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Indian Journal of Medical Ethics

Sameer R Rao
I read with interest the absorbing review of Jerome P. Kassirer's memoirs by Sanjay Pai. The review brings out the essence of the man and his memoirs very well and enhances the respect and the admiration for the legendary editor. Peer reviewed print journals still remain the gold standard of dissemination of new research in spite of the availability of other methods. However, as the reviewer writes, the times are changing. If the editors who uphold the highest standards of medical publishing are removed then the whole body of knowledge being published can come under a cloud...
August 14, 2018: Indian Journal of Medical Ethics
Yogesh Jain, Sushil B Patil, Gajanan B Phutke
The Bawaskars in their Comment "Emergency care in rural settings: Can doctors be ethical and survive?" raise a context-specific question about the sustainability of emergency care in rural, low resource areas. This could be broadened to "What efforts are needed to sustain emergency care systems run by the private sector in rural, low resource areas without catastrophically affecting patients or healthcare providers?" There are enough constitutional, legal and ethical imperatives to state that all emergency care should be available to everyone irrespective of paying capacity...
August 11, 2018: Indian Journal of Medical Ethics
Annie Singh, Mannat Kaur Bhatia, Ripudaman Singh, Jayksh Chhabra
We commend the article titled "Ethics of organ transplantation" by Sanjay Nagral for raising awareness about organ donation, especially kidney transplants, and shedding light on the Indian scenario. In this article, the author mentions that "If we wish to improve upon the current situation, the first step is total transparency on the part of the medical profession and open, public, debate on this and related issues."
August 8, 2018: Indian Journal of Medical Ethics
Gayathri Prabhu
This article examines the transferability of conversations in literary studies to a more sensitive, holistic, ethically informed, medical education. The article begins with a discussion of a class assignment on medical humanities in a literature course. The assignment enabled an immersive engagement with medical discourse by diverse students through different modes - through textual analysis, direct, and reflective encounters with communities of patients, caregivers, health professionals. The effort was to suggest that literature and medicine be studied as continuous shared strategies of reading and narrating lived experiences of health and illness...
August 7, 2018: Indian Journal of Medical Ethics
Dheeraj Kattula
Bawaskar and Bawaskar in their paper titled "Emergency care in rural settings: Can doctors be ethical and survive?" in this journal have presented a very real problem faced by small private healthcare facilities in rural areas. They raise the important question of whether doctors can be true to ethical principles and yet survive in the marketplace, with particular reference to emergency care. This commentary seeks to examine the problem and suggest solutions.
July 30, 2018: Indian Journal of Medical Ethics
V Dinesh Kumar
I had read the editorial by Bandewar et al on the Medical Council of India's amended requirements for medical teachers with great interest and wish to highlight two issues seldom addressed in Indian academia. It is not uncommon for new faculty showing serious involvement in their teaching and patient-care related commitments to be warned about their "misplaced priorities". In other words, the number of publications listed is becoming the priority at medical job fairs, and young doctors who are interested in genuine teaching or humane clinical practice are being side-lined in the rat race...
July 20, 2018: Indian Journal of Medical Ethics
Maryam Maddineshat, Mohammad Reza Yousefzadeh, Mahdi Mohseni, Zahra Maghsoudi, Mohammad Ebrahim Ghaffari
This study seeks to develop a method of teaching ethics to nursing students using games. We used the one-group pretest-posttest design with 30 undergraduate nursing students as participants. Professional ethics education was provided for 17 weeks in 90-minute sessions. The Lutzen ethical sensitivity questionnaire and a checklist of the satisfaction levels of games used measured the effects of training. Repeated-measures ANOVA and the Greenhouse-Geisser correction were used to measure ethics game satisfaction...
July 14, 2018: Indian Journal of Medical Ethics
Nagendra N Mishra, Triptish Bhatia, Vishwajit L Nimgaonkar, Smita N Deshpande, Lisa S Parker
Right to privacy of health-related information is a foundational bioethical principle. In India, the importance of protecting privacy is included in law and ethical guidelines. Institutional Ethics Committees (IECs) are entrusted with the responsibility of protecting fundamental ethical principles, including privacy and confidentiality. The present qualitative study was designed to understand IECs' privacy-related obligations and the members' experience in implementing ethical guidelines and privacy protections in their institutions...
July 10, 2018: Indian Journal of Medical Ethics
D Savitha, S Geetha, Suma Bhaskar, Taniya Anto, T V Sejil, Vineetha Vittal, Santu Ghosh, Prashanth Kumar
A published pilot study showed the feasibility of integrating ethics into physiology in a single medical college. However, questions were raised about feasibility of scale-up and acceptance across different colleges. To assess feasibility of integrating ethics into Physiology, first year MBBS students of three medical colleges (n=449, College A=149; 59M, 90F; College B=150; 78M, 72F; College C=150; 48M, 102F) were exposed to the integrated ethics programme. Triggers related to theory or practicals were included...
July 5, 2018: Indian Journal of Medical Ethics
Manjiri Phansalkar, Thomas Alexander, Susan Solomon, Renu G'Boy Varghese
A few institutes in India have started a programme of Humanities in Medicine (HiM) on a small scale. In 2014, the Pondicherry Institute of Medical Sciences (PIMS) decided to begin an HiM programme for undergraduate students and this has been conducted successfully for the last three years. The major strengths of the programme have been its formal integration within the curriculum and the contributions of a large number of enthusiastic, talented and motivated faculty. In this report, we wish to trace the evolution and implementation of the HiM programme in our institution...
