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Compiled & Edited by:
Medical Ethics Committee
College of Medicine King Faisal University,
P.O. Box No. 400, Al-Ahsa-[31982]. Kingdom of Saudi Arabia
IN THE NAME OF ALLAH, THE MOST
GRACIOUS, THE MOST MERCIFUL
GMCA 2012
COLLEGE OF MEDICINE, KING FAISAL UNIVERSITY
Compiled by:
Medical Ethics Committee
College of Medicine
King Faisal University, Al -Ahsa
Copyr i ght by K ing Fa i sa l Uni ve rs i t y . Al l r ights
r eser ved. No par t o f th i s publ ica t ion should be
r epr oduced, s tor ed i n a re t r i eva l sys t em, or
t r ansmi t ted i n any f o rm by any m eans: e l ec t r on ic ,
mechani ca l , photocopyi ng , record ing , or o therw ise
w i thout t he p r i or w r i t ten pe rmiss ion of t he Medica l
E th i cs Commi t t ee .
Medical Ethics Committee
Dr Imran Sabri
Coordinator, Medical Ethics Committee
Email: [email protected]
Dr Fathia Omer Mohamed
Member
Email: [email protected]
Dr Habeebuddin Shaji Mohammed
Member
Email: [email protected]
Address:
College of Medicine, Al-Ahsa
King Faisal University
Building No. 24, P.O. Box: 400, Al-Ahsa [31982]
Telephone: +966-135808573 Fax: the +966-135800820
Website:
http:/ /www.kfu.edu.sa
Contact us.
Imr an Sabr i , MD
Coord ina to r , Med i ca l E th i cs Comm i t t ee
Ass i s tan t Pr o f essor , Fo rens ic Med i c i ne D i v i s i on
Depar tm en t o f B io -Med i c a l Sc iences . Co l lege o f Med i c ine ,
K ing Fa i sa l Un i ve rs i t y , P .O . Box No . 400 A l - Ahs a - [31982 ] . KSA
Te l . [O ] . +966 -135897810 ]
Ema i l : im ransabr i@gma i l . c om i k han@kf u .edu . sa
W eb: www.k f u .edu .s a f o rens i c ind ia . com m edbea ts . c om
Ass oc ia t e Ed i t o r , Jou rna l Med ico lega l Upda t e , INDI A
Ass o . Ed i t o r , I nd ian Journa l o f Fo r en s i c Med i c i ne & Tox i c o log y
Ass o . Ed i t o r , I nd . I n t . Jou r . o f Fo r . Med . & Tox .
Peer Rev iewe r , Jou rna l o f Eng ineer ing and Tec hno log y J ETR,
Peer Rev iewe r , BJMP , Un i t ed K ingdom
W ebmas te r , i c f m t .ne t , [W ebs i t e o f ICFMT]
W eb Adm in i s t ra to r , s p ic .o rg . in
Mem ber , W ebs i t e Comm i t t ee , KFU, A l -Ahs a , Saud i A rab ia
Mem ber , I n te r na t iona l Soc ie t y o f Fo r ens ic Gene t i c s , Aus t r ia
L i f e Member , I nd ia Academ y o f Fo r ens i c Med ic i ne
L i f e Member , I nd ian Cong res s o f FMT [ I CFMT, I NDIA] .
L i f e - Mem ber , SOPI , I NDI A.
L i f e Member , Pun jab As soc ia t ion o f F MT [ PAFMAT] , I NDI A.
Mem ber , I n te r na t iona l Ass oc ia t i ons o f Fo ren s ic Nurs ing , I NDI A.
Mem ber Armen ian Med i c a l As soc ia t ion , A rmen ia
D r . Mohamm ed Habeebuddi n Sha j i ,
Ass i s tan t Pr o f essor , Fo rens ic Med i c i ne D i v i s i on ,
Depar tm en t o f B iomed ic a l Sc iences ,
Co l lege o f Med i c ine , K ing Fa is a l Un i ve rs i t y ,
PO Box No . 400 , A l - Ahs a - [31982 ] .
