A modern successor to the Hippocratic Oath for physicians around the world has been approved by the World Medical Association.Physician leaders, meeting at the WMA’s annual General Assembly in Chicago, recently approved revisions to the Declaration of Geneva, which was adopted by the Association in 1948.
The revised Declaration, to be called a pledge, refocuses the text to reflect changes over the decades in the relationship between physicians and their patients and between physicians themselves. As a result, the new pledge makes specific reference for the first time to respecting the autonomy of the patient, which is not included in the current text. It also includes a new obligation for respect between teachers, colleagues and students. The present Declaration says students must respect their teachers, but there is no reciprocity.
There is a new obligation on physicians to share medical knowledge for the benefit of their patients and the advancement of healthcare. Also added is a requirement for physicians to attend to their own health, well-being and abilities in order to provide care of the highest standard.
The current Declaration of Geneva is used across the world by physicians. In many countries, it is actually part of the medical professional code and in some, it is legally binding. However, in other countries, it is either not used at all or is adapted in some way.
The WMA is now expecting that the revised pledge, agreed following a two-year revision process, including a period for public consultation, will become a global ethical code for all physicians
WMA President Dr. Yoshitake Yokokura said: ‘The new wording respects the unique character and significance of this Declaration, but focuses more on important ethical principles not in the current version and not expressed explicitly.The life of physicians today is completely different to what it was in 1948 when the original Declaration of Geneva was adopted. Since then, the Declaration has become a core document of medical ethics and a modern version of the 2,500-year old Hippocratic Oath. We hope that the Declaration approved will be used by all physicians around the world to strengthen the profession’s determination to maintain the highest standard of health care for patients’.
World Medical Association Declaration of Geneva
The Physician’s Pledge
AS A MEMBER OF THE MEDICAL PROFESSION:
I SOLEMNLY PLEDGE to dedicate my life to the service of humanity;
THE HEALTH AND WELL-BEING OF MY PATIENT will be my first consideration;
I WILL RESPECT the autonomy and dignity of my patient;
I WILL MAINTAIN the utmost respect for human life;
I WILL NOT PERMIT considerations of age, disease or disability, creed, ethnic origin, gender, nationality, political affiliation, race, sexual orientation, social standing, or any other factor to intervene between my duty and my patient;
I WILL RESPECT the secrets that are confided in me, even after the patient has died;
I WILL PRACTISE my profession with conscience and dignity and in accordance with good medical practice;
I WILL FOSTER the honour and noble traditions of the medical profession;
I WILL GIVE to my teachers, colleagues, and students the respect and gratitude that is their due;
I WILL SHARE my medical knowledge for the benefit of the patient and the advancement of healthcare;
I WILL ATTEND TO my own health, well-being, and abilities in order to provide care of the highest standard;
I WILL NOT USE my medical knowledge to violate human rights and civil liberties, even under threat;
I MAKE THESE PROMISES solemnly, freely, and upon my honour.