Center for Bioethics and Medical Humanities (CBMH FK-KMK UGM) held Raboan Discussion Forum last Wednesday (15/2). The discussed topic on the forum was “A Dialogical Approach to Clinical Ethics Support for Critical Yet Respectful Learning.” CBMH FK-KMK UGM, as the organizer, invited Prof. Bert Molewijk from UMC University of Amsterdam as the speaker. dr. Wika Hartanti MIH also moderated the online discussion forum.

Prof. Bert said that a dialogical approach to ethics is crucial for meaningful engagement and understanding. Ethics plays a vital role in clinical practice. Ethics can provides a framework for making morally sound decisions and ensures the well-being of patients. In addition, ethics is important because it upholds the integrity of the healthcare professionals and fosters trust in professional relationships. read more

Wednesday (8/2), the Center for Medical Bioethics and Humanities held the Raboan Discussion Forum. The topic that we raised was Bioethical Problems in Women’s Surgical Methods of Contraception. The speaker for this discussion was Dr. Annisa Ullya Rasyida, dr., M.Si. and moderated by dr. Tiea Khatija.

Women’s Surgical Methods of Contraception (MOW) or female tubectomy or sterilization to close the fallopian tubes, to preventing the pregnancy, because the ovum can’t meet sperm cells. Contraception can be done if there are indications and/or the couple doesn’t want to have more children (BKKBN, 2011). One of the indications for someone that use the MOW contraception is the presence of psychological/physical disturbances when the woman is pregnant again. Only 44.5% of MOW acceptors knew about the side effects of using that contraception. MOW contraceptive users can only give birth with caesarean section method is maximum of 3 times. The use of MOW contraception is recommended for mothers who have heart defects that are quite serious. read more

Wednesday (01/02) Center for Bioethics and Medical Humanities Faculty of Medicine Public Health and Nursing held a Raboan Discussion Forum. The virtual forum raised the topic Abandonment of Ethics, Early Directions to Violation of the Law, presented by Dr. dr. Siswanto Sastrowijoto, Sp. ENT-KL (K), MH. Meanwhile, the moderator for the discussion was dr. Galuh Dyah Fatmala.

The dominant factor in professionalism is a combination of relevant intellectual capacity, necessary skills, adherence to moral and ethical standards, and the ability to act as an agent of change. In the context of medical professionals, neglecting ethical standards can lead to unprofessional behavior, which may result in malpractice. Several criteria support the legal action of medical malpractice, such as violating professional standards, operational procedures, informed consent, doctor-patient confidentiality, and ethical and moral principles. In addition, failure to meet patients’ medical needs and violating their rights are grounds for legal action. read more

Center for Bioethics and Medical Humanities held Raboan Discussion Forum on Wednesday (25/01). The weekly discussion forum raised topic Digital Health Transformation Impact on Health and Inclusion: Some Moral Considerations. The topic was presented by Abdul Rohman, PhD. and lead by moderator Erlin Erlina, PhD.

People with disabilities (PwD) have faced challenges accessing information related to the pandemic, including vaccination programs, indicating an inconsistent implementation of social inclusion principles in the pandemic response plans. In response, three organizations of PwD in Vietnam organized five online information sessions between late 2021 and early 2022 when major cities in Vietnam were on lockdown. During each session, medical experts shared pandemic and vaccination-related information with 209 participants. After the session, participants were asked to rate their confidence in COVID-19 vaccines, share what information they needed, what information sources they used, and how to improve the inclusiveness of vaccination programs. The study found that PwD in Vietnam are willing to take vaccines, but making a range of information sources accessible to them can help communicate the side effects of the vaccines to their specific health conditions. It is important to consistently implement disability rights in vaccination programs as part of the pandemic response plans to become more inclusive. The study recommends strengthening the capacity of organizations of PwD to produce accessible information independently to better protect them in future pandemics. read more

On Wednesday (18/1), the Center for Medical Bioethics and Humanities held the Raboan Discussion Forum. The topic discussed was the Ethical Perspective on Artificial Womb. The speaker for this discussion was Dr. Theza Elizianno Andrew Pellondo’u, Sp.KF, and it was moderated by Dr. Tiea Khatija.

DNA & RNA are chemical molecules that have the property of self-replication. Cells have the inherent instinct to reproduce themselves through mitosis or meiosis.

Effects of science and technology developments in medicine: read more

Center for Bioethics and Medical Humanities held Raboan Discussion Forum on Wednesday (11/01). The weekly discussion forum raised topic Ethical Issue in Assesment. The topic was presented by dr. Yoyo Suhoyo, M.Med.Ed, PhD. and lead by moderator dr. Galuh Dyah Fatmala.

