5.4.1 The ICMM and the issues of ethics in military medicine - Lt Col David Winkler, MD, PhD, (Chairman of the ICMM Center of Reference for Education on IHL and Ethics)

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Do curso por University of Geneva

Violence Against Healthcare

24 classificações

University of Geneva

Violence Against Healthcare

24 classificações

At the global level, there are many countries marked by violence affecting health care. The 'Health care in danger' project aims to establish practical measures and recommendations that can be implemented on the ground by policy-makers, humanitarian organizations and health professionals. In view of the multiplicity of actors and latitudes concerned, it is essential to be able to make available the tools needed to make informed decisions, guide behaviour in high-risk areas and provide everyone the means to create and optimize the dialogue between humanitarian professionals and health on the one hand and relevant authorities or other armed actors. This course covers various topics such as ethics, rights and responsibilities of the staff of health and pre-hospital personnel, issues related to international law and humanitarian law, international human rights, caregivers and patient safety as well as the role of communities to address and reduce violence against health care.

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Module 5 Weapons bearers: military operational practice to ensure safer access to and delivery of health care

This module speaks of the vital role Non-State Armed Groups (NSAGs) play as recipients and providers of health care. This lesson delineates different ways armed groups can pose a threat to the safe provision of health care, but also how armed groups act as health care providers themselves. The lesson also highlights key tools to safeguard the provision of health care in conflict settings, i.a. doctrine, education, trainings, and sanctions, and critically discusses limitations to their applicability.

5.4.1 The ICMM and the issues of ethics in military medicine - Lt Col David Winkler, MD, PhD, (Chairman of the ICMM Center of Reference for Education on IHL and Ethics)6:34

Conheça os instrutores

Angela Gussing
Regional Director for the Americas
International Committee of the Red Cross
Beat Stoll
Dr
PD, Coordinator of the Master of Science in Global Health, University of Geneva
Esperanza Martinez
Dr, Head of Health
International Committee of the Red Cross
Alexander Breitegger
Legal Adviser
International Committee of the Red Cross
Frederik Siem
Senior Adviser for Health Care in Danger
Norwegian Red Cross (NorCross)
Bruce Eshaya-Chauvin
Dr, Medical Advisor Health Care in Danger Project
International Committee of the Red Cross
Jamie Williamson
Head of Unit, Relations with Arms Carriers
International Committee of the Red Cross
Luigi Fratini
Head of Prevention Cell Unit, Law & Policy department
International Committee of the Red Cross

My name is David Winkler,

and I'm the Chairman of the ICMM,

Center of Reference for Education on International Humanitarian Law and Ethics.

I would like to present you some information on the work of our Center,

and the ICMM's activities in the field of LOAC,

the Law of Armed Conflict and Military Medical Ethics.

Why is the ICMM offering training in LOAC,

the Law of Armed Conflict?

The international committee on military medicine has been founded in

1921 under the impressions of the First World War's challenges,

new challenges in military medics scene.

Since its foundation, the ICMM has been encouraging

the application and also

the teaching activities in the field of international humanitarian law.

The ICMM has therefore established training courses for

international humanitarian law and later on also for military medical ethics.

Only if the basis of

international humanitarian law and the law of armed conflicts are well understood,

these guidelines and the aims of these guidelines can be

instrumented and even in times of war a minimum of humanity can be maintained.

Why is the ICMM also offering training in military medical ethics?

With growing complexity of medicine,

ethical training has become a standard in civil medical environments.

The ethical challenges in the military are

not smaller but even more complex than in a civil environment,

such as, by the problems caused by hierarchies and the military orders.

In addition to this,

the law of armed conflict clearly stipulates that

military persons should act in accordance with medical ethics.

Based on this, the ICMM has established training courses for military medical ethics.

Against this background, the ICMM has also contributed to the creation

of the ethical principles of health care in

times of armed conflict and other emergencies.

What are current military medical ethical challenges?

Many military medical ethical challenges are caused by shortages of resources.

These kind of challenges wouldn't be here if resources would be abundant,

which is, of course,

not possible to have abundant resources,

particularly not in the case of war or humanitarian catastrophes.

In modern conflicts hybrid or asymmetric wars we

often face also ethical dilemmas due to different levels of care.

Furthermore, the modern multinational medical teams

in many missions also face medical dilemmas which are

beyond the primary military medical problem and extend

to general medical ethical problems such as end-of-life issues.

The ICMM offers an annual workshop on military medical ethic in Switzerland.

Let's tell you what is the focus of these workshops.

These workshops focus on actual military medical ethical issues.

One of the recent workshop has been focused on

the issues of the humanitarian response to the Ebola catastrophe.

Another workshop has addressed issues of medical age estimation of

potentially minors such as now often seen due to the problems associated with migration.

And the most recent workshop has addressed issues,

military medical issues of hybrid warfare.

At the Lilienberg workshop,

we have a broad audience and a wide range of participants with either a strong legal,

ethical or/and medical background what leads to vivid and interesting discussions.

The results of this annual workshops are being published and publicly

made available so that the community can benefit from these discussions in Switzerland.

What are the benefits of the ICMM courses on military medical ethics,

and the ICMM workshops on military medical ethics?

Unsolved ethical dilemmas may cause stress and

psychological harm to the military medical personnel exposed to the dilemma.

Furthermore, in times of

globalized communication ethical misbehavior

may rapidly endanger the success of an entire mission.

Sound training in both international humanitarian law, as well as,

military medical ethics is therefore

desirable for medical personnel of all military levels.

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