July 2, 2018: Indian Journal of Medical Ethics
David Nderitu, Eunice Kamaara
In this commentary on Section 9 (Social and Behavioural Sciences Research for Health) of the National Ethical Guidelines for Biomedical and Health Research Involving Human Participants (2017) by the Indian Council of Medical Research (ICMR), we appreciate that the guidelines clarify that human beings are "research participants" and not merely "subjects". Further, we appreciate and commend the ICMR for: i) contextualising the guidelines to India's unique sociocultural and economic situation and ii) affirming the multidisciplinary nature of health research and the wide scope of social and behavioural research...
July 2018: Indian Journal of Medical Ethics
Raffaella Ravinetto, Kris Dierickx
Though not an ethical principle per se, benefit sharing is still an important tool to achieve justice in international research. It comes back as a transversal issue through the revised Indian Ethical Guidelines for Biomedical and Health Research Involving Human Participants (hereafter referred to as "the Guidelines"). The Guidelines invoke this principle with reference to the responsible conduct of research, ownership of biobanks and data repositories, informed consent process, community engagement, international collaborative research, and research in emergency or disasters, while using the phrase "maximization of benefit" instead of "benefit sharing"...
July 2018: Indian Journal of Medical Ethics
Roli Mathur, Soumya Swaminathan
The Indian Council of Medical Research (ICMR) has been at the forefront in setting up the ethical guidance for the conduct of biomedical and health research in India. The latest version of National Guidelines for Biomedical and Health Research Involving Human Participants, 2017 was planned in order to provide a more detailed guidance to the existing topics in view of emerging ethical concerns and to add a number of newer areas in which guidance was lacking. The scope of the guidelines has been expanded to include socio-behavioural research related to health and research involving biological material and datasets...
July 2018: Indian Journal of Medical Ethics
Indian J Med Ethics Editors
The comment "Increased incidence of cervical cancer in Sweden: Possible link with HPV vaccination" was published in the Indian Journal of Medical Ethics online on April 30, 2018. The author gave his name and affiliation as Lars Andersson, department of Physiology and Pharmacology, Karolinska Institutet (KI), Sweden.
July 2018: Indian Journal of Medical Ethics
Indian J Med Ethics Editors
The comment "Increased incidence of cervical cancer in Sweden: Possible link with HPV vaccination" (DOI: 10.20529/IJME.2018.037) was published online in the Indian Journal of Medical Ethics on April 30, 2018. The author gave his name and affiliation as Lars Andersson, department of Physiology and Pharmacology, Karolinska Institutet (KI), Sweden. On May 8, as soon as KI informed us that no such person worked there, we carried out a correction on the same day and the institution's name was removed as affiliation...
July 2018: Indian Journal of Medical Ethics
Jagdish Varma, Anusha Prabhakaran, Suman Singh
The Medical Council of India intends to implement an attitude, ethics, and communication training module for medical students. This study investigates undergraduate students' attitudes towards communication skills training (CST). Forms were distributed to 81 recently admitted undergraduates, of whom 76 responded, in an anonymous cross-sectional survey. Single questions assessed knowledge of communication skills (CS), need for formal curriculum, and importance of CST. Attitudes toward CS were measured using a modified Communication Skills Attitude Scale...
July 2018: Indian Journal of Medical Ethics
K Radhika, M Manjula, T S Jaisoorya
Although there have been numerous studies, especially in the last few decades, on the impact of child sexual abuse (CSA) on adult survivors, there is a dearth of studies focusing on the ethical aspects of research in this area. Against this background, we reviewed the literature published between January 2000 and December 2016 on the reporting of ethical guidelines followed in research on adult survivors of CSA. We conducted a PubMed (MEDLINE) and Google Scholar search to find published research, using the keywords: "child sexual abuse", "adult survivors", "research", "guidelines" and "ethics"...
July 2018: Indian Journal of Medical Ethics
Madhu Gupta, Jaya Prasad Tripathy, Sanjay Verma
Audiovisual (AV) recording of the informed consent process in a clinical or vaccine trial to document the consent process of participants (especially from vulnerable populations), ensures preservation of their rights and well-being. This paper describes the AV consent process during a phase III rotavirus vaccine trial among healthy infants in Chandigarh and examines its effects. Out of 155 parents/guardians of participating infants who were contacted to be a part of the study, 50 were reluctant to participate in the study trial (not necessarily in the AV consenting process)...
July 2018: Indian Journal of Medical Ethics
Renju Ravi, Alhad Mulkalwar, Urmila M Thatte, Nithya J Gogtay
In 2013, an independent group of researchers developed the CARE guidelines, a checklist to standardise reporting of case reports. This study assesses adherence to CARE guidelines among PubMed-indexed Indian medical journals in 2015 and the extent of endorsement of these guidelines by the journals. Case reports published in 2015 in journals indexed by PubMed, belonging to the medical stream, currently active, and that had an impact factor were included for analysis. Case series and journals that were published from India but for another country were excluded...
July 2018: Indian Journal of Medical Ethics
George Thomas
The Cabinet chaired by the Prime Minister has accepted six amendments to the National Medical Commission Bill suggested by the Department-related Parliamentary Standing Committee (1). These amendments are: the proposed National Licentiate Examination has been replaced by a countrywide final MBBS examination called the National Exit Test (NEXT); the bridge course to train practitioners from AYUSH (Ayurveda, Unani, Siddha and Homeopathy) in modern medicine has been removed, and it has been left to individual states to take a decision about this; the percentage of seats in private medical training institutions under fee regulation has been increased from 40% to 50%; the number of nominees from the states and Union territories who are members of the Commission has been increased from three to six; the penalties for non-compliance with educational norms for colleges has been modified; and the punishment for practising modern medicine without qualification has been made imprisonment up to one year and a fine of Rs 5 lakh...
July 2018: Indian Journal of Medical Ethics
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