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ETIČNI KODEKS RAVNANJA

Ta dokument je objavila Evropska federacija ortodontskih specialističnih združenj, da bi zagotovila vodnik po etičnih obveznostih svojih članskih društev in njihovih posameznih članov ter opisala vlogo sveta EFOSA v etiki. S spremembami v pričakovanjih javnosti in nenehnim razvojem kliničnih tehnik in strokovnih zahtev se bodo neizogibno pojavile nove situacije, ki vodijo v prihodnje spremembe te pripovedi. Člani EFOSA sprejemajo načela etične prakse in poklicnega ravnanja, izražena v tem kodeksu, in morajo prevzeti odgovornost za podporo svojim posameznim članom pri ohranjanju teh načel.


Medtem ko je glavni namen tega kodeksa etičnega in poklicnega ravnanja zaščita javnosti in naših pacientov, se moramo zavedati tudi svoje odgovornosti in obveznosti do kolegov in drugih zdravstvenih delavcev. Nobeno načelo ne more obstati samostojno ali ga posamično uporabiti za situacijo. V vseh primerih je konglomeratni namen in vpliv etičnih načel tisti, ki meri etično vedenje ortodonta. Etični standardi poklicnega ravnanja in odgovornosti lahko presegajo, vendar nikoli niso nižji od tistih, ki jih zahteva zakon, niti v nasprotju z njimi.

Pristojna uprava za zobozdravstvo

V vseh državah Evropske unije obstaja nacionalni organ, ki upravlja zobozdravstveni poklic. Ta organ je enak »pristojnemu zobozdravstvenemu organu«, kot je opredeljen v Zobozdravstvenih direktivah ES 78/686/EGS, ali enakovreden organ v državah, ki niso članice Evropske unije. Pri teh organih so registrirani vsi zdravniki specialisti ortodontije in zanje veljajo predpisi in disciplinski postopki.

Etične obveznosti in dolžnosti članov EFOSA. 

  1. EFOSA pričakuje, da bodo vsa društva članice aktivno skrbela za etično vedenje svojih posameznih članov.
     

  2. Vsa društva članice bi morala kot minimalno zahtevo sprejeti EFOSA kodeks etične prakse in ravnanja v ortodontiji, kot je določeno v tem dokumentu, kot tudi etične smernice njihovega pristojnega zobozdravstvenega organa.
     

  3. Vsako dejanje, ki ga sprejme posamezni član v zvezi z vprašanji kakovosti oskrbe, kot je zajeto v teh kodeksih etike in poklicnega ravnanja in ki krši smernice o poklicnem ravnanju in primernosti za delo pristojnega zobozdravstvenega organa, je treba prijaviti pristojnemu zobozdravstvenemu organu; in to bi lahko na koncu povzročilo začasno prekinitev ali omejitev pravice do opravljanja dejavnosti. 
     

  4. Vsa društva članice so dolžna opozoriti Svet EFOSA na vsako posamezno suspenzijo ali izbris iz registra specialista ortodontije s strani njihovega pristojnega zobozdravstvenega organa.

Etične obveznosti in dolžnosti Sveta EFOSA. 

  1. Svet EFOSA ima obveznost zagotoviti, da vsi člani izpolnjujejo etične zahteve in dolžnosti. 
     

  2. Svet EFOSA v imenu svojih sestavnih članov vzpostavi in vzdržuje Zvezni kodeks etične prakse in poklicnega ravnanja. 
     

  3. Ko Svet EFOSA od društva članice prejme informacijo, da je bil posamezni član suspendiran ali izbrisan iz registra kot ortodont, Svet nemudoma posodobi svojo datoteko registriranih ortodontov zadevne države za ustrezno časovno obdobje._cc781905-5cde -3194-bb3b-136bad5cf58d_

EFOSA Kodeks etičnega ravnanja in poklicnega ravnanja v ortodontiji

Etični standard poklicnega ravnanja zahteva raven osebne uspešnosti, ki je vsaj tako visoka, kot je zahtevana z zakonom, in zadostna za skladnost s splošno sprejetimi kodeksi dobre prakse poklica. Svet in člani EFOSA so dolžni ukrepati v zvezi z neetičnimi standardi poklicnega ravnanja, kadar bi ti lahko ogrozili dobrobit pacientov ali dober ugled poklica.

