Forensic Medicine/toxicology Study Guide
FORENSICMEDICINE/TOXICOLOGYSTUDY GUIDEThis Study guide of the module/course outlines the keycomponents and areas for the facilitation of thestudents.Department of Medical Education
ContentsVision and Mission of KGMC .Khyber Medical University: Vision.Khyber Girls Medical College: Vision .Khyber Girls Medical College: Mission .Curriculum Committee KGMC.Module committee.Outcomes of the curriculum: .KNOWLEDGE .PSYCHOMOTOR .AFFECTIVE .Introduction to the Course/Module .General Learning Outcomes of the Module/Course .Specific learning objectives of the forensic .Teaching and learning strategies: .Learning opportunities.Time tables:.Assessment tools: .Internal Evaluation: .Attendance Requirement: .1
Vision and Mission of KGMCKhyber Medical University: VisionKhyber Medical University will be the global leader in health sciencesacademics and research for efficient and compassionate health care.Khyber Girls Medical College: VisionKhyber Girls Medical College will promote health care leaders that are critical thinker,ethical, research oriented, culturally and professionally competentKhyber Girls Medical College: MissionTo develop competent health care leaders by ensuring appropriate policies,procedures which reflect ethical, cultural, community orientated and evidence basedpractices to achieve best possible health outcomes for society at large.2
Curriculum Committee KGMCChair:Professor Dr.Zahid Aman , Dean KGMC.Co-Chair:Dr. Sabina Aziz, Associate Dean KGMC.Clinical Sciences: Dr Mohammad Noor Wazir ,Department of Medicine KGMC/HMC Dr. Said Amin Department of Medicine KGMC/HMC. Dr. Sofia Iqbal, Department of Ophthalmology KGMC/HMC. Dr. Ghareeb Nawaz Department of ENT KGMC/HMC. Dr. Bushra Rauf Department of Gynae KGMC/HMC. Dr. Jamshed Alam Department of Surgery KGMC/HMC. Dr. Ambreen Ahmad, Department of Pediatrics KGMC/HMC. Dr. Ain-ul-Hadi Department of Surgery KGMC/HMC. Dr. Fawad Rahim Department of Medicine KGMC/HMC.Behavioral Sciences: Dr. Ameer Abbas Department of Psychiatry KGMC/HMC.Medical Education Dr. Naheed Mahsood, Department of Medical Education, KGMC.3
Dr. Naveed Afzal Khan, Department of Medical Education, KGMC. Dr Onaiza Nasim , Department of Medical Education, KGMCBasic Sciences: Dr. Khalid Javed Department of Pathology, KGMC. Dr. Zubia Shah Department of Physiology, KGMC. Dr. Amin-ul-Haq Department of Biochemistry, KGMC. Dr. Naheed Siddique Department of Forensic Medicine, KGMC. Dr. Shams Suleman Department of Pharmacology, KGMC. Dr. Raheela Amin Department of Community Medicine, KGMC. Dr. Shahab-ud-Din, Department of Anatomy, KGMC.4
Outcomes of the curriculum:The outcomes of the curriculum of MBBS According to the PMDC are as follows Knowledgeable Skilful Community Heath Promoter Problem-solver Professional Researcher Leader and Role Model5
KNOWLEDGEBy the end of five year MBBS program the KGMC student should be able to;1. Acquire a high level of clinical proficiency in history taking, physical examination, differential diagnosis, and the effective use ofmedicine’s evolving diagnostic and procedural capabilities including therapeutic and palliative modalities2. Manage the common prevalent diseases in community3. Identify the common medical emergencies4. Develop plan for prevention of common community diseases5. Formulate a referral plan6. Compose a prescription planPSYCHOMOTORBy the end of five year MBBS program the KGMC student should be able to;1. Demonstrate the ability to perform the disease specific relevant examination2. Respond to common medical emergencies3. Master the skill of first aid4. Perform BLS5. Apply the best evidenced practices for local health problems
AFFECTIVEBy the end of five year MBBS program the KGMC student should be able to1. Relate to patient and careers vulnerability2. Demonstrate ethical self-management3. Counsel and educate patients and their families to empower them to participate in their care and enable shared decisionmaking.4. Display compassion with patient and colleagues5. Demonstrate in clinical care an understanding of the impact of psychological, social, and economic factors on human healthand disease1
Introduction to the Forensic medicine and ToxicologyForensic medicine is branch of medicine which deals with the application of the principals of medical knowledge to the purposeof law and to furthering of justiceToxicology is the science which deals with poisons with reference to their sources ,properties, mode of action ,symptoms whichthey produce, lethal dose, nature of the fatal results, treatment ,methods of their detection and estimation, and autopsy findings.2
