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Homage to the whistle blower of COVID-19
Dr. Li Wenliang, a Chinese ophthalmologist who
tried to warn fellow practitioners about the potential
outbreak of a virus.
Unfortunately, he was accused of making false claims
and misleading the public.
The doctor had contracted the virus while treating a
glaucoma case (suffering from corona virus) in Wuhan.
Dr. Li passed away on February 7, 2020.
ROLE AND IMPACT OF PHYSICIAN IN SOCIETY
&
MEDICAL ETHICS
Dr. Kamal Kishore M.D.(Ayu)
ROLE OF PHYSICIANS
734 doctors died due to Covid in India in 2020.
25 doctors of them were below 35 years of age.
Doctor Vs Physician Vs Vaidya
Doctor is a Latin word and later a French one, meaning anyone who is a teacher
- of law, theology, philosophy, as well as medicine.
Latin word physicum or physicus - mean treatment/remedy.
Vaidya – for chikitsa of visham dosh/dhatu.
शरीरे जजजरी भूते व्याधिग्रस्ते कलेबरे ।
औषिं जाह्नवीतोयं वैद्यो नारायणो हररिः ॥
ACHIEVERS
DOCTOR
S
SAVERS
GOD
Medical ethics and role and impact of physician in society
 PREVENTION, DIAGNOSIS & TREATMENT
● COMMUNICATOR
● LISTENER
● COUNSELLOR ● EDUCATOR/HEALTH
ADVOCATE
● RESEARCH
SCIENTIST
● MANAGER
● POLICY MAKER
Sushruta 6th century BC
“Father of surgery”
 Surgical techniques
 Fracture Rx
 Dislocations Rx
First vaccine of the world in 1798
Sir Edward Jenner
“Father of Immunology”
 In Jenner's time, smallpox killed around 10% of the
population.
 His work is said to have saved more lives than the work
of any other human.
Sir Alexander Flemming
“Single greatest victory ever achieved over disease”
World’s first antibiotic – penicillin 1928.
Antibiotic era
Year Life Expectancy in
age
1920 54.1
1936 58.5
1952 68.6
1968 70.2
2002 77.3
Estimated Life Expectancy
William Harvey 1602
Described Systemic circulation
“Father of modern physiology”
He explained how blood flowed in one direction
throughout the body and that it was in the lungs where
the transformation of venous blood to arterial blood
took place.
Dr. Murugappa Channaveerappa Modi
 Ayurvedic Eye surgeon
 Performed a record half-a-million (five-lakh) eye surgeries
 The Guinness Book of World Records lists Modi as the
"most dedicated doctor," for performing the highest
number of eye surgeries
 Padma Shri
 Padma bhushan
Yellapragada Subbarow
Discovered ATP as energy source for cell.
Studied at Madras medical college.
He discovered methotrexate, in 1947, a chemotherapy drug still
used today.
It is also used for rheumatoid arthritis, and diethyl carbamazine
(DEC), the only effective drug for treating filariasis.
Medical ethics and role and impact of physician in society
ETHICS
Ethics deal with the set of principles of right conduct.
They are set of rules to define right and wrong.
Principlism is the body of ethics and in medical science it includes:-
“Primum non-nocere” “First do no harm” (harm - pain, dysfunction or
death)
It is more important not to harm the patient, then to do them good.
☓ Giving information that is incorrect
☓ Hiding relevant information
☓ Iatrogenic disorders
Ayurveda also propagates yogya and ayogya in shodhana therapies.
Vaidya nimitt vyapad are explained by Acharya Sushruta.
Pathya-apathya Kalpana.
Taking actions which serve the best interest of patient.
Acharya Sushruta gives guidelines for the physician to enter the profession in
Sutra Sthan in 10th chapter vishakhaanupraveshiya adhyaya.
That physician should enter in the profession, who has completed the study of the
texts, understood the interpretations, who has made himself thorough through
practical training and recapitulating the teachings of the science always and
obtained the permission from the king.
Right of self-determination, independence and freedom of making own choices
(for patient).
