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Integrating concerns of gender, sexuality and marital status in the medical
curriculum
NIKHIL GOVIND, KETAKI CHOWKHANI
Authors: Nikhil Govind (nikhilgovind@hotmail.com), Associate Professor and Head, Manipal Centre for Humanities, Manipal Academy of Higher
Education, Manipal 576 104, Karnataka, INDIA; Ketaki Chowkhani (kchowkhani@gmail.com), Postdoctoral Fellow, Manipal Centre for Humanities, Manipal
Academy of Higher Education, Manipal 576 104, Karnataka, INDIA.
To cite: Govind N, Chowkhani K. Integrating concerns of gender, sexuality and marital status in the medical curriculum. Indian J Med Ethics. 2020 Apr-Jun;5(2) NS:
92-4.DOI:10.20529/IJME.2020.039.
Manuscript Editor: Olinda Timms
Peer Reviewers: Shilpa Phadke, Mala Ramanathan, Johnson Pradeep.
©Indian Journal of Medical Ethics 2020
The introduction of AETCOM (attitude, ethics and communication) (1) is seen as an effort at incorporating Medical Humanities
(MH) within the medical curriculum. For the first time, India’s medical curriculum includes modules on the patient-doctor
relationship, helping doctors to address ethical dilemmas that might arise during medical practice. Despite this progressive step,
AETCOM has a number of drawbacks. Gayathri Prabhu (2) has analysed AETCOM as ossified, instrumental, lacking in a critical
sensibility and failing to borrow from a humanities methodology. We would like to add to her excellent critique by examining
other areas which have been overlooked within AETCOM. Our editorial addresses AETCOM’s lack of sensibility towards the
diversity of patients in India by focusing specifically on questions of gender, sexuality and marital status. While it is also important
to understand how caste, religious, tribal and ethnic backgrounds of patients might be addressed within AETCOM, it is outside the
scope of this editorial.
Sections within AETCOM which refer to a patient-doctor relationship do two things: one, they understand both patients and
doctors as homogeneous and monolithic categories; two, they describe the different situations a patient might be in, but not the
different modes of being of different patients. Patients from different socio-cultural background might have or adopt different
modes of being. A failure to recognise and deal with these different modes of being of patients has led to a serious lapse in
medical ethics. This has been the case with patients outside the heteronormative fold, including LGBTQ people, single people,
women, adolescents and so on.