back to vol. 16, b. 4, 2010

Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312-773X (Online)
Issue: 2010, Volume 16, book 4,
DOI: 10.5272/jimab.1642010_70
Subject Collection:Oral and Dental Medicine
Page: 70 - 76
Online date: March 25, 2011

J of IMAB 2010; 16(4):70-76
Ethical, Legal and Professional Foundations of the Autonomous Regulation of the Dental Profession, the Case of Bulgaria
Lydia Katrova
Department of Public Dental Health, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria

The purpose of this study is to present the traditional and contemporary views on autonomous management of the dental profession in Bulgaria during the period of transition. Methods: The interdependence between the professionalism and ethics was analyzed and the concept of system approach in ethical conduct of the practicing doctor is defined. Results: Dynamic of social relationship shaped by the globalization and European integration and the design of the social contract between the profession and the society are reviewed. Moral, legal and professional issues relevant to current social and economic aspects of health reforms impacts on the reestablishment of professional autonomy in Bulgaria are presented. Professional autonomy is based on self-regulation aiming to keep the collective image and standards but is focused on the professional conduct and behavior of the members. A model of ethical discourse and ethical approach is discussed. Conclusions: Ethics and professionalism are in interdependence in the democratic society. Autonomy, or self-determination, as the core value of dentistry has been reestablished along the reestablishment of democracy in Bulgaria. In the value system of professionals traditional and contemporary virtues form a complex mixture. There is a need for integrity and consensus on formulating the rules of professionalism in dentistry. Professional ethics must be taught and appropriate courses should be part of the dental curriculum and continuing education in dentistry.

Key words: ethics, dentistry, professional autonomy, ethical system, professional conduct.

