Ethics and Medical Humanities (FICEM)

Literature

News

The recommendations of good practice for body donation are now directly available on the IFAA website – click the button “RECOMMENDATIONS” above on the right!

The journal Clinical Anatomy has recently published a special issue on “Ethics in Anatomy” (January 2016), edited by Gareth Jones. Please visit:
http://onlinelibrary.wiley.com/doi/10.1002/ca.v29.1/issuetoc

All articles are open source!

In May 2015, we have started a mailing list for all anatomists with an interest in the ethics of anatomy. See the following page:

https://mailman.charite.de/mailman/listinfo/ifaa-ethics

where you will find all details and where you can join this list.

Andreas Winkelmann  August 2016

 

Members

Prof. Thomas H. Champney USA
Dr. Jon Cornwall New Zealand
Prof. Sabine Hildebrandt USA
Prof. Amadi O. Ihunwo South Africa
Prof. Gareth Jones New Zealand
Prof. Diogo Pais Portugal
Prof. Sergio Tamayo Argentina
Prof. Guo-Fang Tseng Taiwan
Prof. Andreas Winkelmann (Chair) Germany

 

 

Goals of FICEM

Federative International Committee for Ethics and Medical Humanities (FICEM) of IFAA

FICEM intends to be a think-tank and adviser for all ethical questions related to anatomical research, anatomical teaching, and anatomical collections and displays. It has been partly re-staffed at the last IFAA meeting in Beijing in August 2014, but will continue the efforts of the previous committee, which culminated in the issue of “Recommendations of Good Practice for the Donation and Study of Human Bodies and Tissues for Anatomical Examination” Until the next IFAA meeting in 2019, one of our tasks will be to raise awareness for these guidelines and to support those who may have difficulties adhering to them for cultural or religious reasons.

In upcoming years, we intend to examine with an open and scientific mind the various ways of dealing with ethical issues in anatomical research and education, in order to:

  • study and compare cultural and philosophical backgrounds in anatomy research and education
  • learn from the many positive solutions that anatomy communities around the world have developed to deal with ethical issues in anatomy
  • create a network open to all those with a serious interest in ethical issues in anatomy
  • make relevant publications on ethical issues in anatomy known to a wider audience
  • encourage an international discussion among anatomists that brings in perspectives from the humanities and is open to learning from errors of the past and from positive examples of the present

Please feel free to use and distribute the material on this website and do not hesitate to contact members of FICEM (see list under “MEMBERS”) for any questions, suggestions, or feedback you may have.

 

Links

This is a preliminary and growing collection of relevant web links in the field of “anatomy and ethics”.

 

Policies/Statements of National and International Anatomical Organizations

Position statements of the American Association of Anatomists  (AAA)
http://www.anatomy.org/position-statements.html

Statement of the American Association of Clinical Anatomists (AACA) on Body Donation and Body Exhibits
http://clinical-anatomy.org/content.php?page=Anatomical_Services_Commitee#aacapositiononbodyexhibits

Statement of the Anatomische Gesellschaft regarding anatomy during the times of National Socialism
http://anatomische-gesellschaft.de/ethik-ag3/statement-on-the-history-of-anatomy-in-national-ag3.html

Teaching / Didactic Ressources

Downloadable modules on medical ethics for medical students and healthcare professionals (includes two modules on anatomical themes)
http://reflectionsonmedicine.org

Transeuropean pedagogic anatomical research group
https://teparganatomy.wordpress.com

Links to Willed Body Programs

List of US Willed Body Programs
http://old.med.ufl.edu/anatbd/usprograms.html

Legislation for Human Tissue Use

United States (Uniform Anatomical Gift Act)
http://uniformlaws.org/Act.aspx?title=Anatomical%20Gift%20Act%20(2006)

New Zealand Human Tissue Act
http://www.legislation.govt.nz/act/public/2008/0028/latest/DLM1152940.html?search=ts_act_human+tissue_resel&p=1

Australian Human Tissue Act
http://www.health.vic.gov.au/humantissue/htact

United Kingdom Human Tissue Act
http://www.hta.gov.uk/legislationpoliciesandcodesofpractice/legislation/humantissueact.cfm

These links to other Internet websites and information <b> provided </b> by persons not affiliated with FICEM are not endorsements or referrals of any products, services or information contained in such websites, and no information in any such website has been endorsed or approved hereby. information provided and opinions expressed by others do not necessarily represent the opinion of FICEM members.

