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Medical Diplomacy

This page features information about the Center’s work in medical diplomacy,
links to upcoming events, and reports concerning current issues in medical diplomacy. 

The Center for Global Health and Medical Diplomacy (the Center) at the University of North Florida was founded in February 2007, with the mission of promoting global understanding and collaborative action for improving health and medical care. Center objectives include:

  • Promoting excellence and balance in the caring, ethics and science of health and medicine
  • Promoting the human, economic and diplomatic value of health & medical care
  • Promoting optimal health and medical education
  • Supporting leadership development in the health and medical professions
  • Integrating broad local, state, national and global participation in advisory committees, forums, publications, research, education and demonstration activities

The Center is the first global health organization to include a focus on Medical Diplomacy, in which medical and healthcare assets are utilized globally through government, private, and volunteer efforts to encourage positive relations between communities and nations. Center initiatives in medical diplomacy focus on: reducing the global burden of disease and disability, illuminating emerging threats to international health, and enabling health professionals to better advocate for their patients and their profession. Center Director, Dr. Yank Coble travels internationally to speak on the Center’s work in medical diplomacy.

Definition of Medical Diplomacy
In a Boston Globe Op-Ed piece - “The cure for tyranny” (10/24/2005) the former governor of Wisconsin governor Secretary of Health and Human Services Tommy Thompson described medical diplomacy as: “the winning of hearts and minds of people … by exporting medical care, expertise, and personnel to help those who need it most.”

Medical diplomacy can involve short-term or long term measures in medical outreach. Examples of short term initiatives include disaster relief (post-earthquake or post-Tsunami), or ongoing medical outreach such as Project Hope provides. Long-term medically sustainable measures would include building facilities, providing education and medical training, and exporting medical and healthcare personnel.

The goal of U.S. efforts in medical diplomacy is to inspire good will and encourage positive relations between nations, as well as to ensure the health of U.S. citizens against international health threats (e.g., international vaccination programs indirectly insure the health of US citizens).

Medical Diplomacy News

Apr. 15 2009: Project Hope Nurses Contribute to USNS Comfort´s Humanitarian Mission Learn more...

Hospital Ships Carry A Different Type Of Ordnance: Miracles (RICHMOND TIMES-DISPATCH 24 FEB 08) . Robin Beres
Learn more...
World Health Organization (WHO) Volume 85: December 2007   Number 12: Special theme issue: public health education (pages 901-980); Linking education and practice; In the news; Public health debate; Public health classic; Monitoring immunization; Transplant tourism; Pandemic plans; Diplomacy and health.  Learn more…
March 27, 2007 – U.S. Dept. of Health and Human Services (HHS) Secretary Mike Leavitt visited Costa Rica and Nicaragua, where he met with leaders, senior health officials, and local medical personnel to discuss his initiative for health diplomacy in the Americas. Learn more...
Dec. 3, 2007 - A healthy response to global ills, Yale School of Medicine: Top Story - Harnessing the spirit of cooperation that develops among nations during a health crisis to address non-health issues is an idea that is catching on globally—and at Yale. Learn more...
 

Click on the links below to read more about the Center's participation in
Medical Diplomacy Initiatives

World Medical Association

Caring Physicians of the World Initiative

Caring Physicians of the World Book

Project HOPE President visits the Center, Feb. 2007

2007 WMA/Caring Physicians of the World Leadership Course

Centennial Celebration of the Indonesian Medical Association, May 2008

Caring Physicians of Indonesia Book

Geneva Conference on Person-Centered Medicine, May 2008

INSEAD and Duke-NUS, Singapore, May 2008

Caring Community Conference Ethics Forum, September 2008

WMA General Assembly, Seoul Korea, October 15 - 18, 2008

2008 WMA/Caring Physicians of the World Leadership Course

IOM Roundtable on Environmental Health Sciences, Research, and Medicine

American Medical Association Council on Science and Public Health

 


 

World Medical Association


The Center for Global Health and Medical Diplomacy strongly supports and actively participates in the World Medical Association (WMA).  The WMA is an independent confederation of national medical associations, acting as the global representative body for physicians.  Its membership includes millions of physicians worldwide, working in all sectors and medical specialties.  The World Medical Association serves humanity by endeavoring to achieve the highest possible standards in medical education, medical science, medical art and medical ethics, and healthcare for all people in the world.  Operated by physicians for physicians, this thriving organization has now become a major role player in the development of healthcare policy.  Internationally, it is regarded as the cornerstone of research ethics and acts as one of the most important protective measures for human subjects involved in medical research.