Page: 70-76; FULL TEXT PDF (201 KB) Abstract

1. Parsons T. Professions. International encyclopedia of social sciences, Vol. 12. New York: Macmillan Company and Free Press, 1968.
2. Nash DA,  On ethics in the profession of dentistry and dental education. Eur J Dent Educ. 2007 May; 11(2):64–74. [CrossRef] [PubMed]
3. Lydia Petkin-Katrova. Social Status of Dentists and Social Perspectives for the Dental Profession, Sofia, 1998, Leading Technology in Dentistry Publishing, p.p. 290.
4. Katrova, L. Ethical Legal and Professional Prerequisites and directions for the autonomous regulation of the dental profession in: Реформата в стоматологичната помощ (Морални, етични и законови норми в стоматологичната практика) Сборник с материали от Международен симпозиум, София, 12-13. 06. 1999; под редакцията на Цв. Йолов, НЦЗИ, 1999, София, стр. 24-37. (in Bulgarian)
5. Hodson, Randy &Theresa A. Sullivan. The social organization of work. 1990 Wadsworth Publ. Comp. Belmont, California.
6. Bankowski, Z. interviewed by Eilif Lisberg, Ethics and Health, World Health Forum, Vol 16 No2, pp 115-126.
7. Beauchamp TL, Childress JF. Principles of biomedical ethics. 4th edn. New York and Oxford: Oxford University Press, 1994.
8. Катрова, Л. Етични норми и правни отношения. Права на човека и обществени отношения в здравеопазването. Дентал новини, 1997, №3, стр.4. (in Bulgarian)
9. Закон за съсловните организации на лекарите и стоматолозите. ДВ, бр. 83 от 21.07.1998.
10. Dental Ethics Manual© 2007 by FDI World Dental Federation
11. Sergiovanni T.J. Corbally J.E. Leadership and organizational culture. Urbana/Chicago, IL: University of Illinois Press, 1986.
12. Gibson J. Ivancevich J. Donnelly J. Organizations: structure, behavior, processes. Plano, TX: Business Publica­tions, 1988.
13. Kurt Darr. Ethics and the delivery of health sevices: a proposed international framework. 2009 Bulgarian Journal of Public Health, Vol. 1, N 1 Jan-Mar.
14. Кодекс за професионална етика на стоматолозите, приет: 23. 04. 2000, ДВ, бр. 49/17.05.2002.
15. Gert B. Common morality: deciding what to do. Oxford and New York: Oxford University Press, 2004.
16. Plato Laws (400 B.C.E.) [with an English translation by RG Bury]. Cambridge: Harvard University Press, 1926.
17. Aristotle Nicomachean Ethics (350 B.C.E.). translated by JEC Wellden. Buffalo: Prometheus Press, 1988
18. Spinoza B. Ethics (1677) [Translated by RHM Elwes]. Buffalo: Prometheus Books, 1989.
19. Locke J. Second treatise on civil government 1690 In: Gough JW, ed. Oxford: Blackwell, 1946.
20. Kant I. Fundamental principles on the metaphysics of morals (1785) In: Abbot TK, ed. Buffalo: Prometheus Press, 1988
21. Rawls J. A theory of justice. Cambridge: Belknap Press of Harvard University Press, 1971.
22. Катрова, Л. И. Калтър, К. Майда, М. Маркъс, Цв. Катрова Политически, икономически и социален контекст на здравните реформи в страните на Централна и Източна Европа. Здравен мениджмънт, Том 3, №.2, 2003, стр.12-19. (in Bulgarian)
23. Hobdell M, Sinkford J, Katrova L, et al. 5.2. Ethics, equity and global responsibilities in oral health and disease. Eur. J Dent Educ. 2002; 6 (Suppl. 3):167-178.. [PubMed]
24. Катрова, Л. Етични норми и правни отношения, Етика и права на пациента. Дентал новини, 1997, № 1, стр.4. (in Bulgarian)
25. Катрова, Л. Етични норми и правни отношения, Основни права на човека - професионални права на лекаря.  Дентал новини, 1997, № 2, стр.4. (in Bulgarian)
26. Катрова, Л. Етични норми и правни отношения. Права на човека и общест­вени отношения в здравеопаз­ването. Дентал новини, 1997, №3, стр.4. (in Bulgarian)
27. Katrova, L., J.R. Freed, I.D. Coulter. Professional, Ethical and Legal Aspects of Informed Consent in Dentistry. Folia medica, 2001, 7(2): 138-140.
28. Masella RS. Renewing professio­nalism in dental education: overcoming the market environment. J Dent Educ 2007; 71(2): 205-16.
29. Profile and Competences for the European Dentist - Association for Dental Education in (2004).
30. Rule, J. T. Veatch R. M. Ethical Questions in Dentistry, 2nd ed. Chicago: Quintessence Publishing, 2004. 340 pp. ISBN 0-86715-443-8.
31. Ozar DT, Sokol DJ. OzarDavid T, David J. Sokol. Dental Ethics at Chairside: Professional Principles and Practical Applications David T. 2nd ed. Washington, DC: Georgetown University Press, 2002.
32. Sharp, HM. Kuthy RA.. What Do Dental Students Learn in an Ethics Course? An Analysis of Student-Reported Learning Outcomes J Dent Educ  2008; 72(12): 1450-7
33. K. Weaver. Ethical Sensitivity: State of Knowledge and Needs for Further Research. Nursing Ethics. March 2007; 14(2):141-155. [CrossRef]
34. Bertolami, CN. Further dialogue on ethics in dental education: a response to the Koerber et al. and Jenson articles. J Dent Educ 2005; 69(2):229–31.
35. Chambers, DW. Lessons from Students in a Critical Thinking Course: A Case for the Third Pedagogy. J Dent Educ, 2009; 73(1): 65 - 82.
36. Botto RW. Addressing the Marketplace Mentality and Improving Professionalism in Dental Education: Response to Richard Masella’s “Renewing Professionalism in Dental Education” J Dent Educ. 2007 Feb;71(2): 217-221. [PubMed]
37. Chambers DW. Commercialism in dentistry and its victims. J Am Coll Dent 2006; Spring;73(1):2-3 [PubMed] J Am Coll Dent 2006; Summer;73(2):2-3  [PubMed]

back to Online Journal