Medical ethics surveillance in the Armed Forces

Pearn, J. H. (2000) Medical ethics surveillance in the Armed Forces. Military Medicine, 165 5: 351-354.

Author Pearn, J. H.
Title Medical ethics surveillance in the Armed Forces
Journal name Military Medicine   Check publisher's open access policy
ISSN 0026-4075
Publication date 2000-05-01
Sub-type Article (original research)
Volume 165
Issue 5
Start page 351
End page 354
Total pages 4
Editor Dr John C. Duffy
Place of publication Bethesda, USA
Publisher Association of Military Surgeons of the United States
Language eng
Subject C1
329999 Medical and Health Sciences not elsewhere classified
730399 Health and support services not elsewhere classified
Abstract Modern defense services depend on a policy of the vigorous promotion of research to ensure that they retain an advantage in any future operational context. Research involving personnel within the armed forces, however, has certain constraints with respect to contemporary, best-practice medical ethics. Service members are one example of a class of captive subjects mho require special protection in the context of medical research. (Prisoners, students, children, and the intellectually disabled are other such examples.) The majority of national defense forces now have ethical watchdog groups-institutional ethics committees-that oversee research involving service members. Such groups monitor the special considerations and constraints under which subjects in uniform can volunteer for biological research. These committees audit particularly the ethical themes of confidentiality, equality, and justice. Themes inherent in medical research in the military include the standard Beauchamp-Childress paradigm of autonomy, beneficence, nonmaleficence, and justice, to which are added the traditional military values of loyalty, respect, courtesy, and chivalry. Contemporary thinking is that the general principle of affording service members the opportunity to volunteer for research should be maintained within the constraints of compromised training time, national security, and operational necessity. Most biological research land its outcome) does not in practice compromise confidentiality or military security, This paper presents an audit of the functioning of one national military medical ethics committee, the Australian Defence Medical Ethics Committee, and presents a discussion of its philosophies and influence within the broader military context. The Australian Defence Medical Ethics Committee believes that most research should, as an a priori condition of approval, be intended for open publication in peer-reviewed journals.
Keyword Medicine, General & Internal
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 8 times in Thomson Reuters Web of Science Article | Citations
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Created: Tue, 10 Jun 2008, 21:05:34 EST