HOW DERMATOLOGISTS LOOK AT DERMATOETHICS?
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HOW DERMATOLOGISTS LOOK AT DERMATOETHICS? . Prof Ihab Younis. إن هزائمنا في ميادين القتال في الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح. Values in medical ethics :. The patient has the right to refuse or choose treatment

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إن هزائمنا في ميادين القتال في الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح


Values in medical ethics
Values in medical ethics : الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح

  • The patient has the right to refuse or choose treatment

  • A practitioner should act in the best interest of the patient

  • First, do no harm to the patient

  • Fairness and equality concerns the distribution of health resources, and the decision of who gets what treatment

  • The patient's dignity and right to privacy should be respected at all times in medical care and teaching


100 dermatologists

77% الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح

24%

36-45 Y

58%

23%

18%

25-35 Y

>60 Y

100 Dermatologists


Four categories of questions
Four categories of questions الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح

  • Financial aspects

  • Behavior during examination

  • Diagnostic aspects

  • Therapeutic approaches


1 financial aspects
1-Financial aspects الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح


Do you exempt poor patients from paying your fees

> الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح

>

Do you exempt poor patients from paying your fees?

  • Yes:91%

  • No:9%


What would you request necessary or total investigations

> الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح

=

What would you request necessary or total Investigations?

  • Only necessary: 88%

  • Total:12%


Would you guide the patient to a specific laboratory

> الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح

>

Would you guide the patient to a specific laboratory ?

  • No:56%

  • Yes:44%


> الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح

Would you prescribe an expensive drug just for psychological satisfaction of patient despite the presence of a good and cheap alternative?

  • Yes:56 %

  • No 44%

=


Would you exempt a colleague from the rule first come first served

> الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح

=

Would you exempt a colleague from the rule “first come first served”?

  • Yes:82%

  • No:18%


What do you think about repaying the fees to him her

> الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح

>

What do you think about repaying the fees to him/her?

  • Agree:95%

  • Disagree:5%


What do you think about writing medical certificate just for the payment of fees

> الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح

=

What do you think about writing medical certificate just for the payment of fees?

  • Disagree:78%

  • Agree:22%


2 diagnostic aspects
2-Diagnostic aspects الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح


Would you tell the patients that you don t know the diagnosis

> الثلاثمائة سنة الأخيرة كانت فادحة إلا أن هزائمنا في ميادين الأخلاق كانت أفدح

>

Would you tell the patients that you don't know the diagnosis?

  • No:60%

  • Yes:40%



Would you tell the patient the complete truth about his disease

> know the diagnosis?

>

Would you tell the patient the complete truth about his disease?

  • Yes:92%

  • No: 8%


Would you inform the patient that his ex doctor is a cheater

> know the diagnosis?

>

Would you inform the patient that his ex- doctor is a cheater?

  • No: 83%

  • Yes:17%


3 examination aspects
3-Examination aspects know the diagnosis?


What do you think about discrimination in clinical examination between simple rich patients

> know the diagnosis?

=

What do you think about discrimination in clinical examination between simple & rich patients?

  • Wrong:97%

  • Right:3%


If the disease is in the genitalia and the patient refuses to disclose it

> know the diagnosis?

>

If the disease is in the genitalia and the patient refuses to disclose it?

  • I will refuse to continue examination and repay the fees:50%

  • Persuade the patient:25%

  • Prescribe a treatment without seeing the lesion:25%


What do you think about examining a patient in front of his or her friend

> know the diagnosis?

=

What do you think about examining a patient in front of his or her friend?

  • Wrong:87%

  • Yes:13%


> know the diagnosis?

>

If the patient asked to prescribe a drug for a person, who is not present at your office, What will you do?

  • Refuse:68%

  • Ask to see the patient and let the patient pays the fees:20%

  • Agree:12%


Have you ever been harassed by a patient during examination

34% mostly verbal know the diagnosis?

Would you like to go back

to intensive care?

>

27% mostly by asking for unnecessary examination of genitalia

Have you ever been harassed by a patient during examination?

  • No:71%

  • Yes: 29%


Should we ask the patient s permission of the for examination in front of medical student

> know the diagnosis?

=

Should we ask the patient’s permission of the for examination in front of medical student?

  • Yes:94%

  • No:6%


> know the diagnosis?

=

What do you think about the discrimination in clinical examination between Muslim and non Muslim patients?

  • Disagree:98%

  • Agree:2%


4 therapeutic aspects
4-Therapeutic aspects know the diagnosis?


Would you prescribe a specific medicine in agreement with a drug company

= know the diagnosis?

=

Would you prescribe a specific medicine in agreement with a drug company?

  • No:97%

  • Yes:3%


Is cosmetic dermatology beneficial for the patient

> know the diagnosis?

>

Is cosmetic dermatology beneficial for the patient?

  • Yes:66%

  • No:34%


What do you think about using laser removal of pubic hair

> know the diagnosis?

>

What do you think about using laser removal of pubic hair?

  • Agree:57%

  • Disagree:43%