During the post World War II and immediately after its foundation,
the WMA showed concern over the state of medical ethics in general
and over the world. The WMA took up the responsibility for setting
ethical guidelines for the world physicians. It noted that in those
years the custom of medical schools to administer an oath to its
doctors upon graduation or receiving a license to practice medicine
had fallen into disuse or become a mere formality. The WMA was of
the opinion that the establishment of a suitable oath or pledge
to be administered as a part of the graduation or licensing ceremony
would help to impress on newly qualified doctors the fundamental
ethics of medicine and would assist in raising the general standards
of professional conduct.
These facts moved the WMA to appoint a study committee to prepare
a "Charter of Medicine" which could be adopted as an
oath or promise that every doctor in the world would make upon
receiving his medical degree or diploma. To this effect, member
associations were requested to submit the text of the oath or
promise made by the doctors of their countries at the time the
medical degree or diploma was issued. It took two years of intensive
study of the oaths and promises submitted by member associations
to draft a modernized wording of the ancient oath of Hippocrates
which was sent for consideration at the II General Assembly in
Geneva in 1948. The medical vow was adopted and the Assembly agreed
to name it the "Declaration of Geneva." Member associations
were invited to recommend the use of this vow to the medical schools
and faculties of their countries.
A report on "War Crimes and Medicine" received at the
II General Assembly prompted the Council to appoint another Study
Committee to prepare an International Code of Medical Ethics.
The draft was submitted to the midyear Council Session of 1949.
The Council was of the opinion that the draft Code would be incomplete
unless the text of the "Declaration of Geneva" were
added to it. This was done and the amended draft was transmitted
to the delegates at the III General Assembly who discussed it
item by item in detail. With minor amendments by the General Assembly
the International Code of Medical Ethics was adopted.
With the adoption of these two documents, the WMA was on its
way to take on other ethical problems confronted by the medical
profession. From 1949 to 1952, violations of medical ethics, and
crimes committed by doctors in time of war were denounced to the
WMA. The need to implement safeguards in human experimentation
was brought to the attention of the WMA. At the same time, news
were reaching WMA about the various activities incompetent organizations
were promoting in the field of medical ethics and medical law.
This information caused the Council to establish a permanent Committee
on Medical Ethics (1952).
Since its establishment in 1952, the Committee on Medical Ethics
has done a tremendous job in receiving, considering, discussing,
accepting or refusing dozens of ethical matters brought to its
attention. Some of them have been adopted as declarations or statements
of the WMA, and most of these have been kept them in line with
the rapid developments of medical science. Some are being worked
on at this moment, and no doubt others will follow in due course
after mature reflection, whenever novel circumstances dictate.
These documents have all received world-wide distribution and
application. By solid accomplishments in the field of medical
ethics, the WMA has earned the right to call itself the international
voice of organized medicine. But medical ethics is not a simple
matter of making declarations or drafting codes. The WMA must
remain alert to violations of the codes and prepared for swift
action to counteract such violations. Thus, WMA has and continues
to extend its help and influence on behalf of physicians who are
being hindered in the ethical performance of their practice.
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