General Learning Outcomes of CourseBy the end of this module the students should be able to;KnowledgeDescribe the stages and medico legal aspects of deathDiscuss mode, manner, cause and mechanism of deathExplain sudden death, its various causes and medico legal significanceDescribe maceration and post-mortem artefactsDiscuss medical certification of the cause of deathIdentify the medico legal systems of the worldDescribe mechanical injuries and their medico legal aspects.Discuss organization of law courts and their functionsExplain rules for doctors attending the courtsIdentify the features of International Code of Medical EthicsDefine professional misconductDiscuss food poisoning and chemical poisoningSkillsIdentify blood stain examinationsCompare differences between human and animal blood under microscopeIllustrate collection and preservation and sampling of blood stainsExamination of Semen, saliva & urinary stainsExamination of Hair3
Medico legal examination of rape, sodomy victim, injured personFinger printingGastric lavageExamination of injuries and fire arm patientsPerform autopsy /post mortemAttitudeDemonstrate compassion and care for patients while performing the medico legal examinationDemonstrate the team work while working in the hospital environment.Show good communication skills while performing tasksShow respect by exposure of only necessary body part during autopsy4
Table of specificationSUBJECT: FORENSIC MEDICINE AND TOXICOLOGY#TOPICLEARNING OBJECTIVESDOMAIN1Death-Define thanatology anddeathTEACHING TEACHERSTRATEGYTIMEVENUE*1CLGF1 hr.3rd yearlecturetheatreDr Anwar UlHaqASSESSMENTSTRATEGYMCQs,SEQs, OSPE-Describe the stages andmedico legal aspects ofdeath-Discuss mode, manner,cause and mechanism ofdeathReferenceParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R Awan-Explain sudden death, itsvarious causes and medicolegal significance-Discuss apparent deathand its causes2Signs ofdeath-Identify Immediate, earlyand late signs of deathCLGFDr Anwar UlHaq-Discuss cooling of the body51 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEParikh’stextbook ofMedicalJurisprudence
after deathandToxicology.-Describe postmortemlividity with reference to itsusefulness in medico legalwork3Earlychangesafter death-Define rigor mortisCLGFDr Anwar UlHaq1 hr.-Explain the circumstanceswhich modify its onset andduration3rd yearlecturetheatreMCQs,SEQs, OSPE-Identify the conditionswhich simulate rigor mortis-Describe the changes inthe eyes after death4Latechangesafter deathDefine putrefactionCLGFDr Anwar UlHaqExplain the mechanism ofits developmentDescribe in sequence thechanges that occur in adead body undergoingputrefaction1 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEPrinciples andPractice of .ForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byDiscuss putrefaction in6
56Modifiedlatechangesafter deathMedicolegalsystems ofthe worldwaterExplain the process ofadipocere formationCLGFDr Anwar UlHaq1 hr.rd3 yearlecturetheatreMCQs,SEQs, OSPEDescribe the developmentand medico legalsignificance ofmummificationIdentify postmortemchemical changes in blood,vitreous humor andcerebrospinal fluidDescribe maceration andpost-mortem artefactsCLGFDr Anwar UlHaq1 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEDiscuss medical certificationof the cause of deathIdentify the medico legalsystems of the world7Mechanicalinjuries 1abrasionsDifferentiate between hurt,injury and woundCLGFDr Anwar UlHaqClassify injuriesDefine abrasions71 hr.3rd yearlecturetheatreMCQs,SEQs, OSPENasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.
Describe various types ofabrasions and its medicolegal significancePrinciples andPractice ofForensicMedicine byNasib R AwanDetermine the age ofabrasionDifferentiate betweenantemortem andpostmortem abrasions8Mechanicalinjuries 2bruiseDefine and classify bruiseCLGFDr Anwar UlHaq1 hr.Describe the characteristicsand factors modifying theappearance of bruise3rd yearlecturetheatreMCQs,SEQs, OSPEParikh’stextbook ofMedicalJurisprudenceandToxicology.Determine the age of bruisePrinciples andPractice ofForensicMedicine byNasib R AwanDifferentiate between1) antemortem andpostmortem bruise and,2) bruise and postmortemlividityExplain the medicolegalaspects of bruise9MechanicalDefine and classifyCLGFDr Anwar Ul81 hr.3rd yearMCQs,Parikh’s
injuries 3lacerationslacerationsHaqlecturetheatreSEQs, OSPEDescribe theircharacteristicsExplain the medicolegalaspects of lacerationsPrinciples andPractice ofForensicMedicine byNasib R AwanDefine incised woundDescribe its characteristicsand medicolegal aspects10Mechanicalinjuries 4stab woundExplain hesitation cuts andchop woundsCLGFDr Anwar UlHaq1 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEDefine stab woundDescribe its characteristicsand medicolegalsignificanceDiscuss defense wounds,self-inflicted wounds andinjury patterns11Cause ofdeath inwoundingExplain assault, offence,homicide and suicidetextbook ofMedicalJurisprudenceandToxicology.CLGFDr Anwar UlHaqEnumerate the immediateand delayed causes ofdeath in wounds of varied91 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.
