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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Bioethics journal</journal-id><journal-title-group><journal-title xml:lang="en">Bioethics journal</journal-title><trans-title-group xml:lang="ru"><trans-title>Биоэтика</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2070-1586</issn><issn publication-format="electronic">2782-6589</issn><publisher><publisher-name xml:lang="en">Volgograd State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">683496</article-id><article-id pub-id-type="doi">10.19163/2070-1586-2025-18-1-48-54</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Practical bioethics</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Практическая биоэтика</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Ethical requirements for the professional culture of a doctor and moral dilemmas of medical specialists</article-title><trans-title-group xml:lang="ru"><trans-title>Этические требования к профессиональной культуре врача и моральные дилеммы медицинских специалистов</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3745-7835</contrib-id><name-alternatives><name xml:lang="en"><surname>Tkachenko</surname><given-names>Elena A.</given-names></name><name xml:lang="ru"><surname>Ткаченко</surname><given-names>Елена А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Postgraduate student of the Department of History and Cultural Studies</p></bio><bio xml:lang="ru"><p>аспирант кафедры истории и культурологии</p></bio><email>elena-cherednichenko@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Sebastian</surname><given-names>Sodder S.</given-names></name><name xml:lang="ru"><surname>Себастьян</surname><given-names>Соддер С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Graduate student</p></bio><bio xml:lang="ru"><p>аспирант</p></bio><email>svelton.ru@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Volgograd State Medical University</institution></aff><aff><institution xml:lang="ru">Волгоградский государственный медицинский университет</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-07-09" publication-format="electronic"><day>09</day><month>07</month><year>2025</year></pub-date><volume>18</volume><issue>1</issue><issue-title xml:lang="ru"/><fpage>48</fpage><lpage>54</lpage><history><date date-type="received" iso-8601-date="2025-06-09"><day>09</day><month>06</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Tkachenko E.A., Sebastian S.S.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, Ткаченко Е.А., Себастьян С.С.</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Tkachenko E.A., Sebastian S.S.</copyright-holder><copyright-holder xml:lang="ru">Ткаченко Е.А., Себастьян С.С.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://bioethicsjournal.ru/2070-1586/article/view/683496">https://bioethicsjournal.ru/2070-1586/article/view/683496</self-uri><abstract xml:lang="en"><p>The article is devoted to the ethical requirements for the professional culture of a doctor, reveals the concept of the “professional culture of a doctor”, examines the basic ethical rules approved in the Russian Federation, and describes the key points of the medical specialty and ethics. The authors consider the basic principles of medical ethics and give examples of moral dilemmas faced by medical professionals in the modern world. The article uses the experience of domestic and foreign scientists, to confirm the fact that moral and ethical values differ depending on the culture and traditions and the place of birth of the patient.</p></abstract><trans-abstract xml:lang="ru"><p>Статья посвящена этическим требованиям, предъявляемым к профессиональной культуре врача, раскрывает понятие «профессиональная культура врача», рассматривает основные этические правила, утвержденные в Российской Федерации, и описывает ключевые моменты медицинской специальности и этики. Авторы рассматривают основные принципы медицинской этики и приводят примеры моральных дилемм, с которыми сталкиваются медицинские работники в современном мире. В статье используется опыт отечественных и зарубежных ученых, подтверждающий тот факт, что морально-этические ценности различаются в зависимости от культуры и традиций, а также места рождения пациента.</p></trans-abstract><kwd-group xml:lang="en"><kwd>ethics</kwd><kwd>professional culture</kwd><kwd>moral dilemmas</kwd><kwd>doctors</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>этика, профессиональная культура, моральная дилемма, врачи</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">The ethical demands placed on physicians from the foundations of professional medical culture directly influence both the quality of care and patient trust. In today's modern multicultural world with rapid technological and medical advancements, the ability to navigate complex ethical issues, while maintaining compassion and respect for patients’ cultural and personal values, is essential for modern healthcare professionals.</mixed-citation><mixed-citation xml:lang="ru">Агеева Н.А. Профессиональная культура как нравственный императив деятельности врача. Гуманитарные и социальные науки. 2013;6:77–86.</mixed-citation></citation-alternatives></ref><ref id="B2"><label>2.</label><citation-alternatives><mixed-citation xml:lang="en">As medical technology and patient autonomy continue to evolve, so too will the ethical dilemmas faced by physicians. The core of a physician’s professional responsibility lies the coherence to high ethical standards, patient confidentially, informed and fair treatment decision-making, and continuous improvement in both technical skills and ethical reasoning. These principles will not only guide doctors in making difficult decisions but also ensure that the trust placed in them by society continues to endure.</mixed-citation><mixed-citation xml:lang="ru">Гарески И.В. Профессиональная и социальная культура как нравственная основа деятельности врача. Личность в меняющемся мире: здоровье, адаптация, развитие. 2016;2(13):26–31.</mixed-citation></citation-alternatives></ref><ref id="B3"><label>3.</label><citation-alternatives><mixed-citation xml:lang="en">Additional information</mixed-citation><mixed-citation xml:lang="ru">Пацеева А.Г. Профессиональная культура врача через призму представлений о профессионализме. Известия Национальной академии наук Беларуси. Серия гуманитарных наук. 2014;4:21–26.</mixed-citation></citation-alternatives></ref><ref id="B4"><label>4.</label><citation-alternatives><mixed-citation xml:lang="en">Author contribution. All authors made a substantial contribution to the conception of the work, acquisition, analysis, interpretation of data for the work, drafting and revising the work, final approval of the version to be published and agree to be accountable for all aspects of the work.</mixed-citation><mixed-citation xml:lang="ru">Седова Н.Н. Биоэтика: учебник для медицинских вузов. М. : КноРус, 2016. 216 c.</mixed-citation></citation-alternatives></ref><ref id="B5"><label>5.</label><citation-alternatives><mixed-citation xml:lang="en">Funding source. This study was not supported by any external sources of funding.</mixed-citation><mixed-citation xml:lang="ru">Ткаченко Е.А., Сороколетова А.Е. Роль межкультурной компетентности в профессиональной подготовке медицинских работников. Интериоризация профессиональных ценностей: вопросы обучения иностранных студентов: Материалы Х Международной научно-практической конференции.Волгоград, 08 февраля 2024 года. Волгоград: Изд-во ВолгГМУ, 2024. С. 102–108.</mixed-citation></citation-alternatives></ref><ref id="B6"><label>6.</label><citation-alternatives><mixed-citation xml:lang="en">Competing interests. The authors declare that they have no competing interests.</mixed-citation><mixed-citation xml:lang="ru">Zola I.K. Problems of communication, diagnosis and patient care: the interaction of the patient, the doctor and the organization of the clinic. Journal of medical education. 1963;38:829–838.</mixed-citation></citation-alternatives></ref><ref id="B7"><label>7.</label><citation-alternatives><mixed-citation xml:lang="en">Дополнительная информация</mixed-citation><mixed-citation xml:lang="ru">Hill T.E. How clinicians make (or avoid) moral judgments about patients: the importance of evidence for relationships and research. 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