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Is Updating the WMA Physician's Pledge Enough?

Ben Bowman1, Brian Callender2

  • 1An MD candidate at the University of Chicago Pritzker School of Medicine in Illinois and a former US foreign service officer.

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Summary

Health professions students must uphold human rights and core ethical principles in patient care, regardless of patient origin. Students should approach global health experiences with cultural humility and hold institutions accountable for ethical standards.

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Area of Science:

  • Medical Ethics
  • Global Health Education
  • Human Rights in Healthcare

Background:

  • The 2017 World Medical Association Physician's Pledge revisions reflect geopolitical shifts.
  • The pledge emphasizes patient dignity, autonomy, and collegial respect.

Purpose of the Study:

  • To guide health professions students in ethical practice during international and domestic clinical encounters.
  • To advocate for upholding human rights and core ethical principles in patient care.

Main Methods:

  • Review of the World Medical Association Physician's Pledge and its ethical implications.
  • Analysis of the responsibilities of health professions students in diverse clinical settings.
  • Emphasis on cultural humility and institutional accountability in global health immersion.

Main Results:

  • Students must advocate for patient care that respects human rights and ethical principles (beneficence, nonmaleficence, justice, autonomy).
  • Cultural humility is essential for students in domestic and international clinical settings.
  • Institutions must be held accountable for ethical violations during student immersion experiences.

Conclusions:

  • Health professions students play a crucial role in advancing ethical patient care globally.
  • Upholding human rights and ethical principles is paramount, irrespective of a patient's background or location.
  • Students should be aware of their privileged position as international observers and promote ethical conduct.