321(7266):967.

«Bulletin of problems biology and medicine» Issue 2 Part 1 (164), 2022 year, 344-353 pages, index UDK 378.6:61:68.1

10.29254/2077-4214-2022-2-1-164-344-353