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Law – Medicine Relationship

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.

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Law – Medicine Relationship

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  1. Role of Forensic Medicine in Under Graduate CurriculumbyDr. M. Narayana ReddyProfessor & HeadDept. 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 masterby 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 20th September, 1993, Published in the Gazette of India, Extra., Pt. III, Sec. 4, dated 29th September, 1993.

  13. MCI – The Establishment of New Medical Colleges, Opening of Higher Courses of Studyand 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 EducationAdopted by the MCI in April 1977

  18. Scheme of Exams: Phase II: Para-clinical subjects

  19. MCI Recommendations on Graduate Medical EducationAdopted by the MCI in March 1981

  20. Scheme of Exams: Phase II: Para-clinical subjects

  21. Medical Council of IndiaREGULATIONS ON GRADUATE MEDICAL EDCATION,1997

  22. Scheme of Exams: Phase II: Para-clinical subjects

  23. Medical Council of IndiaREGULATIONS ON GRADUATE MEDICAL EDCATION,1997Teaching 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: 3rd to 5th 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 – 3rd to 9th 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. 300 1440 – 240 = 1200 Hours (84x6x4 = 2016 – 1200) = 816 Hours+

  30. Minimum Number of Teaching Hours available - 3rd to 9th Semester

  31. Hours of Teaching allotted – II & III Semesters

  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 1961 • 1.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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