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Role of Forensic Medicine in Under Graduate Curriculum by Dr. M. Narayana Reddy Professor & Head Dept. of Forensic Medicine, Osmania Medical College/ Osmania.

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Presentation on theme: "Role of Forensic Medicine in Under Graduate Curriculum by Dr. M. Narayana Reddy Professor & Head Dept. of Forensic Medicine, Osmania Medical College/ Osmania."— Presentation transcript:

1 Role of Forensic Medicine in Under Graduate Curriculum by Dr. M. Narayana Reddy Professor & Head Dept. of Forensic Medicine, Osmania Medical College/ Osmania General Hospital

2 Law – Medicine Relationship Forensic Medicine Legal Medicine or Medicine Legale Medical Jurisprudence

3 The subject of Medical Jurisprudence, Forensic Medicine and Toxicology deals with

4 The Medico Legal aspects of Identity Persons found Dead Presumption of Survivorship Wounds Sexual Offences Impotence and Sterility Pregnancy & Delivery

5 The Medico Legal aspects of Abortion & Infanticide Legitimacy Mental Alienation Feigned Diseases Disqualifying Diseases Poisoning

6 Advances in Medical Technology > New Legal Issues Brain Death and Organ Donation Preconception Sex Determination > Selection of Sex of Zygote to be conceived Prenatal Sex Determination leading to Abortion In Vitro Fertilization & Embryo Transfer

7 Seven Skills that Medical Students should master by the end of Health Law and Ethics Education (Medical Jurisprudence) are:

8 Seven Skills The Ability to Identify the Legal and Moral Aspects of Medical Practice. The Ability to Obtain a Valid Informed Consent or a Valid Refusal of Treatment. Knowledge of How to Proceed if a Patient is only Partially Competent or Incompetent to Consent to Treatment.

9 Seven Skills Knowledge of How to Proceed if a Patient Refuses Treatment. The Ability to Decide when it is Legally and Morally Justified to Withhold Information from a Patient.

10 Seven Skills The Ability to Decide when it is Morally Justified to Breach the Confidentiality. Knowledge of the Legal and Moral Aspects of Care of Patients with a Poor Prognosis, including Patients who are Terminally Ill.

11 Is Forensic Medicine a Pre-clinical or Para-Clinical Subject?

12 Notification No. MCI-34 (41)/93 – Med.(N), dated 20 th September, 1993, Published in the Gazette of India, Extra., Pt. III, Sec. 4, dated 29 th September, 1993.

13 MCI – The Establishment of New Medical Colleges, Opening of Higher Courses of Study and Increase of Admission Capacity in Medical Colleges Regulations, 1993

14 Annexure I: List of Higher Course in Medical Subjects The Specialities for P.G. Courses divided into Four groups: Group A: Gen. Medicine & Gen. Surgery Group B: Specialties (37): Sl.No. 12. F.M. Group C: Super-Specialities Group D:Basic Sciences: Anatomy, Physiology, Biochemistry, Pharmacology, Microbiology, Pathology & Bio-Physics

15 Faculty of Forensic Medicine as per the MCI Regulations,1998 (1989) Professor Reader/Associate Professor Assistant Professor/Lecturer Tutor/Demonstrator/Resident/Registrar/ Casualty Medical Officer/Resident Pathologist

16 Curriculum of Kathmandu University – Nepal (1996) Semesters: Subjects taught 1,2,3&4: Anatomy, Physiology, Biochemistry, Pharmacology, Pathology & Microbiology 6 & 7: Forensic Medicine, ENT, & Ophth. 5 to 9: Gen.Med.& allied subjects, Gen. Surgery allied subjects & Obstetrics &Gynaecology 1,2,5,6&7: Community Medicine

17 MCI Recommendations on Graduate Medical Education Adopted by the MCI in April 1977

18 Scheme of Exams: Phase II: Para-clinical subjects Subject TheoryOral Practica l Internal Assess Total Path.& Micro Pharma F.M S.P.M

19 MCI Recommendations on Graduate Medical Education Adopted by the MCI in March 1981

20 Scheme of Exams: Phase II: Para-clinical subjects Subject TheoryOral Practica l Internal Assess Total Path Micro Pharma F.M

21 Medical Council of India REGULATIONS ON GRADUATE MEDICAL EDCATION,1997

22 Scheme of Exams: Phase II: Para-clinical subjects Subject TheoryOral Practica l Internal Assess Total Path Micro Pharma F.M

23 Medical Council of India REGULATIONS ON GRADUATE MEDICAL EDCATION,1997 Teaching Schedule

24 Chapter I: General Considerations & Teaching Approach 7. Training Period and Time Distribution (5) Didactic Lectures should not exceed One Third of the Time Schedule; Two Third Schedule include Practicals or/and Group Discussions.

25 Minimum Teaching Hours Prescribed by MCI

26 PRE-CLINICAL SUBJECTS – (Phase-I: 1st and 2nd Semesters) Subject Hours of teaching Anatomy: 650 Physiology: 480 Biochemistry 240 Community Medicine 60 (40x6x7= 1680 – 1430) = 250 Hours+

27 PARA-CLINICAL SUBJECTS - (Phase-II: 3 rd to 5 th Semesters) Subject Hours of teaching Pathology 300 Pharmacology 300 Microbiology 250 Community Medicine 200 Forensic Medicine 100 Clinical Subjects 240 (58x6x4 = 1392 – 1390) = 2 Hours+

28 Clinical Subjects Phase – III – 3 rd to 9 th Semesters Subject Hours of teaching Gen. Medicine 300 Paediatrics 100 T.B. and Chest Diseases 20 Psychiatry 20 Skin and STD 30 Community Medicine 50

29 Clinical Subjects - Phase – III Anaesthesia 20 Gen. Surgery 300 Orthopaedics 100 Opthalmology 100 E.N.T. 70 Radiology 20 Dentistry 10 Obst. & Gynaec – 240 = 1200 Hours (84x6x4 = 2016 – 1200) = 816 Hours+

30 Minimum Number of Teaching Hours available - 3 rd to 9 th Semester PhaseSemestersEffective duration of teaching in weeks No. of Hours of Teaching available II3,4& III6,7,8&

31 Hours of Teaching allotted – II & III Semesters PhaseTeaching Hours available No of hours allotted Surplus Teaching Hours II III

32 SURVEY COMMITTEE REPORT ON MEDICO-LEGAL PRACTICES IN INDIA 1964

33 Medico-legal Survey Committee The Central Medico-legal Advisory Committee at its Second Session held at Delhi, during March 1957 appointed a Survey Committee consisting of: 1. Dr. K.V. Venkatraman - Chairman. 2. Dr. K.C. Jacob. 3. Dr. H.S. Mehta. 4. Dr. N. Ghatak. 5. Lt. Col. S.D.S. Greval. 6. Shri A.R. Jayavant. Dr. I. Bhooshana Rao - Secretary.

34 Reconstitution of the survey Committee on 24th March Dr. Bhooshan Rao-Convener. 2.Dr. H.S. Mehta. 3.Dr. N. Ghatak. 4. Dr. K.C. Jacob. 5. Dr. H.S. Mahal. 6.Dr. A R. Natarajan. 7.Shri D.B. Kulkarni.

35 Teaching of Forensic Medicine Medical Colleges: 80 Separate Dept. of FM: 13 Separate Chair of Prof. – with qualification (MCI): 10 Part time Prof./Lecturer Civil Surgeon – with or without P.G. Qualification


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