Center Director, Dr. Yank Coble served in many roles as an elected official of the WMA.  He chaired the Finance and Planning Committee (2003 – 2004) and the Governance Task Force from 2004 – 2005, and served on the US and WMA Delegations to the World Health Organization.   Dr. Coble became President Elect in Tokyo, Japan in Oct. 2004.  During his presidency (2004-2005) Dr. Coble had the opportunity to launch the Caring Physicians of the World Initiative, which included the development of the CARING PHYSICIANS OF THE WORLD book.  This book showcases physicians from around the world who exemplify the traditional values of medicine - science, ethics and caring.  As President of the WMA, Dr. Coble traveled worldwide 2003 – 2006 to visit most WMA Member Associations during their national and regional meetings. 


Ethics
The first WMA Ethics Manual was launched during Dr. Coble’s presidency at the WMA, in Jan. 2005.  Responding to a need for a simple and concise ethics training manual for use by medical students and physicians, WMA Director of Ethics, Dr. John Williams and a team of advisors created such a manual.  The first edition of the manual was released to the press and some partner organizations in Jan. 2005.   The manual can be downloaded from the WMA website at www.wma.net.


Water and Health:  A priority concern
 The WMA identified the important link between water and health as a priority concern.  It was decided to develop a more comprehensive policy on this subject, which was completed when the WMA General Assembly in Tokyo adopted the WMA Statement on Water and Health (www.wma.net - see "Policy").  Dr. Coble gave the opening address at the  two-day symposium which was  planned with the World Ocean Observatory in New York, to further investigate and debate some of the more pressing water and ocean issues such as sanitation, ocean preservation, the biomedical potential of the oceans and access to water. It is tragic and prophetic that this event preceded the Indian Ocean tsunami disaster of Dec. 26, 2004.  In the aftermath of the tragedy, all the water, and ocean-related issues discussed during the meeting came into play in the most dramatic fashion.


The Center for Global Health and Medical Diplomacy is pleased to have Dr. Otmar Kloiber, the 2007 – 2008 Secretary General of the WMA, serve as its International Fellow and Advisor.  Dr. Kloiber joined the Center in preparing for the 2007 Caring Community Conference at Amelia Island, Florida, and presented an inspiring lecture on global trends and challenges in healthcare human resources.

Together with the WMA and the support of the Pfizer Medical Humanities Initiative, the Center co-sponsored and directed the Caring Physicians of the World Medical Leadership Program, with the cooperation of the European Union Business School INSEAD, in Fontainebleau, France.   

 
World Medical Association
Read Dr. Coble’s Presidential Address to the World Medical Assembly, Tokyo,  October, 2004
Read Dr. Coble’s Presidential Valedictory Address to the World Medical Assembly, Santiago, October, 2005
Read Dr. Coble’s Address to the World Health Assembly, Geneva, March 2006
Read Dr. Coble’s Remarks at the 176th WMA Council meeting, Berlin, Germany, May, 2007

 

 

 

 

The Caring Physicians of the World Initiative

“The most important thing is caring, so do it first,
for the caring Physician best inspires hope and trust.”

Sir William Osler



Caring, Ethics and Science are the three fundamental and enduring traditions which unite medical professionals and their patients around the world.  Because of these universal traditions, we find global similarity in physicians’ and patients' desires and concerns, despite the enormously disparate environments and circumstances in which physicians care for patients. 