Acharya Charaka explained Vaidyavritti (attitude) which includes:- (ch.su.9/26)
 Friendliness (Maitri), & Compassion toward the diseased (Karunya arteshu),
 Attachment to the remediable (Shakye priti)
 Indifference to those who are moving toward the end (Upekshanam).
Justice - all person in the society should be treated fairly and equally for allocation
of resources.
Acharya Sushruta advocates white clothes (Shuklavastra) which symbolizes
cleanliness and similarity to all. Su.Su.10/3.
Confidentiality of the patient’s information.
Declaration by AYUSH PRACTITIONERS
Persons applying for registration with State Medical Council or Board/Central
Council of Indian Medicine shall forward along with his application form the
following declaration duly signed by him, namely :—
(i) I solemnly pledge myself to consecrate my life to the service of humanity.
(ii) Even, under threat, I shall not use my knowledge contrary to the laws of humanity.
(iii) I shall maintain the utmost respect for human life from the time of conception.
(iv) I shall not permit consideration of religion, nationality, race, party politics or social standing to
intervene between my duty and my patient.
(v) I shall practise my profession with consicience and dignity.
(vi) The health of my patient shall be my first consideration.
(vii) shall respect the secrets which are confined in me.
(viii) I shall give to my teachers the respect and gratitude which is their due.
(ix) I shall maintain by all means in my power, the honour and noble tradition of medical profession.
(x) I shall treat my colleagues as my brothers.
(xi) I shall maintain the standards of professional conduct and etiquette and observe the code of
ethics, laid down in these regulations.
QUALITIES OF A GOOD PHYSICIAN
श्रुते पयजवदातत्वं बहुशो दृष्टकर्जता|
दाक्ष्यं शौचमर्तत ज्ञेयं वैद्ये गुणचतुष्टयर् ्||Ch. Su. 9/6
 Knowledgeable
 Respectful for life
 Professional – communication skills, bedside manners, attitudes, behaviours.
 Above all – Heart of Service
PERSONAL RESPONSIBILITIES
 Stay healthy / maintain your health
 Follow ayurvedic principles as much as possible
 Study, update and upgrade regularly for the rest of your working life as a doctor
 Set goals and monitor your actions for it
 Be compassionate and loose the prejudice
 Do not use your profession for any physical, political, religious, financial or moral
gains.
 Be hygienic at all times.
DRESS AND DEMEANOUR
 Wear a smart, sensitive and moderate dress.
 Exposing dresses distract patients, impede communication and create offence.
 Tie back long hair and keep jewellery simple.
 White coats represents – professionalism, identification and barrier to infection.
 Always wear a name badge which can be read easily.
Communication skills
Consultation is meeting of two experts: physician and patient
Develop excellent communication skills for assessing patient problem accurately.
Poor communication skills may lead to medicolegal vulnerability.
Always respect the skills and contributions of your colleagues.
Politeness in words and humbleness in actions is the key for becoming a liked
doctor.
Expectations
Media stereotypes of doctors involves miraculous intuitions, rare
diagnosis and performance of dramatic life saving interventions.
REALITY IS DIFFERENT
Medicine often involves seeing and treating patients with common
conditions and chronic diseases where we can provide palliation or
simply witness to patients suffering.
D’nt be head strong to aplologize for any mistakes to patients.
CONCLUSION
● Goal of Physician/Vaidya - curing those afflicted by diseases and protecting
those who are healthy.
● Attitude of the physician - Friendliness, compassion toward the patient,
attachment to the remediable and indifference to those who are moving
toward end. Wearing white clothes and adopting the code of good conduct.
● Qualities of good physician - Should be excellent in theory and practical
knowledge, dexterity, cleanliness are the major qualities.
● Manner of medical practices -First diagnose the disease and then decide
the treatment.
Take home message
 Physicians remain well-respected in society .
 We have enormous influence on lives and great authority as well.
 As a budding doctor, we have to uphold ethical standards, improve the lives
of your patients, and be the best doctor, and person, that we can.