nature andDiscuss their medicolegalimplications12Age ofwoundDetermine the age of scarand fractured boneCLGFDr Anwar UlHaq1 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEDescribe the histochemicaltiming of the woundsDifferentiate between antemortem and post mortemwounds13Law & lawcourtsDefine lawCLGFDr Anwar UlHaq1 hr.Describe its types3rd yearlecturetheatreMCQs,SEQs, OSPEDiscuss organization of lawcourts and their functionsExplain rules for doctorsattending the courts14MedicalDefine evidenceCLGFDr Anwar Ul101 hr.3rd yearMCQs,Principles andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R AwanParikh’s
evidenceHaqlecturetheatreDescribe its typesSEQs, OSPEIdentify the stages ofevidence in courtDiscuss principles ofevidencePrinciples andPractice ofForensicMedicine byNasib R AwanExplain dying depositionand dying declaration15LegalproceduresDescribe criminal justiceCLGFDr Anwar UlHaq1 hr.Explain generalpresumptions in law3rd yearlecturetheatreMCQs,SEQs, OSPEIdentify general exceptionsin the lawDefine zina, zina bil jabr,sodomy & general legaldefinitionsLegal aspect Recognize the systems ofof medicine medical practiceParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R AwanExplain elements ofcommon law torts16textbook ofMedicalJurisprudenceandToxicology.CLGFDr Anwar UlHaqIdentify the statute laws of111 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEParikh’stextbook ofMedicalJurisprudence
allopathic systemandToxicology.Describe dangerous drugrules17PM&DCExplain the constitution ofPM&DCCLGFDr Anwar UlHaq1 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEDescribe functions ofPM&DCIdentify the privileges andobligations of registeredmedical practitioner18Principles andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.Define professionalmisconductPrinciples andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.Describe the situations inwhich doctor may fall preyto professional misconductExplain patient’s andPrinciples andPractice ofForensicMedicine byProfessional Identify the features ofmisconduct International Code ofMedical EthicsCLGFDr Anwar UlHaq121 hr.3rd yearlecturetheatreMCQs,SEQs, OSPE
medical practitioner’sobligations in relation tomedical treatment19Medicaltreatmentof mentalillnessDiscuss the conditionsnecessary for valid contractDescribe medical treatmentof mental illnessNasib R AwanCLGFDr Anwar UlHaq1 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEIdentify the procedure forvoluntary admission &temporary reception ofmentally ill personExplain reception order &discharge of mentally sick20ConsentandnegligenceDetermined the role ofconsentCLGFDr Anwar UlHaqDescribe various types ofconsentExplain the procedure oftaking consent1 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R AwanDefine medical negligence& Res Ipsa LoquiturIdentify its various types13
Discuss the scope ofmedical negligence21 Professional Explain professional secrecysecrecy &medicalDescribe privilegedocumentatio communicationnIdentify different types ofmedical documents22HurtDefine injury, wound andhurtCCLGFDr Anwar UlHaqLGFDr Anwar UlHaq1 hr.1 hr.3rd yearlecturetheatre3rd yearlecturetheatreMCQs,SEQs, OSPEMCQs,SEQs, OSPEClassify hurt according tobody part involved &manner of infliction of hurtClassify criminal abortionIdentify various types ofsuicide23EuthanasiaClassify culpable homicideCLGFDr Anwar UlHaqDescribe euthanasia and its141 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedical
typesJurisprudenceandToxicology.Identify various types ofsexual indulgenceEnlist the grounds fordissolution of marriage24InquestproceduresDefine inquestCLGFDr Anwar UlHaq1 hr.Describe its types3rd yearlecturetheatreMCQs,SEQs, OSPEExplain the procedure ofpolice inquestTabulate the differencesbetween coroner’s, policeand magistrate inquest25MedicalWitnessDefine summon, conductmoney, perjuryCLGFDr Anwar UlHaqDescribe witnessExplain different kinds ofwitnesses and theirfunctions1 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEPrinciples andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R AwanParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicDiscuss novus actus15
26PersonalIdentityinterveniens, therapeuticmisadventure and vicariousresponsibility-Define identificationMedicine byNasib R AwanCLGFDr FaizaNadeem1 hr.-Describe partial andcomplete identification3rd yearlecturetheatreMCQs,SEQs, OSPE-Appraise different methodsof establishing personalidentityParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R Awan-Describe medico legalsignificance of personalidentity-Enumerate parameters ofidentification27 Ageassessment-Describe determination ofage for the purpose ofidentificationCLGFDr FaizaNadeem-Describe/ assess the role ofteeth and ossificationcenters in determiningdifferent ages1 hr.3rd yearlecturetheatreMCQs,SEQs, OSPEParikh’stextbook ofMedicalJurisprudenceandToxicology.Principles andPractice ofForensicMedicine byNasib R Awan-Describe medico legalimportance of differentages16
28 Sex-Describe methods ofdetermination determining sex in normaland in doubtful casesCLGFDr FaizaNadeem1 hr.3rd yearlectur
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