The Caring Physicians of the World Initiative (CPWI) was designed to restore enthusiasm and optimism in the field of medicine, through medical and social leadership based on the enduring traditions of the medical profession:  Caring, Ethics and Science.  The initiative was conceived in Helsinki, Finland at the 2003 Annual Meeting of the World Medical Association.
The World Medical Association (WMA) represents physicians around the world, and provides a global forum for physicians to communicate, to cooperate and to promote high standards and professionalism.  The WMA is a federation of National Medical Associations (NMAs) representing over eight million physicians in more than 85 countries around the world.  It was founded in 1947 with the mission to “serve humanity by endeavoring to achieve the highest international standards in medical education, medical science, medical care, and medical ethics, and health care for all the people of the world”. This unique partnership of physicians enhances the health and quality of life for people all over the world.


As part of its work to achieve high standards in medicine, the WMA conducted a survey of physicians in over 40 countries around the globe in 2003.  Survey results revealed physicians’ concerns about access to quality safe medical care, appropriate professional autonomy to provide that care, and adequate resources and facilities to deliver care.  Physicians were also seriously concerned about the regulatory, legal, political, and other barriers to providing care, as well as governmental attitudes regarding medical care as an expense, rather than an investment with positive return.  To a large degree, physicians around the globe felt marginalized, threatened, and demeaned.  They requested the WMA provide increased information on health systems and greater exchange of experience between physicians throughout the world.  The physicians requested vigorous communication of the values of the medical and health professions and the well documented value in relieving distress, despair, disease, disability, and premature death, and the extraordinary return on investment in medical care and public health.  Physicians also felt they needed to enhance their own knowledge and skills in leadership and advocacy for patients, public health, and the medical profession.


The WMA resolved to address these global concerns in 2004, and formed a partnership with an experienced sponsor, the Pfizer Medical Humanities Initiative.  They developed the Caring Physicians of the World Initiative (CPWI), chaired by WMA President-elect Yank D. Coble, MD.  Through this initiative, the WMA would unite NMAs around the world, implementing a multipart program to address the identified global concerns of physicians. 


Phase I of the CPW Initiative:   Connecting
The goal of Phase 1 was to connect with NMAs around the world, enhancing global communication.  The WMA reached out to NMAs and regional associations around the globe, such as MASEAN and CONFEMEL, building relationships and increasing participation and leadership in the World Health Organization (WHO) and World Health Professions Alliance (WHPA).  WMA officers visited  Africa,  Europe, Latin America, the Middle East and North America, as well as making multiple visits to India and  China.  These outreach visits by WMA officers enabled them to learn more directly about circumstances, needs, and desires, and to obtain support and increase  advocacy for the values of the medical profession.

 

 


 Phase II of the CPW Initiative:   Inspiring
The goal of Phase II was to inspire, building enthusiasm and optimism for the medical profession, by showcasing exemplary physicians from around the world in a compilation of  “Caring Physicians of the World.”  This publication showcased 65 physicians from 58 countries around the world:   heroes and social leaders, who were nominated by their NMAs as exemplifying the enduring traditions of caring, ethics, and science. 

Plans for the book were announced at the WMA Annual Meeting in Tokyo, 2004.   NMAs nominated over 200 physicians; 65 physicians were interviewed, photographed on site, and memorialized in the publication. The book was presented at the 2005 WMA Annual Meeting in Santiago, Chile and regional conferences of CONFEMEL. Subsequently, the message of the Caring Physicians of the World was communicated to NMAs, medical specialty societies, government, media, businesses, philanthropies, and multiple other public and private associations and organizations around the world.   May 2006 the Caring Physicians of the World Book and Initiative were featured at a luncheon reception of over 200 Ministers of Health and other health and medical leaders following the opening sessions of the World Health Assembly.  Dr. Coble edited the book and composed the foreword, describing the relevance and importance of caring, ethics and science. 

Read Dr. Coble's Foreword to the Caring Physicians of the World



Phase III of the CPW Initiative:  Collaborating
The goal of Phase III was to enhance collaboration, forming regional partnerships in areas around the world, to enhance communication, collegiality, and advocacy for patients, public health, and the medical profession.   With WMA officers’ participation, and the Pfizer Medical Humanities Initiative partnership and support, Dr. Otmar Kloiber, Secretary General of the WMA and host NMAs organized highly successful regional meetings in Johannesburg, Prague, Santiago, Tokyo, Bangkok, Shanghai, and Amelia Island, Florida.  These regional meetings focused on effective ways to address the primary issues for patients, physicians, and public health.   During these meetings it emerged that there was a growing need for improving physicians’ advocacy and leadership skills.

