FM

FORENSIC MEDICINE & TOXICOLOGY

GOAL

The broad goal of the teaching of undergraduate students in forensic medicine is to produce who is well informed about medicolegal responsibilities in practice of medicine. He/she will also be capable of making observations and inferring conclusions by logical deductions to set enquires on the right track in criminal matters and connected medicolegal problems. He/she acquires knowledge of law in relation to medical practice. Medical negligence and respect for codes of medical ethics.

(ii) OBJECTIVES:

(a) KNOWLEDGE:

At the end of the course the student shall be able to:

(1) Identify the basic medicolegal aspect of hospital and general practice.

(2) Define the medicolegal responsibilities of a general physician while rendering community service either in a rural primary health centre or an urban health centre;

(3) Appreciate the physician ‘s responsibilities in criminal matters and respect for the codes of medical ethics ;

(4) Diagnose , manage and identify also legal aspect of common acute and chronic poisoning ;

(5) Describe the medicolegal aspects and findings of post mortem examination in case of death due to common unnatural conditions and poisonings;

(6) Detect occupational and environmental poisoning , prevention and epidemiology of common poisoning and their legal aspects particularly pertaining to workmen ‘s compensation Act;

(7) Describe the general principles of analytical toxicology.

Head of Department’s Message:

The development of forensic medicine in India is a reflection of our commitment to meet the challenges of growing crimes and diversification of crime trends in the country. The value of objective investigation and use of technology in connecting and presenting the evidences lay strong foundation for justice delivery. Forensic Medicine contributes to bring objectivity in justice delivery system.

The relevance and importance of forensic medicine needs no reemphasis. As the expectations grow from all around, increasing competencies of the forensic medicine practitioners will play a major role in strengthening the criminal justice delivery system. The law enforcement agencies will be benefited from understanding the latest development in the field of forensic medical practitioners will help disentangle complex investigation.

Subjective curriculum

SECOND MBBS – FIRST TERM

LECTURES

(1) Introduction, inquest, courts, court procedures.

(2) Medical evidence, medicolegal reports, dying declaration, examination of medical officer in courts.

(3) Identity, various points of identity.

(4) Examination if mutilated/ decomposed/ skeletonised bodies, exhumation.

(5) Examination of blood stains, semen, saliva, weapons & clothes.

(6) Death – medicolegal aspect of death.

(7) P.M.changes.

(8) P.M. Examination – Aims, objective & procedure.

(9) Death from starvation, cold etc.

PRACTICALS

(1) Age and sex determination from various bones and teeth.

(2) Age of foetus.

(3) Tattoo marks, fingerprints, deformities etc.

(4) How to write pm examination reports?

(5) Importance of inquest panchanama.

(6) Procedures of dissecting coronaries, heart, lungs etc.

(7) Estimation of age of living persons with report writing.

(8) Wet specimen for identification.

(9) Examination of biological stain etc.

TUTORIALS

(1) INQUEST – TYPE OF INQUEST.

(2) Various courts and their powers.

(3) Summons, -warrant, conduct money.

(4) Evidence - medical evidence, including dying declaration, dying deposition.

(5) Witness – types, perjury.

(6) Court procedures for evidence.

(7) Consent - types and rules.

(8) Identification –points of identification from teeth and their medicolegal importance.

(9) Aims, objects and requirements for conducting post –mortem examination.

(10) P.M. changes with medicolegal importance.

(11) Organ transplantation.

(12) Exhumation.

(13) Examination of bones, hairs, and sperm, blood etc.

(14) Frost bite, heat strokes etc.

SECOND TERM

LECTURES

(1) Injuries from burns and scalds.

(2) Death due to lightening and electricity.

(3) Mechanical injuries – incised wound, stab wound, etc.

(4) Medicolegal aspect of wounds.

(5) Firearms injuries, regional injuries etc.

(6) Asphyxial death, introduction, hanging, strangulation etc.

(7) Drowning etc.

(8) Virginity, pregnancy, delivery.

(9) M.T.P. Act, criminal abortion.

(10) Sexual offences. (Rape).

(11) Sexual perversion, indecent sexual assaults.

(12) Infanticide

(13) Miscellaneous.

PRACTICALS

(1) Writing of injury reports

(2) Examination of wet specimen & bones of injuries.

(3) Examination of specimen of asphyxial deaths and burns.

(4) Examination of various weapons in relation to injuries.

(5) Examination of biological stains and hair samples.

(6) Examination of victims and accused of sexual offence.

(7) Examination of person for importance determination.

(8) Microscopic examination of slides and diatoms

(9) Examination of cloths for biological stains and damages.

TUTORIAL

(1) Injuries in relation to diff. weapons.

(2) Age of injuries

(3) Grievous hurt diff. types of fractures.

(4) Diff. between antemortem wound and post mortem wounds.

(5) Self inflected injuries; defense wounds.

(6) Diff. between hanging and strangulation.

(7) Diatoms.

(8) Sexual perversion.

(9) M.T.P.Act.

(10) Live birth, still born and dead born.

(11) Age of foetus.

(12) Feigned insanity; testamentary capacity.

