Medical Ethics

ISSN Print 2713-0894 ISSN Online 2713-0908

BIOMEDICAL JOURNAL OF ERMC EASTERN EUROPEAN

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Issue 2, 2026

Topic 2

Information Security in Healthcare: Modern Threats and Protection Methods

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Issue 1, 2025

Topic Amendments and additions to the Helsinki Declaration of the World Medical Association "Ethical principles for medical research involving human subjects"

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Issue 2, 2025

Topic Bioethical problems of quantum computing

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Issue 3, 2025

Topic Space biology, space medicine and space psychologyin the context of "human sciences"

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Issue 4, 2025

Topic Ethical aspects and prospects of space exploration and exploitation

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Issue 1, 2026

Topic The ethics of Matvey Yakovlevich Mudrov

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New articles

Yaltseva NV, Gauert VR, Leontyeva EA, Politova DA, Yaltsev AV, Politov SY, Belova BG

The article examines the contradiction between the biopsychosocial approach and evidence-based medicine. The traditional biomedical model, that has been dominating since the 17th century, focuses on pathophysiology and ignores the psychological and social factors. The alternative biopsychosocial model, offered by Engel G (1970–1990), treats a disease as a result of interacting biological, psychological and social factors. It corresponds to the definition of health provided by the WHO. The approach is, however, limited due to highly personalized nature, complex objective assessment of factors and risk of subjectivism. As evidence-based medicine became widespread, clinical focus transitioned toward statistically average patient populations. Consequently, this standardization minimized the individual differences, particularly psychosocial factors. The doctor-patient relationship becomes mechanistic. The authors stress that the biopsychosocial and evidence-based approaches cannot be opposed. Their synthesis is perspective. They rely on evidence-based data taking into account psychosocial characteristics of a patient. They include various integration options from the way the multidisciplinary team functions to the formation of the basis of patient’s profiles indicating psychosocial features. The central idea that unites three groups of factors as viewed by the patients includes the internal picture of illness. The complex approach is taken as an essential element of modern clinical thinking and medical culture.

Received: 2026-06-09

Published online: 2026-09-09

DOI: 10.24075/medet.2026.024

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VIEWS 27

Gabidullina LF, Kotlovsky MYu

This study is relevant due to the need to balance child protection and respect for the family, while mitigating the risks of stigmatization and confidentiality breaches during cooperation between agencies. This study aims to identify the ethical dilemmas that arise while supporting children at risk of social orphanhood and to provide recommendations for improving these support tendencies. The research methods include analyzing regional practices, algorithms of interaction between agencies, the work of specialized commissions and councils, and the legal and regulatory framework, which includes the Convention on the Rights of the Child and Russian social service standards. According to the results, the most ethical and effective methods rely on minimal intervention, family partnership, and transparent communication. Collaborative visits by specialists and parents, interdisciplinary consultations, and adapted methodologies for considering the child’s views are effective. Researchers used data from the Yaroslavl region to find the major ethical issues such as treating informed consent as a mere formality, risk of data leakage in central databases, ignoring the life experience of families, and treating a child’s opinion without deep care.

Received: 2026-06-25

Published online: 2026-08-23

DOI: 10.24075/medet.2026.023

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VIEWS 163

Kuznetsova EB

This article explores how learning a foreign language helps medical students develop soft skills. The author proves it is necessary to move beyond rote vocabulary learning and shows that a foreign language creates a distant environment for developing empathy, tact and the ability to conduct a delicate professional dialogue. The article examines three useful activity types: ethical dilemma case studies, role-play activities, and debates. A system for their integration into the educational process is proposed, and the teacher’s role as a guide for ethical communication is discu

Received: 2026-06-04

Published online: 2026-08-22

DOI: 10.24075/medet.2026.022

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VIEWS 176

Suryaninova JA, Berngardt OV

The article explores the ethical issues arising when teaching Russian as a Foreign Language (RFL) to medical students from India at Russian medical universities. The issues of intercultural communication, ethical training, medical ethics concepts for foreign medical students, and ethical challenges faced by a RFL teacher in a diverse classroom are reviewed. The role of language standards, language mediation, and associated moral and ethical challenges is shown. The ways to solve these ethical issues based on scientific literature and teaching practice at Yaroslavl State Medical University are suggested.

Received: 2026-06-26

Published online: 2026-08-20

DOI: 10.24075/medet.2026.021

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VIEWS 220

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Popular articles

Demarina SM, Usolkin AA, Balashova YD, Tikhomirova SV

This review examines the ethical and legal implications of creating pharmacogenetic passports during the preconception (prior to conception) and prenatal (intrauterine) periods. The work is based on a methodological differentiation between the stages of genetic testing.. Preconception screening aims to assess carrier status in prospective parents and ensure their reproductive freedom, while prenatal testing provides fetus-related data, raising bioethical issues regarding the protection of interests and self-determination of the future child. The technologies of non-invasive prenatal testing (NIPT), preimplantation genetic testing (PGT), and prospects for intrauterine pharmacotherapy in severe congenital abnormalities are discussed. Special attention is given to ethical conflicts such as a conflict between the right to health and the right not to know, limits of parental proxy, and risk of genetic stigmatization. Normative approaches are suggested to address the identified ethical tensions (minimum intervention, clinical benefit, and deferred choice). The analysis of the Russian legislation and international instruments (Oviedo Convention, the GINA Act, the GDPR) yields recommendations for the healthcare system and legal regulation.

Received: 2026-03-19

Published online: 2026-05-23

DOI: 10.24075/medet.2026.012

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VIEWS 696

Eregina NT, Yeregin SY

The article analyzes the historical and medical literature devoted to the life and work of Matvey Yakovlevich Mudrov (1776–1831). The first stage in the historiography of this issue was the pre-revolutionary interpretation of Mudrov’s personality and his contribution to the development of clinical medicine. The main attention was paid to biographical facts, assessments of Mudrov’s professional activity by the medical community, and a general description of his role in Russian medicine. In the middle of the 20th century, a canon emerged that consistently described the main milestones of his biography. This narrative formed the basis of educational, reference, and popular science publications. Since the mid-1990s, the interest of practitioners in Mudrov’s legacy has come to the fore launching reassessment of his personality. In recent decades, the research has shifted to examining his impact as a reformer of medical education, organizer of clinical teaching, and creator of ethical medical standards. The implementation of research tasks contributed to the introduction of new archival data into scientific circulation, clarifying previously existing estimates and conclusions. The conducted historiographical review comprehensively covers the multifaceted activities of Mudrov MY and outlines possible prospects for further study.

Received: 2026-02-23

Published online: 2026-03-30

DOI: 10.24075/medet.2026.007

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VIEWS 564