 


Phase IV of the CPW Initiative:   Developing
The goal of Phase IV was to address this emergent need for development of physicians’ advocacy and leadership skills.  The WMA, in collaboration with INSEAD and again with the partnership with Pfizer, Inc., developed the WMA/CPW Leadership Program.  The program was designed to develop the skills and knowledge needed for medical and social leadership, enhancing the abilities of medical professionals to advocate more effectively for medical care, education, research, ethics, and the medical profession. 


The first course of the WMA/CPW Leadership Program was held on December 2-9, 2007, at INSEAD in Fontainebleau, France.  Thirty four physicians, selected by their NMAs in 22 countries participated in the course.  Feedback from this inaugural course has been extraordinarily positive, as has the increased communication between the “Alumni” of the course.  The next course is planned for INSEAD, Fontainebleau in 2008.  INSEAD, Singapore is under consideration as the site for the course in 2009.


Phase V of the CPW Initiative:  Applying and Achieving
Phase V is an enduring phase in which WMA will explore application of the CPW principles and achievement of the CPWI goals.  One of the first examples of CPWI Application can be found in Indonesia.  


Two Indonesian Medical Association (IMA) leaders, Dr. Fachmi Idris and Dr. Taufik Jaaman, were participants in the December 2007 WMA/CPW Leadership Course.  Following the introductory addresses by Drs. Coble and Kloiber, they proposed a Caring Physicians of the World Initiative for their IMA Centennial Celebration / Annual meeting in May 2008.  Planning began immediately, and by early 2008 they had the support of the President of the Indonesian Republic, collaboration of the Minister of Health, and additional support.

 

To coincide with the Indonesian Medical Association (IMA) Annual Meeting and Centennial Celebration in May 2008, the IMA created a video documentary of Indonesian history, and a new book, Caring Physicians of Indonesia, edited by Dr. Taufik Jaaman.   This book profiles 112 Indonesian physicians, nominated as heroes and social leaders, exemplifying the enduring medical traditions of caring, ethics, and science.  The publication includes messages from the Indonesian President, and the Minister of Health, and an introduction by Dr. Coble, Director of the Center for Global Health and Medical Diplomacy and Chair of the CPWI.  Both the Caring Physicians of the World and the Caring Physicians of Indonesia books were presented to the Indonesian President at the IMA Centennial Anniversary at a large event held at the President’s Palace, May 28, 2008, and to the faculty and students of the Indonesian University School of Medicine by IMA President Dr. Fachmi Idris and Dr. Coble with presentation addresses.  The opening of the IMA Centennial Meeting and exposition featured the Caring Physicians of Indonesia book, video, and initiative.

Read Dr. Coble’s Foreword to the Caring Physicians of Indonesia

The WMA is proud of the growth and achievements of the CPW Initiative to date.  However much remains to be accomplished in, by and for the medical profession.  Global threats of communicable and non-communicable disease persist, despite unparalleled progress in biomedical science, public health and medical care.  Barriers to care flourish, created by ineffective, inefficient, and sometimes even corrupt governments. The public is confused by terms such as providers instead of professionals, customers instead of patients, health care instead of medical care, and the pollution of scientific information by media, and distortion by legal and regulatory systems.  They are understandably distrustful.  However there is good reason to be optimistic, because of the justifiable enthusiasm physicians have for the value and values of their profession, and the ability to be useful.  The CPW Initiative has helped to clarify the assertion of physicians around the world that effective leadership, hard work, a clear definition of responsibilities and rights as a profession, and a mission beyond self, will result in significant and measurable success.

  • The CPWI has a focus on Patients:  working to inspire hope and trust, as well as to reduce disease, despair, disability and premature death.  
  • The CPWI has a focus on Rights:  promoting the right of all patients to choose physicians providing care based on a singular ethical commitment to them, using the best available science, in a caring manner. To provide this level of care, physicians require the right to appropriate autonomy, self regulation and advocacy for patient health.  
  • The CPWI has a focus on Responsibility:  endorsing ethical and science-based care, and social leadership in advocacy for patient care and public health. 
  • Finally, the CPWI has a focus on the Value of Medicine:  both economic and humanitarian.  The Economic Value represents the positive financial return of investment in medical care and biomedical research.  The Humanitarian Value represents the immeasurable worth of reducing disease, despair, disability and premature death.