 Remember “With great power comes great responsibility”

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Medical ethics and role and impact of physician in society

  • 1. Homage to the whistle blower of COVID-19 Dr. Li Wenliang, a Chinese ophthalmologist who tried to warn fellow practitioners about the potential outbreak of a virus. Unfortunately, he was accused of making false claims and misleading the public. The doctor had contracted the virus while treating a glaucoma case (suffering from corona virus) in Wuhan. Dr. Li passed away on February 7, 2020.
  • 2. ROLE AND IMPACT OF PHYSICIAN IN SOCIETY & MEDICAL ETHICS Dr. Kamal Kishore M.D.(Ayu)
  • 3. ROLE OF PHYSICIANS 734 doctors died due to Covid in India in 2020. 25 doctors of them were below 35 years of age.
  • 4. Doctor Vs Physician Vs Vaidya Doctor is a Latin word and later a French one, meaning anyone who is a teacher - of law, theology, philosophy, as well as medicine. Latin word physicum or physicus - mean treatment/remedy. Vaidya – for chikitsa of visham dosh/dhatu. शरीरे जजजरी भूते व्याधिग्रस्ते कलेबरे । औषिं जाह्नवीतोयं वैद्यो नारायणो हररिः ॥
  • 7.  PREVENTION, DIAGNOSIS & TREATMENT ● COMMUNICATOR ● LISTENER ● COUNSELLOR ● EDUCATOR/HEALTH ADVOCATE ● RESEARCH SCIENTIST ● MANAGER ● POLICY MAKER
  • 8. Sushruta 6th century BC “Father of surgery”  Surgical techniques  Fracture Rx  Dislocations Rx
  • 9. First vaccine of the world in 1798 Sir Edward Jenner “Father of Immunology”  In Jenner's time, smallpox killed around 10% of the population.  His work is said to have saved more lives than the work of any other human.
  • 10. Sir Alexander Flemming “Single greatest victory ever achieved over disease” World’s first antibiotic – penicillin 1928. Antibiotic era Year Life Expectancy in age 1920 54.1 1936 58.5 1952 68.6 1968 70.2 2002 77.3 Estimated Life Expectancy
  • 11. William Harvey 1602 Described Systemic circulation “Father of modern physiology” He explained how blood flowed in one direction throughout the body and that it was in the lungs where the transformation of venous blood to arterial blood took place.
  • 12. Dr. Murugappa Channaveerappa Modi  Ayurvedic Eye surgeon  Performed a record half-a-million (five-lakh) eye surgeries  The Guinness Book of World Records lists Modi as the "most dedicated doctor," for performing the highest number of eye surgeries  Padma Shri  Padma bhushan
  • 13. Yellapragada Subbarow Discovered ATP as energy source for cell. Studied at Madras medical college. He discovered methotrexate, in 1947, a chemotherapy drug still used today. It is also used for rheumatoid arthritis, and diethyl carbamazine (DEC), the only effective drug for treating filariasis.
  • 15. ETHICS Ethics deal with the set of principles of right conduct. They are set of rules to define right and wrong. Principlism is the body of ethics and in medical science it includes:-
  • 16. “Primum non-nocere” “First do no harm” (harm - pain, dysfunction or death) It is more important not to harm the patient, then to do them good. ☓ Giving information that is incorrect ☓ Hiding relevant information ☓ Iatrogenic disorders Ayurveda also propagates yogya and ayogya in shodhana therapies. Vaidya nimitt vyapad are explained by Acharya Sushruta. Pathya-apathya Kalpana.
  • 17. Taking actions which serve the best interest of patient. Acharya Sushruta gives guidelines for the physician to enter the profession in Sutra Sthan in 10th chapter vishakhaanupraveshiya adhyaya. That physician should enter in the profession, who has completed the study of the texts, understood the interpretations, who has made himself thorough through practical training and recapitulating the teachings of the science always and obtained the permission from the king.
  • 18. Right of self-determination, independence and freedom of making own choices (for patient). Acharya Charaka explained Vaidyavritti (attitude) which includes:- (ch.su.9/26)  Friendliness (Maitri), & Compassion toward the diseased (Karunya arteshu),  Attachment to the remediable (Shakye priti)  Indifference to those who are moving toward the end (Upekshanam).
