There are many writings
on medical ethics in Chinese literature up to the
19th century, before the introduction of western scientific
medicine. One of the good features of these writings
is the encouragement to give gratuitous (free) service
to the poor; a weakness is that they do not condemn
secret remedies (in contrast to the sharing of all
therapeutic advances and prescriptions in modern days),
nor is there mention of the teaching of medical knowledge,
such as is referred to in the Hippocratic oath.
In
1968, the World Medical Association meeting in Geneva,
Switzerland, formulated a physician's oath on being
admitted as a member of the medical profession (the
Geneva Declaration). It is much shorter than the Hippocratic
oath.
The new doctor says:
"1.I
solemnly pledge myself to consecrate my life to the
service of humanity.
2. I will give my teachers the respect and
gratitude which is their due.
3. I will practice my profession with conscience
and dignity; the health of my patient will
be my first consideration.
4. I will maintain, by all means in my power,
the honour and the noble traditions of the medical
profession; my colleagues will be my brothers."
Finally, the General
Assembly of the United Nations in 1948 passed the
"Universal Declaration of Human Rights." (Mrs. Roosevelt
was the Chairman of the drafting committee.) Article
1 says, "All human beings are born free, in dignity
and rights." (The word "dignity" has a special meaning
here, which is "worthy of respect.") Article 1 goes
on, "Human beings are endowed with reason and conscience
and should act towards one another in the spirit of
brotherhood." There are 50 articles.
The whole declaration
states what each human being as a right to expect
on entering the world-simply because he or she is
a human being! This must and does include the right
to health, and a successful patient-doctor relationship.
This is regardless of all cultures and creeds.
It has been suggested
that every medical student on graduation should be
given a copy of this declaration.
I return to the question,
"How to be a good doctor?"