 

 

Five Year-Strategic Plan

REMIT

FICEM intends to be a think-tank and adviser for all ethical questions related to anatomical research, anatomical teaching, and anatomical collections and displays. We want to raise awareness for the guidelines introduced by the previous committee under Gareth Jones (“Recommendations of good practice for the donation and study of human bodies and tissues for anatomical examination”) and to support those who may be unable to comply with these guidelines due to cultural or religious reasons.

In upcoming years, we intend to examine with an open and scientific mind the various ways of dealing with ethical issues in anatomical research and education, in order to:

 

  • study and compare cultural, religious and philosophical backgrounds in anatomical research and education
  • learn from the many positive solutions that anatomy communities around the world have developed to deal with ethical issues in anatomy
  • create a network open to all those with a serious interest in ethical issues in anatomy
  • make relevant publications on ethical issues in anatomy known to a wider audience
  • encourage an international discussion among anatomists that brings in perspectives from the humanities and is open to learning from errors of the past and from positive examples around the world.

 

 

OBJECTIVES AND PLAN

  • Making relevant information and publications available.
    • The FICEM page of the IFAA site at ifaa.net contains an online version of the “Recommendations of good practice …”, and other relevant information, including a list of recommended literature related to the field. This is continuously updated.

 

  • Creating a forum for discussion about ethical issues in the field of anatomy.
    • We have introduced a moderated “ifaa-ethics” mailing list, which is open to those with a sincere interest in these matters (see https://mailman.charite.de/mailman/listinfo/ifaa-ethics). It is hoped that this will develop into a network of interested members all over the world.

 

  • Raising the awareness of ethical issues within the community of anatomists and promoting the “Recommendations of good practice …”.
    • To raise the profile of FICEM, members have been encouraged to deliver a powerpoint presentation on FICEM at conferences they attend (should the presentation be relevant to the audience). This powerpoint contains information on FICEM and its role within the IFAA, as well as outlining the role of the various IFAA committees. This will help raise the profile of FICEM within anatomy associations, and raise awareness of the existence of the IFAA, its structure and organisation, the IFAA website, and the resources contained within.
    • Members continuously comment on recent academic discussions by letters[1] and continuously publish original work on questions of history and ethics in anatomy.
    • Members have contributed to a special issue of Clinical Anatomy devoted to ethics in anatomy edited by Gareth Jones,[2] and intend to continue publishing on such themes.
    • Organisation of symposia on topics of “Ethics in Anatomy”.

 

  • Discussing current topics of ethical relevance to the international community of anatomists within the FICEM team and providing IFAA and its executive board with advice regarding these topics.
    The following relevant themes have already been identified and will be covered in the near future:

    • Ethical and Medical Humanities Perspectives on the Public Display of Plastinated Cadavers.
    • Education on female anatomy and its relevance for FGC/FGM issues.

More themes may come up in the course of our work during the next years.

 

 

 

  • Supporting and encouraging colleagues still using unclaimed bodies to install body donation programs.
    • A list of all countries of the world and information regarding their current status of body donation will soon be published and will also be put on the FICEM website in an updated online version.

 

  • Undertaking revision of “Recommendations for good practice …” in the period leading up to the IFAA conference in September 2019.
    For this revision, we have set up a provisional plan that will allow for two rounds of consultation with associate members and other experts, with a final version being tabled at the IFAA conference. The proposed timeline is as follows:

    • March 2017 – March 2018
      FICEM to contact anatomy associations to request feedback on the current body donation guidelines. This long timeframe allows this to occur at local association conferences during the year.
      Discussion within FICEM as to which sections of the current guidelines may require amendment, taking feedback from anatomy associations into account.
    • April 2018 – September 2018
      FICEM to amend the guidelines in line with the feedback received.
    • October 2018 – March 2019
      Amended body donation guidelines circulated to anatomy associations and relevant experts for feedback.
    • April 2019 – October 2019
      FICEM to amend guidelines based on the second round feedback and expert comments.
    • September 2019
      FICEM deliver revised guidelines at IFAA conference.

[1] Cornwall, J., Winkelmann, A., Hildebrandt, S., 2016. Cadaver Exome Sequencing for Teaching First-Year Medical Students. JAMA 316, 102-103.
Winkelmann, A., 2017. Guidelines for reporting original anatomical studies-Quality and ethics. Clin. Anat. 10.1002/ca.22833
Kahn, P.A., Champney, T.H., Hildebrandt, S., 2017. The incompatibility of the use of unclaimed bodies with ethical anatomical education in the United States. Anat Sci Educ 10, 200-201.

[2] http://onlinelibrary.wiley.com/doi/10.1002/ca.v29.1/issuetoc (open access)