The goal of the CPWI is to restore enthusiasm and optimism in the field of medicine, through medical and social leadership based on the enduring traditions of the medical profession:  Caring, Ethics and Science.   The CPW Initiative exemplifies the triad of medical traditions, Caring, Ethics and Science, emphasizing that caring physicians of the world are committed to and effective at medical and social leadership.  The CPWI mission is to help physicians throughout the world, despite the diversity and adversity of circumstances, to communicate Caring and compassion, with the best Science and highest Ethics, in every professional interaction.

Unique New Book Profiles 65 Caring Physicians of the World, World Medical Association
Read the stories: Doctors in their own words

Read Dr. Coble’s introduction to the Caring Physicians of the World
View Caring Physicians of the World presentation
Read the Special Report on the Caring Physicians of the World Initiative
, Northeast Florida Medicine, 2006
Read the article on the Caring Physicians of the World Inititative, World Medical Journal, December, 2008

 

 

 

 

 

President Project HOPE visits Center, Lectures on Medical Diplomacy
Jacksonville, FL,  Feb. 26, 2007

On February 26, 2007, the Center for Global Health and Medical Diplomacy held the first Caring Community Forum with Dr. John Howe, President of Project Hope, as the Distinguished Lecturer on Medical Diplomacy. Project Hope is an international health foundation with offices and programs in 30 countries, and publisher of "Health Affairs," a health policy journal. The reception was attended by nearly 150, and the lecture by over 500. The forum was jointly sponsored by the World Affairs Council and the Center. 

Dr. Howe’s presentation was titled “A Quiet Advocacy” and it illustrated the many ways in which Project Hope accomplishes its stated mission: To achieve sustainable advances in health care around the world by implementing health education programs and providing humanitarian assistance in areas of need. A major success illustrated by Dr. Howe was the relief work Project HOPE performed following the Tsunami that devastated many areas of Asia in December 2004. The U.S. Navy and a host of American doctors volunteered their services for disaster relief in a remarkable display of medical diplomacy. Dr. Howe shared the results of a BBC study which showed dramatic improvement in global public perception of the United States in the months following this volunteer service. 

Earlier in the day, Dr. Howe met with leadership of the Jacksonville Chamber of Commerce and many health and medical professionals regarding the growth of high quality health and medical care and bioscience industry.

Event Program
Watch Video 
 

 

 

 


World Medical Association/Caring Physicians of the World Leadership Program

2007 Caring Physicians of the World Inaugural Leadership Course,
Fontainebleau, France, Dec. 2-8, 2007

The Center for Global Health and Medical Diplomacy was honored to partner with the World Medical Association (WMA) and Pfizer Inc. in developing and implementing the first World Medical Association (WMA)/Caring Physicians of the World (CPW) Leadership Course. The WMA/CPW Leadership Course is part of the five-phase Caring Physicians of the World Initiative (CPWI) which was designed to help physicians throughout the world develop the skills and knowledge needed for medical and social leadership. 

This first leadership course for physicians was held at INSEAD, in Fontainebleau, France, on Dec. 2-8, 2007. (INSEAD is one of the world’s largest graduate business schools with campuses in Singapore and France, and centers in Abu Dhabi and Israel. INSEAD aspires to produce the next generation of transcultural leaders. A worldly perspective and cultural diversity are reflected in all aspects of research and teaching. Participants are drawn from over 100 countries.) 
This first WMA/CPW Leadership Course provided leadership training for 34 physicians from 22 countries.  Center Director, Dr. Yank Coble, gave an opening address. 

Program modules focused on developing physicians’  leadership and advocacy skills, enhancing their abilities to advocate more effectively for medical care, education, research, ethics, and the medical profession. The program included modules on the Value of Medical Diplomacy and Traditions, Global Healthcare Systems, Physicians Perceptions of the Profession, Individual Judgment and Group Decision Making, Conducting Business Across Cultures, Effective Leadership Styles, the Art and Practice of Lobbying (Advocacy), Defining and Achieving Negotiation Success, Multiparty Negotiations, Coalition Building, Improving Cross Cultural and Virtual Communication, Navigating the Media Environment and Media Training. 

