279 TBB Dergisi 2023 (164) Ertunç MEGA ran, güvenilir, dürüst, hukuka uygun ve doğru hareket eden meslek erbabı şeklinde tanımlanmıştır. Ancak bu konuya yönelik hazırlanan her iki kitapta da kötü anlamına gelen bad sözcüğü mevcut değildir. İyi tıbbi uygulamalar hakkında 622 sayfalık kitap incelendiğinde, bad yani kötü sözcüğünün on iki kez geçtiğini ve sekiz kullanımın bad news yani kötü haber şeklinde olduğu görülür.56 Geri kalan dört kullanım ise açıkça etikle ilişkili durumları işaret etmektedir. Bahse konu kitabın hukuka ait bölümlerinde bad sözcüğü geçmemektedir. Avrupa Birliği good medical practice ifadesini tıbbi etik konusu olarak ele almaktadır.57 ABD’de58 ve Avrupa Birliğinde59 ise good clinical practice ile işaret edilen, açıkça, bilimsel çalışma etiğidir. Avrupa Birliği çalışmaların56 Kerry J. Breen, Stephen M. Cordner ve Colin J. H. Thomson, Good Medical Practice Professionalism, Ethics and Law, 4th Edition, Kingston, Australian Medical Council Limited, 2016, s. 1-14. 57 37 maddeden oluşan Avrupa Medikal Etik İlkeleri’nin giriş metni “This text contains the most important principles aimed at inspiring the professional conduct of doctors, in whatever branch of practice, their contacts with patients, with society and between themselves. It also refers to the specific situation of doctors, upon which good medical practice depends. The conference recommends that the medical professional associations in each member state of the European Community take such measures as may be necessary to ensure that their national requirements relating to the duties and rights of doctors regarding their patients and society, and in their professional relationships, conformwith the principles set out in this text, and to take all useful measures to ensure that the legislation in their country allows the efficient implementation of these principles.” şeklindedir. Bkz. “Principles of European Medical Ethics”, European Council of Medical Orders, Erişim Tarihi: Aralık 29, 2021, http://www.ceom-ecmo.eu/en/view/principlesof-european-medical-ethics. 58 “FDA regulates scientific studies that are designed to develop evidence to support the safety and effectiveness of investigational drugs (human and animal), biological products, and medical devices. Physicians and other qualified experts (“clinical investigators”) who conduct these studies are required to comply with applicable statutes and regulations. These laws and regulations are intended to ensure the integrity of clinical data on which product approvals are based and to help protect the rights, safety, and welfare of human subjects.” şeklindeki özgün dildeki ifade için Bkz. “Good Clinical Practice”, U.S. Food and Drug Administration, Erişim Tarihi: Aralık 29, 2021, https://www.fda.gov/about-fda/center-drugevaluation-and-research-cder/good-clinical-practice. 59 “Good clinical practice is an international ethical and scientific quality standard for designing, recording and reporting trials that involve the participation of human subjects. Compliance with this standard provides public assurance that the rights, safety and wellbeing of trial subjects are protected and that clinical-trial data are credible.” şeklindeki özgün dildeki ifade için Bkz. “Good Clinical Practice”, European Medicines Agency, Erişim Tarihi: Aralık 29, 2021, https://www. ema.europa.eu/en/human-regulatory/research-development/compliance/good-clinical-practice.
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