K ingdom o f Saud i A rab ia
Te l . [ O ] . +966 -35897811
Ema i l : mdhsha j i@hotm a i l . com, hmohammed@k f u .edu . sa
D r . Fa th i a Omer Moham ed
Ass oc ia t e Pro f ess or ,
Teach ing Men ta l Hea l t h and Med i ca l E th ic s
D i v i s ion C l i n i c a l psyc ho log y Neu ros c ienc es
Co l lege o f Med i c ine , K ing Fa is a l Un i ve rs i t y
Ema i l : f a th i aom er62@yahoo . com
Te l . [ O ] . +966 -3589 7893
DEDICATED TO
Students of the College
Advisors:
Professor Abdul Aziz bin Jamaluddin Alsaati
President of the University
King Faisal University, Al-Ahsa
Dean of the College:
Dr. Waleed Hamed Albuali
Tel.: +966-135800000 [Ext: 3003] Fax: +966-135800820
Email: [email protected]
Vice Dean for Academic Affairs
Dr. Abdulrahman Abdulhadi Alsultan
Tel : +966135800000 [Ext. 3006]
Email: [email protected]
Vice Dean for Clinical Affairs
Dr. Mohammed Farhan A Alfarhan
+966-135800000 [Ext.-3076] Direct: +966-135897880
Email: [email protected]
Vice Dean for Female Students' Affairs
Dr. Nadia Al-Jadidi
Tel.: +966-135800000 [Ext: 3015] Fax: +966-135800820
Email: [email protected]
Vice Dean for Post-Graduate Studies and Research
Dr. Ibrahim Khalid Al-Jabr
Tel.: +966-135800820 [Ext: 3163] Fax: +966-135800820 [Ext-3164]
Email: [email protected]
Coordinator, GMCA-2012
Dr. Magdy Hassan Balaha
Professor of Obstetrics and Gynaecology
Tel: Office: +96635800000 Ext 3168
Coordinator, FAMCO
Dr Abdul Sattar Khan
College of Medicine
Dr. Ghaiath MA Hussein, MBBS, MHSc (Bioethics)
Doctoral Researcher
Ethics, Society & History (MESH)
School of Health & Population Sciences
University of Birmingham United Kingdom
Mohammed Saleh Madadin , MBBS , SBFLM (MD)
Assistant professor of forensic medicine , University of Dammam , KSA
Associate Editor of Egyptian Journal of forensic sciences
Founder member of international Association of Law and Forensic Sciences
Editorial Advisory Board Member of the International Journal of the A J Institute of
Medical Sciences (IJ-AJIMS)
Member of Saudi Society of Forensic Medicine
Professor T.D. Dogra
Professor of Forensic Medicine and Ex-Director
All India Institute of Medical Sciences [AIIMS, New Delhi]
Professor Jawed Ahmad Usmani,
Department of Forensic Medicine and Toxicology,
J. N. Medical College, A.M.U. Aligarh
Acknow ledgem ent :
I feel extremely privi leged when it comes to expressing my
grat itude to Dr Waleed Hamed Albuali , Dean of the Col lege, Col lege
of Medicine, King Faisal University . His enormous dedication towards
his profession has been a source of inspirat ion for me. He ha s been a
guide and a teacher in the true sense of the word. Working with him
made me understand that it ’s just your unrelent ing hard work and your
eagerness to learn that can make a dif ference. I t was his constant
encouragement and meticulous guidance that made this work acquires
the impr int of his dynamic personal i ty, wise counsel, meticulous
suggestions and incessant support.
I am extremely grateful to my revered teacher Dr. Magdy
Hassan Balaha, Coordinator GMCA-2012, Col lege of Medicine, King
Faisal University, Al-Ahsa, KSA, for his keen interest, expert guidance,
constant encouragement and invaluable help she rendered during the
course of this work .
I acknowledge my grat itude to Dr . Abdu l rahman Abdul hadi
Al su l tan , V i ce Dean f o r Ac ademic A f f a i r s , Col lege of Medicine,
King Faisal University, Al -Ahsa, KSA, for his reassur ing presence,
invaluable suggestions and tremendous concern.
