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To strengthen consensus, consult the stakeholders.

Cheryl Cox Macpherson1

  • 1Bioethics Department, St. George's University, School of Medicine, PO Box 7, St. Georges, Grenada, West Indies. ccox@sgu.edu

Bioethics
|September 3, 2004
PubMed
Summary

The Council for International Organizations of Medical Sciences (CIOMS) should enhance stakeholder engagement for its revised ethical guidelines. Greater public consultation can foster broader consensus and improve guideline adoption in medical research.

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Area of Science:

  • Bioethics
  • Medical Research Ethics
  • Global Health Policy

Background:

  • The Council for International Organizations of Medical Sciences (CIOMS) faced criticism for insufficient stakeholder consultation on revised medical research ethics guidelines.
  • Exclusion of stakeholders may stem from political and logistical challenges inherent in democratic processes and information exchange.

Purpose of the Study:

  • To explore how CIOMS could have achieved greater inclusivity and consensus on its revised ethical guidelines.
  • To examine the role of public engagement and dialogue in strengthening ethical frameworks for medical research.

Main Methods:

  • Analysis of the CIOMS guidelines and the broader bioethics debate on universal versus relative values.
  • Exploration of consensus-building dynamics in scientific and ethical communities.
Keywords:
Biomedical and Behavioral ResearchCouncil for International Organizations of Medical SciencesInternational Ethical Guidelines for Biomedical Research Involving Human Subjects

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Main Results:

  • Broader consensus on ethical guidelines is achievable through active public and stakeholder engagement.
  • CIOMS has an ethical responsibility to actively promote its guidelines and facilitate dialogue, mirroring the practices of research sponsors.
  • Effective consultation encourages buy-in from diverse stakeholders, including researchers, participants, institutions, and governments.

Conclusions:

  • CIOMS and similar organizations must actively facilitate capacity building in underserved regions.
  • Proactive engagement and consensus-building are crucial for the ethical advancement of international medical research.
  • Organizations have an ethical imperative to promote their guidelines and foster dialogue to ensure wider adoption and impact.