Feedback from program participants has been extremely positive, as has been the increased communication between program “alumni”.  Due to the success of this initial leadership and advocacy development program and the global mission of the course, a second WMA/CPW Leadership Course was scheduled to take place at INSEAD, Fontainebleau in Dec. 2008.  INSEAD, Singapore is being considered as a possible site for the 2009 course.  

 

2007 Group
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Kloiber
Insead

 

 

 

 

Center Director Participates in Centennial Celebration of the Indonesian Medical Association
Jakarta, Indonesia, May 27-28, 2008

Center Director, Dr. Yank Coble traveled to Jakarta, Indonesia, to attend the Indonesian Medical Association (IMA) Annual Meeting, the Centennial Celebration of the IMA. Dr. Coble was invited to help launch the Caring Physicians of Indonesia documentary and book, on May 28, 2008.    Dr. Coble met with the Indonesian President, Dr. H. Susilo Bambang Yudhoyono, in the President's Palace, as well as the Minister of Health, Dr. Siti Fadilah Supari.

This new book, Caring Physicians of Indonesia,  was modeled after the Caring Physicians of the World, which was published in 2005 and released at the World Medical Association (WMA) Conference in Santiago. Dr. Yank Coble, President of the WMA in 2005, edited the WMA book and composed the preface, describing the relevance and importance of caring, ethics and science. 

The Caring Physicians of Indonesia profiles 112 Indonesian physicians, and includes messages from the Indonesian President, Dr. H. Susilo Bambang Yudhoyono and the Minister of Health, Dr. Siti Fadilah Supari and an introduction by Dr. Coble.

read Dr. Coble’s introduction to Caring Physicians of Indonesia


Dr. Fachmi Idris, President of Indonesia Medical Association, presents the book of Caring Physicians of World to Dr. Susilo Bambang Yudhoyono, President of Indonesian Republic

 

 


Ceremonial Event at the Presidential Palace
(L-R) Dr. Fachmi Idris, President of Indonesian Medical Association; Dr. Siti Fadilah Supari, Health Minister of Indonesian Republic; Dr. Susilo Bambang Yudhoyono, President of Indonesian Republic; First Lady of Indonesian Republic; Dr. Yank Coble, Past President of World Medical Association

 

 

 

 

Center Director Participates in WMA/WPA/Wonca Geneva Conference on
Person-Centered Medicine

Geneva, Switzerland May 29-31, 2008

Center Director, Dr. Yank Coble, was invited to present the keynote address at the 1st Annual Geneva Conference on Person-Centered Medicine, held in Geneva, Switzerland on May 29th- 31st, 2008. His remarks focused on the World Medical Association Caring Physicians of the World Initiative. Discussions were held with WMA leadership regarding creation of a World Psychiatric Association Caring Physicians Initiative.

view presentation
Abstract
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Center Director Visits INSEAD and Duke-NUS Graduate Medical School
Singapore, May 26, 2008

On May 26, 2008, Center Director, Dr. Yank Coble, was invited to meet with faculty and tour the facilities at INSEAD Singapore as the potential site for the 2009 WMA CPW Leadership Course.  (INSEAD is one of the world’s largest graduate business schools with campuses in Singapore and France and centers in Abu Dhabi and Israel. INSEAD aspires to produce the next generation of transcultural leaders. A worldly perspective and cultural diversity are reflected in all aspects of research and teaching. Participants are drawn from over 100 countries.)


Dr. Coble also met with the three Singapore Medical Association (SMA) leaders who participated in the December 2007 WMA/CPW Leadership Course in Fontainebleau:  Dr.  Chaing  Yin Wong, President of SMA; Dr. Bertha Woon; and Dr. Yeh Woei Chong.  All remained very enthusiastic about the course, would like to nominate candidates for future courses, and were highly supportive of the course being held at INSEAD Singapore in future years.  (The first WMA/CPW Leadership Course was held in December 2007.   The WMA, with the support of the Pfizer Medical Humanities Initiative, co-sponsored and directed the course, with the cooperation of the European Union Business School INSEAD in Fontainebleau, France.  This course was part of the WMA/CPW Leadership Program, which is designed to help physicians develop the skills and knowledge needed for medical and social leadership and advocacy.)