I express my deepest regards and grat itude to Dr . Mohammed
Far han A Al f ar han , V ic e Dean f o r C l i n i c a l A f f a i r s , Col lege of
Medicine, King Faisal University, Al -Ahsa, KSA, for his constant
guidance and advise are truly praise worthy.
I am deeply indebted to Dr . Nadia Al -Jad i d i , V i ce Dean f o r
Fema le S tuden ts ' A f f a i r s , College of Medicine, King Faisal
University, Al-Ahsa, KSA, for advice and guidance.
I acknowledge my grat itude to Dr . I brah im Kha l id Al - Jabr ,
V i ce Dean f o r Pos t -Gradua te S tud ies and Res earc h , Col lege of
Medicine, King Faisal University, Al -Ahsa, KSA, for his t imely and
fruiteful guidance with respect to the ethical dif fer ences between
Global and Saudi law and invaluable suggestions and tremendous
concern.
My Special thanks to Dr Ali Rawabdeh, Faculty Member,
College of Medicine, King Faisal University, Al -Ahsa, KSA for his
energetic encouragement and guidance.
I am also thankful to Dr Abdul Sattar Khan, Dr Waseem
Suleman, Dr Feroze Kaliyadan. Dr O J Gosai, Dr Ossam Zakaria, Dr
Mohamed Yasser daoud, Dr Habeeb Qureshi, Walid Al-Mulhim, Dr
Seba Ghreiz, Dr Ibrahim Ali, Dr Aboyazid, Dr Mohammed
Bastawesy, Dr Ayub Ali , Dr Latifa Lassoud, Dr Eglal, Dr Sheerin
Rafae, Dr Sayeed Quadri , Dr Utkarsh Shahi, Dr Ansari M. Aleem, Dr
Bahgat, Dr Imtiyaz Shaikh, Dr Azza, Dr Krishna Swaroop, Dr Salma
Taha, Dr Talha Khan Ghauri, Dr Manoj, Dr. Saba Firdos Mohamed
Khan, Dr Amr Foad, Dr.Naheed Kausar Ghulam Murtaz , Dr Abdul
Wahab, Dr Aneela Khalid, Dr Naglaa Siddiq , Dr Yograj Khinchi, Dr
Naushad Abid, Dr Arif Mohyuddin, Dr Joel Kuruvilla, Dr Mujtaba
Hashir, Dr Riyaz Hussain, Dr Surendra Bathula, Dr Surendra
Safaya, Dr Hesham Al-Touky, Dr Kaberi Feroze for their t imely
support and cont inuous guidance.
My sincere thanks are due to al l Non -Teaching staf f and
Producers Dr John Levardo, Bryan Kim J. Pascua, Mr. Jose Karlo M.
Pañgan Karlo, Phi l ip Crystal, Glenda, Hamed for their constant help,
encouragement and t imely support without any personal motive.
I t wi l l be a great mistake on my part not to express my thanks to
al l my fellow faculty members of the College of Medicine who had
helped me and gave construct ive ideas t ime to t ime .