  • 19. Justice - all person in the society should be treated fairly and equally for allocation of resources. Acharya Sushruta advocates white clothes (Shuklavastra) which symbolizes cleanliness and similarity to all. Su.Su.10/3. Confidentiality of the patient’s information.
  • 20. Declaration by AYUSH PRACTITIONERS Persons applying for registration with State Medical Council or Board/Central Council of Indian Medicine shall forward along with his application form the following declaration duly signed by him, namely :— (i) I solemnly pledge myself to consecrate my life to the service of humanity. (ii) Even, under threat, I shall not use my knowledge contrary to the laws of humanity. (iii) I shall maintain the utmost respect for human life from the time of conception. (iv) I shall not permit consideration of religion, nationality, race, party politics or social standing to intervene between my duty and my patient. (v) I shall practise my profession with consicience and dignity. (vi) The health of my patient shall be my first consideration. (vii) shall respect the secrets which are confined in me. (viii) I shall give to my teachers the respect and gratitude which is their due. (ix) I shall maintain by all means in my power, the honour and noble tradition of medical profession. (x) I shall treat my colleagues as my brothers. (xi) I shall maintain the standards of professional conduct and etiquette and observe the code of ethics, laid down in these regulations.
  • 21. QUALITIES OF A GOOD PHYSICIAN श्रुते पयजवदातत्वं बहुशो दृष्टकर्जता| दाक्ष्यं शौचमर्तत ज्ञेयं वैद्ये गुणचतुष्टयर् ्||Ch. Su. 9/6  Knowledgeable  Respectful for life  Professional – communication skills, bedside manners, attitudes, behaviours.  Above all – Heart of Service
  • 22. PERSONAL RESPONSIBILITIES  Stay healthy / maintain your health  Follow ayurvedic principles as much as possible  Study, update and upgrade regularly for the rest of your working life as a doctor  Set goals and monitor your actions for it  Be compassionate and loose the prejudice  Do not use your profession for any physical, political, religious, financial or moral gains.  Be hygienic at all times.
  • 23. DRESS AND DEMEANOUR  Wear a smart, sensitive and moderate dress.  Exposing dresses distract patients, impede communication and create offence.  Tie back long hair and keep jewellery simple.  White coats represents – professionalism, identification and barrier to infection.  Always wear a name badge which can be read easily.
  • 24. Communication skills Consultation is meeting of two experts: physician and patient Develop excellent communication skills for assessing patient problem accurately. Poor communication skills may lead to medicolegal vulnerability. Always respect the skills and contributions of your colleagues. Politeness in words and humbleness in actions is the key for becoming a liked doctor.
  • 25. Expectations Media stereotypes of doctors involves miraculous intuitions, rare diagnosis and performance of dramatic life saving interventions. REALITY IS DIFFERENT Medicine often involves seeing and treating patients with common conditions and chronic diseases where we can provide palliation or simply witness to patients suffering. D’nt be head strong to aplologize for any mistakes to patients.
  • 26. CONCLUSION ● Goal of Physician/Vaidya - curing those afflicted by diseases and protecting those who are healthy. ● Attitude of the physician - Friendliness, compassion toward the patient, attachment to the remediable and indifference to those who are moving toward end. Wearing white clothes and adopting the code of good conduct. ● Qualities of good physician - Should be excellent in theory and practical knowledge, dexterity, cleanliness are the major qualities. ● Manner of medical practices -First diagnose the disease and then decide the treatment.
  • 27. Take home message  Physicians remain well-respected in society .  We have enormous influence on lives and great authority as well.  As a budding doctor, we have to uphold ethical standards, improve the lives of your patients, and be the best doctor, and person, that we can.  Remember “With great power comes great responsibility”

Notas del editor

  1. the COVID-19 pandemic has now claimed 20 lakh lives.
  2. The physician who can communicate bad news in a direct and compassionate way help the patient cope, strengthen the therapeutic relationship, endures and further extends the healing process