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3 Health L.J. 1 (1995)
Professional Norms: Towards a Canadian Consensus

handle is hein.journals/hthlj3 and id is 9 raw text is: Professional Norms: Towards a Canadian Consensus?
Bartha Maria Knoppers
In 1992, the Centre de recherche en droit public of the Universit6 de
Montr6al together with the Health Law Institute of the University of Alberta
launched a joint research program on Professional Norms in the Practice of
Human Genetics. ' The objectives of this project were threefold: to identify and
analyze the sources of professional and social norms underlying quality of life
choices in the practice of genetics; to evaluate the use of these norms; and to
develop a professional ethics consensus statement for reference by patients,
professionals and policy makers in Canada based on responsibility in
relationships.
The technical knowledge and social power of molecular biology, (to say
nothing of the economic growth of the biotechnology industry) have led to an
influx of genetic testing which frequently involves difficult quality of life
choices. Heightened public awareness is concomitant with this increased testing
and our evolving understanding of genetic risk factors in common multifactorial
diseases such as cancer and hypertension. As a result, the medical paradigm is
moving from diagnosis and treatment to prognosis and prevention. Are there
norms to guide practitioners, patients and their families? The absence of specific
legislation is not synonymous with either the absence of law or of norms.
Practice guidelines, commission recommendations, as well as national and
international declarations often serve as guideposts for the courts.
Norms can be juridical, techno-scientific, socio-cultural, or ethical, and as
such are polymorphic in nature. The emergence of these norms and what can be
termed biopolicy, be it on a national or international level, is a dynamic and
interactive process rather than a linear one. Indeed, a brief overview of the
emergence of professional norms generally will, when studied together with
LL.D., Associate Professor of Law at the Universit6 de Montreal, Montreal, Quebec, and
Senior Researcher with the Centre de recherche do droit public, Universit& de Montr6al.
This study on Professional Norms in the Practice of Human Genetics was completed with
the support of SSHRCC (Professional Norms in the Practice of Human Genetics, Grant no.
806-92-0016) and FRSQ (Fonds de la recherche en sant6 du Quebec). Co-Investigator,
Professor Gerald Robertson.

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