Special Acknowledgment:
Professor James Ware, MA, MB, FRCS, DMSc
Director of Medical Education and Postgraduate Studies
Department of Medical Education and Postgraduate Studies
Saudi Commission for Health Specialties, Riyadh, Saudi Arabia
Dr. Abdulaziz Fahad Al Kaabba, MBBS, JMHPE, MHSc, DCH, ABFM
Family Physician Consultant,
Associate Professor of Family Medicine & Bioethics
College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University, Riyadh, KSA
Dr. Ghaiath MA Hussein, MBBS, MHSc (Bioethics)
Doctoral Researcher
Ethics, Society & History (MESH)
School of Health & Population Sciences
University of Birmingham, United Kingdom
Professor Dr. Omar Hasan Kasule, Sr., MBChB (MUK), MPH & DrPH (Harvard)
Head of Knowledge Exchange and International Collaboration
Chairman, KFMC Ethics Committee and the Institutional Review Board (IRB)
Faculty of Medicine, King Fahad Medical City, Riyadh, Saudi Arabia
Ms. Vittoriana Crisera
Journal Manager, Journal of Health Specialties
Saudi Commission for Health Specialties, Riyadh, Saudi Arabia
Steven Z. Pantilat, MD, FAAHPM, MHM
Professor of Medicine,
Alan M. Kates and John M. Burnard Endowed Chair in Palliative Care
Director, Palliative Care Program and Palliative Care Leadership Center
Director, Palliative Care Quality Network [PCQN], Division of Hospital Medicine,
UCSF
Dr. Putul Mahanta, MD (FMT), FIAMLE
Associate Professor, Tezpur Medical College, Tezpur, Assam, India
Editor: Modern Text Book of Forensic Medicine &Toxicology
Editor-in-Chief: International Journal of Health Research & Medico Legal practice
Professor (Dr) R K Sharma
Director , Institute of Medico-legal Publications, New Delhi
President, Indian Association of Medico-Legal Experts ( Regd), New Delhi
Director, Supreme Medico-legal Protection Services Pvt Ltd , New Delhi
Former Head, Department of Forensic Medicine and Toxicology
All-India Institute of Medical SciencesAnsari Nagar New Delhi-110029
Dr Imran Sabri, Coordinator, Medical Ethics
لسى انطبب
ألسى باهلل انعظى
أ أرالب اهلل يف يهيت. وأ أصى حاة اإلسا يف كافت أدوارا، يف كم انظروف واألحىال، بارنا وسع يف استمارا ي املىث واملرض
واألمل وانمهك، وأ أحفظ نهاس كرايتهى، وأستر عىراهتى، وأكتى سرى. أكى عه انذواو ي وسائم رمحت اهلل، بارنا رعايت انطبت نهمرب وأ
وانبعذ، انصاحل وانطاحل، وانصذك وانعذو. وأ أثابر عه طهب انعهى، أسخ ر نفع اإلسا ال ألرا. وأ أولر ي عهين، وأعهى ي صغرين،
وأ تكى وأكى أخا نكم زيم يف املهت انطبت يف طاق انرب وانتمىي.حايت يصذاق إمياين يف سر وعاليت، ما مما شين أياو اهلل ورسىن
واملؤيني. واهلل عه يا ألىل شهذ.
Physician Oath
**I swear in the name of mighty Allah…
**To keep performing my duties in front of Allah…
**And to help save human life in all of its forms and ages, in all Circumstances and
conditions, doing all my best in saving the lives of my patients from illness, pain and anxiety.
**And to keep human dignity, to protect their privacy and to keep their Secrets.
** To be always one of the means of gods mercy, keeping medical care for everybody, for
good or bad, and for friend or enemy.
**To keep looking for knowledge, and using it for human benefits, not harming them.
** To respect and honor my teachers , to teach those who are younger than me, and to be a
brother for my fellow physicians , cooperating with them on faith and advising in the good.
**To keep my life a reflection of my faith in my own personal or public practice, pure from
what may disturb or shame my life in front of god.
May Allah witness all what I am saying.
Contents Year 1
Ch. Topic/Activity Type Block Page
1.1.1 Introduction to Medical Ethic T 1.1 01-08 1.1.2 Privacy Protection/Confidentiality T 1.1 09-17
1.1.3 Doing well/Doing No Harm T 1.1 18-22
1.1.4 Autonomy T 1.1 23-31 1.1.5 Assignment One [Oath] P 1.1 32-37
1.1.6 Practical Ethics [Assignment 2] P 1.1 38-39 1.1.7 Global Heath and Ethics [Assignment 3] P 1.1 40-41
1.1.8 Assignment Cases P 1.1 42-48 1.1.9 Relevant Study Material of Block 1.1 49-60
1.4.1 Am I to blame? T 1.4 61-72 1.4.2 Interaction life and spirit T 1.4 73-75
1.4.3 Sickness and health T 1.4 76-80 1.4.4 Quality of life 2 T 1.4 81-87
1.4.5 How Do I become good doctor T 1.4 88-96 1.4.6 Relevant Study Material of Block 1.4 97-97
Bibliography 98-98