Dr. Coble was also invited to visit the facilities at Duke Graduate Medical School/National University of Singapore (Duke-NUS).  He  met with Patrick J Casey, PhD, Founding Senior Vice Dean for Research and K. Ranga Krishnan, MD, Dean, Duke-NUS,  to discuss the dramatic curriculum innovations in medical education in collaboration with its sister institution, Duke University Medical School in North Carolina. The program is designed to prepare international clinician scientists for the future.

INSEAD
Duke-NUS Graduate Medical School

 

 

 

 

Ethics Forum at the 2008 Caring Community Conference
Jacksonville, FL, September 18, 2008

The Center was pleased to host the 2008 Caring Community Conference, on Sept. 17-18, 2008. Session 3 of the Conference presented a special forum exploring the Ethics of Human Experimentation, The Global Standard: The Declaration of Helsinki Revisited. The forum was held on September 18, 2008, from 6 PM till 8PM, at the University of North Florida University Center.

The Declaration of Helsinki (DOH) was developed by the World Medical Association (WMA) as a set of ethical principles for the medical community regarding human experimentation. It is widely regarded as the cornerstone document of human research ethics, although it is not a legally binding instrument in international law. It draws its authority from the degree to which it has been codified in or influenced national or regional legislation and regulations.

The World Medical Association was founded in 1947.  In 1954 the first principles to guide physicians in human research and experimentation were developed.  In 1964, after numerous drafts, the Declaration of Helsinki was officially adopted.  There have been several revisions over the intervening years and in 2008 another formal revision process is underway.  Dr. Kloiber discussed some of the many ethical issues under consideration by the WMA as it strives to continually keep the Declaration current and  “fit with today’s landscape of research.”  As the Declaration of Helsinki is a consensus-based document with no legally binding status, it’s effectiveness and “authority” derives from the credence it has earned as a valuable instrument to guide physicians in the often ethically murky waters of human research.kloiber

Dr. Kloiber discussed at some length one such area where there has been and continues to be significant debate – testing of new drugs using a placebo as the control versus the current therapy.  

When a research trial compares a new drug to a placebo, the results are generally dramatically in favor of the new therapy.  Yet when compared against the current best treatment, differences of the new therapy can appear considerably less significant.   After over a decade of debate on the issue, the latest revision of the DOH will recommend that a new method should be tested against the best current method unless there are compelling scientific and safety reasons to use a placebo as the control.

Dr. Kloiber reviewed some of the current sensational news coverage regarding human research, including particularly severe side effects of new therapies and the fraudulent cloning research by a Korean scientist.

There are a myriad of reasons the Declaration requires revision.  Today these include the need to develop principles for the conduct of research with children, pregnant or nursing women, and the elderly, as well as the rights of research participants to learn of the results of the study in which they participate.

Dr. Kloiber reviewed DOH revisions currently under consideration, such as:  1)  should the DOH state general principles or provide guidance on the application of the principles; 2)  is the DOH applicable to physicians only, or to all researchers; 3)  should the DOH deal with all types of research or just “interventional” research; 4)  should the DOH use the verb “must” rather than “should” and 5)  should unidentifiable human data be included in research results?  Dr. Kloiber speculated on the answers to these questions, which would be determined by the Council and full Assembly of the World Medical Association in Seoul, Korea, October 15-18, 2008.

view the presentation

view the program

 

 

 

 

Center Director Addresses WMA General Assembly, Seoul Korea, October 15 - 18, 2008

Center Director, Dr. Yank Coble, addressed the World Medical Association General Assembly in Seoul, Korea, October 15 - 18, 2008. His remarks focused on the World Medical Association Caring Physicians of the World Initiative.