Ethical behavior in assessment requires individuals to act based on their obligation to protect the rights of those affected by the evaluation, treat them with respect, and incorporate principles of fairness. The first principle of assessment is to do no harm, meaning that assessments should accurately reflect mastery of content, be administered fairly, and treated confidentially to avoid score pollution. Score pollution is any practice that artificially improves test performance without increasing actual mastery of content, resulting in scores that do not represent actual student achievement. read more

Center for Bioethics and Medical Humanities (CBMH FK-KMK UGM) held Raboan Discussion Forum on Wednesday (21/12). CBMH FK-KMK UGM invited Dr. Sampurno, MBA, Apt, ex-head of Badan Pengawas Obat dan Makanan Republic Indonesia (2001-2006). Dr. Sampurno presented topic Drug and Food Control. The discussion was lead by Prof. Dr. Sismindari, SU, Apt., Professor at Faculty of Pharmacy UGM.

Drug and food control is crucial because it involves the safety of millions of human lives and the value of large commodity circulation. The monitoring system must be carried out in a systematic, strict, and comprehensive manner based on an efficient system. The purpose of the drug and food control system is to protect people’s health and safety from products that do not meet the requirements and increase national industry excellence. read more

On Wednesday (14/12), the Center for Medical Bioethics and Humanities held the Raboan Discussion Forum. The topic discussed was Update on Stem Cell Therapy in Indonesia. The speaker for this discussion was dr. Nur Azid Mahardinat and it was moderated by dr. Galuh Dyah Fatmala.

Stem cells are cells that have not properly differentiated and can multiply and differentiate into other cells that are more specific in the human body. They are essential for the development, growth, and repair of cells or tissues in the body. Stem cell technology has sparked new enthusiasm in the development of therapies for various types of diseases. However, it is important to remember that for a therapeutic technique or procedure to become a standard therapy, it must meet all scientific requirements. read more

The Center for Bioethics and Medical Humanities (CBMH FK-KMK UGM) again held the Raboan Discussion Forum on Wednesday (07/12). The weekly forum raised the topic When Secular Humanist Doctors Talk About Bioethics in Indonesia. On this occasion, the speaker was Albert Adiputra, M.Sc. Meanwhile, the moderator of the discussion was dr. Tiea Khatija.

The existence of a secular humanist minority is considered inappropriate in public discourse, so it lags in formulating policies related to bioethics in Indonesia. Albert’s qualitative research aims to explore the views of secular humanist doctors on bioethics issues as well as their positions, perceptions, and knowledge of the functions, benefits, and developments of bioethics in Indonesia. In his study, the sample consisted of 11 secular humanist doctors who were selected purposively snowball. The results show that secular humanist doctors have different positions and attitudes towards bioethical issues based on non-uniform claims within the spectrum of secularism. Although there is no consensus regarding attitudes and positions towards elective abortion and voluntary active euthanasia, respondents have a relatively consistent pattern of views regarding technology supporting the transhumanism movement. In this respect, the secular humanist doctor is not as monolithic as the public narrative suggests. The hope for medical secularism to materialize in the future is the response of secular humanist doctors to the problems of education and the medical profession that are not secular today. Thus, this study provides an overview of the views of secular humanist doctors on bioethics and its social implications for public discourse and policy in Indonesia. read more

The Center for Bioethics and Medical Humanities (CBMH FK-KMK UGM) again held the Raboan Discussion Forum on Wednesday (30/11). The weekly forum raised the topic Application of the Value of Altruism and Doctor’s Responsibility in Handling Patient Complaints at the Hospital. On this occasion, the speaker was dr. Rizka Putri Pratiwi, M.Sc. Meanwhile, the moderator of the discussion was dr. Tiea Khatija.

In her presentastion, dr Rizka explain the aims of her study is to identify the types of patient complaints and the process of handling them in the hospital, as well as evaluate the application of altruism and responsibility values in handling these complaints. The method used is qualitative research with a phenomenological approach, by collecting data through in-depth interviews with 15 doctors and several patients, as well as secondary data from Standard Operational Procedure documents. The results showed that there were four sub-themes in the types of patient complaints, namely types of complaints in three domains (clinical, management, and relationships), ways of submitting complaints, flow of complaint handling, and doctors’ perceptions of complaints as an important part of service. The complaint handling process includes identification, finding solutions, delivering solutions, patient feedback, documentation, and evaluation, and the values of altruism and responsibility have been applied. However, there are still some obstacles in the implementation of the value of responsibility that require improvement and improvement. Overall, the handling of patient complaints at the hospital has been carried out well, but still requires improvement to improve service quality. read more