Name of the activity: The fault it’s not mine

Country/NMO: Ecuador (AEMPPI-Ecuador)

Program: Ethics & Human Rights in Health

Contact information: [email protected]

Type of the activity: Capacity Building (Training or Workshop). Teaching and develop knowledge, skills and techniques in a particular field. While training can have any form, workshops are more formal and also include exchange of information between participants.

General description:

This symposium will be held in 2 phases:

The first will be theoretical in which highly qualified speakers will present topics such as:

• Definition of Medical Malpractice (by Dr. Wilson Nina).

• Matters that treat medical malpractice (by Dr. Sófocles Haro).

• Where there will be an ethical analysis to know more about medical practice: its history, where it comes from, when this term is used, how it is defined, and the requirements to carry out a good practice, what is a medical malpractice and implies ethical responsibility of the doctor.

The second phase will be case studies in Ecuador, where we can address (by Dr. Paúl Carvajal) cases from our country as:

• A young mother died after alleged malpractice in Guayaquil clinic (2018)

• Prosecutor’s Office ordered substitute measures to private clinic owner linked to the crime of harm to users (2017)

• A sit-in at the Ministry of Health against the private clinic of Quito (2017)

Focus area:

Human Rights for Medical Professionals in daily clinical settings

Problem statement:

In the period from March 2011 to March 2012, the number of cases reported by Mala Praxis was 54, however, none of them had a sentence and about 60% of the plaintiffs withdrew the accusation, so the cases were not followed up. In this area, an intense debate has been generated in Ecuador, in which alternative solutions for one of the most relevant problems in the health field are sought, known as “Mala Praxis”.

Target groups:

Medical students, Other Students

Beneficiaries:

Doctors

Objectives and indicators of success:

Train 50 medical students from all levels of education in Ecuador about Medical Malpractice in Ecuador, through a symposium organized in 2 phases that will be carried out in 1 day with a total of 4 hours, in this way providing a critical training to the medical student to make the best decisions before any procedure and situation in which they are in their professional development with knowledge about their professional rights

Positive result indicator: minimum attendance of 50 participants at the local level.

• Identify what is a medical malpractice

Positive result Indicator: positive post-event feedback (the acquired knowledge will be evaluated)

• Know the professional rights and laws that support the Ecuadorian physicians.

Positive result Indicator: Awaken the interest of the attendees to practice medicine with ethical values and know what our constitution say about medical practice.

• Determine the most frequent cases of medical malpractice in our country

• Review practical cases of medical malpractice in our country.

Positive result Indicator: Participation of the attendees without having to ask for their opinion constantly.

Methodology:

The first will be theoretical in which the highly qualified speakers will present topics such as:

Definition of Medical Malpractice (by Dr Wilson Nina)

Where there will be an ethical analysis to know more about medical practice: its history, where it comes from, when this term is used, how it is defined, the requirements to carry out a good practice, what is a medical malpractice and implies ethical responsibility of the doctor.

Subjects that treat medical malpractice (by Dr. Sófocles Haro)

– Obligations of the doctor

– Right of Damage

– Criminal law

– Constitutional right

The second phase will be case studies in Ecuador, where we can address (by Dr. Paúl Carvajal) news from our country as:

– A young mother died after alleged malpractice in Guayaquil clinic (2018)

– Prosecutor’s Office ordered substitute measures to private clinic owner linked to the crime of harm to users (2017)

A sit-in at the Ministry of Health against the private clinic of Quito (2017)

Plans for evaluation:

Before the activity: By means of a google forms form, we will ask questions to the participants in order to know about their previous knowledge of ethics in medical practice, this will help us to compare the knowledge before and after the symposium.

During the activity: In the resolution of practical cases and through the whole symposium, we will evaluate the quality of the debate of the attendants.

After the activity: The results will be evaluated by means of resolutions of practical cases where they will expose in paleographers in groups of 10 people about the topics treated, serving as a feedback about the event to assess the impact and satisfaction of the attendees.