Geneva Declaration

DECLARATION OF GENEVA

·       The Declaration of Geneva is a modern version of the Hippocratic Oath, established by the World Medical Association (WMA) in 1948 after World War II.

·       It serves as a declaration of a physician's dedication to the humanitarian goals of medicine.

·       It has been revised several times to reflect the evolving standards of medical ethics and professionalism.

Historical Context

  • After the atrocities committed by physicians during World War II, particularly in Nazi Germany, the medical community recognized the need for an updated ethical code.
  • The WMA, founded in 1947, adopted the Declaration of Geneva in 1948 during its General Assembly in Geneva, Switzerland.
  • It aimed to reaffirm the ethical principles of the medical profession in light of the failures of medical ethics during the war.

Core Principles

1.    Dedication to Humanity

o   Physicians pledge to devote their lives to the service of humanity, placing the health and well-being of the patient above all else.

2.    Respect for Teachers and Colleagues

o   Physicians vow to respect their medical teachers, acknowledging their contributions to their education and training.

3.    Non-Discrimination

o   Physicians commit to treating patients without any form of discrimination based on age, gender, race, religion, political affiliation, social status, or any other factor.

4.    Patient Confidentiality

o   Physicians pledge to maintain the utmost respect for patient confidentiality, even after the patient has died.

5.    Respect for Human Life

o   The declaration emphasizes the importance of respecting human life from its beginning, while also considering the dignity of the patient.

6.    Ethical Practice

o   Physicians are expected to practice medicine with conscience, dignity, and in accordance with good medical practice.

7.    Opposition to Abuse of Medical Knowledge

o   Physicians vow not to use their medical knowledge to violate human rights or civil liberties.

8.    Mental and Physical Well-being of the Physician

o   In recent revisions, the declaration also highlights the importance of physicians taking care of their own health and well-being to provide optimal care to patients.

Revisions and Modernization

1.    1968 Revision: Minor changes were made to clarify the ethical obligations of physicians.

2.    1983 Revision: Emphasized patient autonomy and rights.

3.    1994 and 2005 Revisions: Included language about respect for human rights and clarified the physician's responsibility toward society.

4.    2017 Revision: Added commitments to physician well-being, non-discrimination, and the promotion of health as a fundamental human right.

Significance in Modern Medicine

  • The Declaration of Geneva is considered a universal code of ethics for medical professionals worldwide.
  • It serves as a guide for medical students, practitioners, and healthcare institutions in maintaining ethical standards.
  • Many medical schools use the declaration during graduation ceremonies as a pledge for new doctors.

Conclusion

·       The Declaration of Geneva remains a cornerstone of medical ethics, reflecting the profession's commitment to humanitarian principles.

·       It evolves with the changing landscape of medicine, ensuring that physicians uphold the highest ethical standards while prioritizing patient welfare and human dignity.

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