 

 

 

 

World Medical Association/Caring Physicians of the World Leadership Program
2008 Caring Physicians of the World Leadership Course,
Fontainebleau, France, Dec. 1-6, 2008

The Center for Global Health and Medical Diplomacy was honored to partner with the World Medical Association (WMA) and Pfizer Inc. in developing and implementing the World Medical Association (WMA)/Caring Physicians of the World (CPW) Leadership Course. The WMA/CPW Leadership Course is part of the five-phase Caring Physicians of the World Initiative (CPWI) which seeks to unite national medical associations around the world, implementing a multipart program to address the identified global concerns of physicians.  The first WMA/CPW Leadership Course was held in December, 2007.

The 2008 WMA/CPW Leadership Course was held at INSEAD, in Fontainebleau, France, on Dec. 1-6, 2008. (INSEAD is one of the world’s largest graduate business schools with campuses in Singapore and France, and centers in Abu Dhabi and Israel. INSEAD aspires to produce the next generation of transcultural leaders. A worldly perspective and cultural diversity are reflected in all aspects of research and teaching. Participants are drawn from over 100 countries.)  The 2008 WMA/CPW Leadership Course provided leadership training for 32 physicians from 20 countries.  Center Director, Dr. Yank Coble, gave an opening address. 

The six-day intensive curriculum focuses on proficiency in decision-making, participation in public debate and preparation to serve as spokespersons on key health care policy issues. The program included modules on the Healthcare and Organized Medicine, Economics of Healthcare, Physician Perception Research, Effective Physician Advocacy, Conducting Business Across Cultures, Navigating the Media Environment, the Art and Practice of Effective Advocacy, Multiparty Negotiations, Coalition Building, Individual Judgment and Group Decision Making, Effective Leadership Styles, as well as extensive practice in Media Training.

Due to the success of these first courses and the global mission of the course, an annual program has been instituted. The third WMA/CPW Leadership Course has been scheduled to take place at INSEAD Singapore in 2009.

View Dr. Coble's presentation

2008 group

 

2008 WMA CPW

 

 

 

Institute of Medicine of the National Academies
Roundtable on Environmental Health, Sciences, Research and Medicine
Workshop January 15-16, 2009


Center Director, Dr. Yank Coble was appointed to the Institute of Medicine Roundtable on Environmental Health Sciences, Research and Medicine in 2003, and currently serves as co-chair of the Committee on Climate Change and Human Health.   The Institute of Medicine (IOM) is an independent nonprofit organization which advises policymakers, health professionals, the private sector and the public on matters of biomedical science, medicine and health.   The Institute provides unbiased, evidence-based, and authoritative information and advice concerning health and science policy to policy-makers, professionals, leaders in every sector of society, and the public at large.  The Committee on Climate Change and Human Health will examine the ways in which climate change may impact public health globally. 


The Institute of Medicine is both an honorific membership organization and a policy research organization. The Institute's members, elected on the basis of their professional achievement and commitment to service, serve without compensation in the conduct of studies and other activities on matters of significance to health. Diversity of talent among Institute members is assured by a charter stipulation that at least one-quarter be selected from outside the health professions, from such fields as the natural, social and behavioral sciences, as well as law, administration, engineering and the humanities.

Dr. Coble attended the January 15-16, 2009 workshop sponsored by the Roundtable on Environmental Health Sciences, Research, and Medicine. The workshop addressed Scientific Needs and the Research Agenda for the Health Risks of Climate Change. Speakers discussed strategies for identifying priority areas for a health research agenda, ensuring scientific responses to unanticipated health outcomes, developing training opportunities for scientists and institutions, and adapting decision-making tools for action.

Learn more about the Institute of Medicine and Global Health   

 

 

American Medical Association Council on Science and Public Health

The AMA Council on Science and Public Health provides information and recommendations on medical, scientific, and public health issues. Summaries and recommendations of all Council reports from 1994 to the present, many reports in full text, and a listing of upcoming reports are available. Council reports can also be accessed by topic.

Learn more about the AMA Council on Science and Public Health

AMA House of Delegates Resolution on Climate Change

AMA Council on Science and Public Health Report on Climate Change

 

 

 

   

Center for Global Health and Medical Diplomacy at the University of North Florida
1 UNF Drive, Building 53, Suite 2750 Jacksonville, FL 32224
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