Načela etike v ortodontiji

1. In the following “Members” means an individual member of any orthodontic society which is a member of EFOSA. 2. Members shall recognise and uphold the principles regulating the ethical practice of orthodontics as laid down by this ”Code of Ethical Practice & Professional Conduct”. 3. Members shall ensure that they make no false or misleading statements to patients. This shall include any misleading claims of competence which cannot be supported by the generally accepted standards of orthodontic practice. 4. Members shall not give false or misleading statements in their professional advertising including any information given on the Internet. 5. Members should provide basic information on orthodontics to every patient and/or the patient’s parent or guardian. This information should at least contain the scope and reasons for orthodontic treatment, the aims of treatment and the patient and parents’ obligations during treatment. 6. All treatment planning should follow a full examination and the taking of all necessary diagnostic records. 7. When planning treatment, members should take into consideration the patient’s and/or parents’ or guardians’ wishes and best interests. 8. Members should provide the patient and/or parent or guardian with information about the proposed treatment. This information should outline specifics not being dealt with in the basic information, such as professionally determined need and the method, time and cost of treatment. 9. Members should discuss with the patient and/or parent or guardian the risks and benefits inherent in the possible alternative treatment options including no treatment. 10. Members do not have to provide treatment that they feel is not in a patient’s best interests. Notwithstanding the right to exercise discretion over the provision of treatment, members shall not refuse to accept any patient for treatment on the grounds of race, colour, creed, gender, age, or disability. 11. Members should give consideration to the cost of orthodontic treatment. Cost- considerations should include financial cost as well as non-financial cost, such as treatment duration, effort from the patient and/or parents or guardians and discomfort as a result of treatment. 12. Members shall ensure that they have the full and informed consent of their patients for all aspects of a proposal for treatment. That consent should be accurate and comprehensive and the onus rests with the member to ensure that it is understood and acknowledged by the patient. Written and signed consent is advisable. 13. Members shall ensure that the standard of treatment they dispense is of the highest quality compatible with individual circumstances of, or the express wishes of, the patient. 14. Members shall ensure that reasonable arrangements are made for their patients to receive any necessary emergency care and that their patients are properly aware of such arrangements. The duty of emergency care, so far as it is reasonably possible, extends beyond members’ own patients to any member of the public seeking their help. 15. Members shall, at their own discretion, or at the request of a patient, seek a second opinion on the management of a clinical situation before, during or after a course of orthodontic treatment. Such an opinion should be sought from an appropriate source. 16. Members shall ensure that continuity of clinical management is maintained for a patient who moves away from the local cover offered by the practice. A written referral is obligatory, and whenever possible this should be made to a qualified orthodontic specialist. Acceptance of the transfer by the receiving practitioner should be confirmed to the referring practice and all relevant clinical records should be made available. 17. Members should equally be willing to accept transfers from colleagues under financial arrangements that apply in the country of the accepting member and take account of the treatment to be completed and the payments made so far. 18. The rule of confidentiality in the patient/clinician relationship has been accepted throughout the history of medicine and dentistry. Information discussed in the course of consultation and treatment is confidential and should not be disclosed. This applies not only to clinicians but also to supporting staff. Therefore Members should not disclose information about patients without appropriate consent except to those with a genuine concern for a patient’s welfare, such as other health care professionals or where there is a requirement in law. In the case of minors, information may only be disclosed to parents and/or legal guardians where it is in the interest of the patient. If there is doubt over specific issues, members are strongly advised to seek advice from their national professional association. 19. “Whistle blowing”. If a Member becomes aware that another orthodontist is performing poorly in a consistent manner to the detriment of patients, whether because of impairment, incompetence, unethical conduct or illegal practice it is the member’s ethical duty to inform the appropriate person and/or authorities with a view preventing continuing harm to others.

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