The recent BMA ruling on AIDS. The patient's right to informed consent versus the doctor's right to protection.
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Biomedical subjects
Publications and source records attributed to L Doyal.
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There are very few medical ethics courses in British medical schools which are a formal part of the clinical curriculum. Such a programme is described in the following, along with the way in which the long-term curriculum committee of the University College and Middlesex Hospital Joint Medical School was persuaded to make it compulsory for first-year students. Pedagogical lessons which have been learned in its planning and implementation are outlined and teaching materials are included concerning student and course assessment which should be useful for others engaged in similar work. Finally, some of the institutional obstacles facing such attempts are discussed, particularly problems concerning timetabling, different types of opposition and the consequent importance of building alliances among clinical teaching staff.
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The women's health movement in Britain can be divided into three main stages. During the first period, most activities took place outside the National Health Service (NHS) and the emphasis was on women as consumers of medical care. Feminists exposed the sexism inherent in most medical practice and stressed the need for women to gain control of reproductive technology. During the second phase, these priorities shifted toward a greater concern with the need to defend the NHS against reductions in resources and to oppose the increasing privatization of medical care. These campaigns involved women not only as users of medical services but also as health workers, thereby bringing the women's health movement into the wider political arena. They also led to the growth of a socialist feminist analysis of women's health issues and a recognition that feminist participation in health struggles is essential if the NHS is to be not merely defended but qualitatively changed to meet the real needs of consumers and workers. During the third (and current) stage of the women's health movement, feminists have moved beyond a concern with medical care alone toward the development of a socialist feminist epidemiology--toward the identification and eventual elimination of those aspects of contemporary society that make women sick.
In this paper, the author takes a look at the women's health movement worldwide and lists some of its many achievements. The information provided is set in the context of reproductive rights, the most common issue that affects women in both the developed and the developing world. The author discusses access to birth control and the role of the consumer movement in achieving rights for women in childbirth.
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