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

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

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

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

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

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

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

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.

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.

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.

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

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.

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

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

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

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

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

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

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

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

Medical Council of India REGULATIONS ON GRADUATE MEDICAL EDCATION,1997

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

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

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.

Minimum Teaching Hours Prescribed by MCI

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+

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+

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

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+

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&

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

SURVEY COMMITTEE REPORT ON MEDICO-LEGAL PRACTICES IN INDIA 1964

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.

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.

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