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Stefanus Raditya Purba


Australian Medical Students Association (AMSA) Code of Ethics

And Janji Kepaniteraan FKUI

Both AMSA Code of Ethics and Janji Kepaniteraan FKUI were both made for medical
students in each country due to the realization that medical students possess a
privilege in medical setting as they are able to learn from patients and health
professionals and all their activities are under supervision and responsibility of the
health professionals in charge. However, as the future health care providers, there
must be ethical considerations implemented to them in order to guide them in their
everyday practice in hospital since they are dealing with human being. Furthermore,
the ethics are also needed to shape the personality as future health care providers,
thus this code of ethics is integrated as a part of medical education itself. Besides as
the guide in part of the responsibility to study, the code of conduct is used to
prevent them exploiting the patients merely to gain more knowledge. The basic
principles of AMSA code of ethics are beneficence, non-maleficence, justice, and
autonomy. The principles are manifested under 8 points and each point is further
divided into several sub-points. Meanwhile, Janji Kepaniteraan is based on Kode Etik
Kedokteran Indonesia made by Konsil Kedokteran Indonesia.
In general, the main emphasis of AMSA code of ethics is directly to the patients as
stated in the first 5 points out of 8 points, meanwhile in Janji Kepaniteraan FKUI,
there are combinations between the responsibilities to the patients, the relationship






to learn



maintaining their own personal health. Therefore, Janji Kepaniteraan FKUI has a
more comprehensive approach in guiding the medical students to behave during
their training and AMSA code of ethics is more patient-centered.
There are several similarities which clearly stated between AMSA code of ethics and
Janji Kepaniteraan FKUI, which are the obligation to hold confidentiality of the
patients and realization of the limits of the role in clinical setting and in the
community. There are important to be clearly stated in accordance to the prima

facie principles to maximize the benefits to the patients and not causing any harms
to the patients.
However, there are also several differences between them. The first point of AMSA
code of ethics clearly states that medical students should respect the dignity,
beliefs, values, and culture of every patient they encounter during training, which
includes treating the patient with respect and dignity, not forcing their own values
and beliefs upon patients, and respecting the autonomy of patients, and the second
point suggests that medical students should never exploit patients for their personal
benefits. In Janji Kepaniteraan FKUI, these points are not explicitly stated. However,
even though it is not clearly stated, FKUI medical students should always implement
these code of conduct since these points are always discussed and emphasized in
the clinical practice.
AMSA code of ethics also clearly states regarding the importance of informed
consent before performing any activities involving the patients during the training.
This part is important to respect the autonomy of the patient. In Janji Kepaniteraan,
this chapter is also not clearly stated, even though it is always be implemented in
everyday practice as part of training.
In Janji Kepaniteraan, there are also parts not included in AMSA code of ethics,
which are the commitment to comply with the rules and regulations during the
training, learn wholeheartedly in managing patients, and maintain personal health.
This is explicitly stated in order to remind medical students that compliance to the
regulations is the part of professionalism and health is a valuable condition so
learning hard to understand the patients conditions and maintaining health are also
important. Janji Kepaniteraan FKUI also emphasize the importance of empathy
towards the patients to motivate medical students to learn harder to understand the
patients condition.
Both codes of ethics in general have the same purpose, which are to guide medical
students in clinical setting even though there are several differences as AMSA code
of ethics is more patient centered and Janji Kepaniteraan FKUI has a more
comprehensive approach. After all, each countries and medical schools need to
have code of ethics in order to guide medical students to conduct a professional
behavior as the future health care providers.