Research ethics should be included in the medical school curriculum so students and residents can fully understand the ethical implications of medical research.
The Declaration of Helsinki was recently revised to require that the control arm of a trial use the current standard of care, even if that standard is not generally available in developing nations where the research is being conducted.
An ethical case describes an accident where a minor is killed while bungee jumping and her older brother must decide if her wishes to be an organ donor should be honored.
Those conducting Western-style clinical trial research in developing countries must consider the manner in which ethical principals are implemented within local standards of care.
Readers are referred to an article by Reg Green in a 1995 issue of JAMA to consider the experience of health care from the patient's perspective as told by the father of an organ donor.