(13) Duties of doctor in relation to patient.

THIRD TERM

Lectures

(1) Introduction, classification of poisons & duties of R.M.P in case of suspected poisoning.

(2) General principles of treatments in case of suspected poisoning.

(3) Corrosives- H2SO4, Vitriolage, HNO3, Carbolic acid, OXALIC acid.

(4) Organic irritants – castor, croton, abrus, marking nuts, plumbago, calotropis etc.

(5) Inorganic irritants- Cuso4.

(6) Inorganic Metallic- irritants –lead, Mercury.

(7) Inorganic non metallic irritants—phosphorus, iodides, chlorine. Kmno4.

(8) Somniferous- opium.

(9) Inebriants- Alcohol.

(10) Inebriants- Barbiturates.

(11) Deliriants – Dhatura.

(12) Spinal- nux vomica

(13) Cardiac- cyanides.

(14) Animal poisoning – snake venom.

(15) Law, ethics, conducts medical council of India.

(16) Medicolegal aspects of insanity & civil, criminal responsibilities.

(17) Introduction of human rigidity duties &of M.O in case of Torture, dowry deaths etc.

(18) Medicolegal aspects of death due to anesthesia.

PRACTICALS

(1) Gastric lavage tube, preservation of viscera & blood.

(2) Corrosives- H2SO4, HNO3, Carbolic acid, OXALIC acid.

(3) Organic irritants (vegetables) – castor, croton, abrus, capsicum.

(4) Organic irritants (animal) - snake, scorpion, & cantharides.

(5) Mechanical irritants – glass powder, chopped hair.

(6) Inorganic Metallic- irritants –lead, Mercury, copper, arsenic.

(7) Inorganic non metallic irritants—phosphorus, iodides , chlorine. Kmno4.

(8) Opium, barbiturates.

(9) Dhatura, atropa belladonna, cannabis etc.

(10) Nux vomica

(11) Organo- phosphorus compounds.

(12) Cyanides

TUTORIALS

(1) Narcotic drugs & psychotropic substances act.

(2) Ideal homicidal & suicidal poison.

(3) Stupefying agent.

(4) Household poison.

(5) Various route of administration.

(6) Factors modifying action of poison.

(7) Therapeutic index in poison.

(8) Vitriolage & its medico legal importance.

(9) Condition of various parts of body in different poisons.

(10) Drunkenness, driving, conduct, & medicolegal aspect.

(11) Abortificient.

(12) Arrow poison.

(13) Treatment of poisons snakes bite & administration of poly valent anti snake’s venom.

(14) Addiction- de-addiction.

(15) Artificial bruise.

(16) Condition of pupils in various poisons.

(17) Differential diagnoses 1) nux vomica /tetanus 2) arsenic poisoning/ cholera. 3) drunkenness/epilepsy/opium poisoning/ head injury.

(18) Criminal uses of various vegetable poisons.

After every term of 2^nd MBBS following examination taken by Dept.

Examination Pattern

University Examination of 40 marks each for theory & Practical.

PART – II (Departmental Information)

Teaching Staff

 Teaching facilities:

Audiovisual Aids: Adequate

Slide Projector, Over Head Projector, LCD projector, Laptop with accessories

3. Departmental Library:

• Total No. of Books. – 90 (Pl. See Annexure-1)
• Purchase of latest editions in last 3 years. :- 59

4. Departmental Museum

• Space: 215 Sq.mt.
• No. of specimens: - 59 (Pl. See Annexure-2)
• Charts/ Diagrams: - 87 (Pl. See Annexure-3)

5. Office Accommodation:

• Departmental Office cum clerical room
• Space :1 Room,12 Sq.mt. area
• Staff (Steno /Clerk). 1 clerk
• Computer/ Typewriter: Available

Office Space for Teaching Faculty:

• HOD: 18 Sq.mt
• Professor: 18 Sq.mt
• Assoc. Prof./ Reader : 2 ROOMS, 15 Sq.mt. area each
• Lecturer/ Asstt. Professor : 3 Rooms, 20 Sq.mt. area each
• Resident duty room : 2 Rooms, 20 Sq.mt area each

6. Equipments:

List of important equipments available and their functional status

• List of Available Equipments – (Pl. See Annexure-5)
• All are functional

7. Facilities for Practicals/Research.

• Details of facilities to carry out theory and practical classes for UG students as per the recommendations of Medical Council of India.

- There is seven lecture theatres of gallery type in the institution out of which six has seating capacity for 300 students each & one has capacity for 650 students.

Facilities – Audio Visual Equipment i.e. LCD Projector, Over Head Projector, Slide Projector, Internet

- There are four demonstration rooms (90 sq.mt. each) fitted with strip chairs, Over head projectors, Television, Video & other audiovisual aids, with accommodation of 60-75 students.

- Practical Laboratory

a) Accommodation

• Size - Total – 242 Sq. mt.
• Capacity- 50 students

b) Working arrangement

• Seats available Yes
• Water supply Adequate
• Sinks Yes

c) Number of Microscopes Student type- 40

Research- 06

- Museum ( Details are as per Sr. No. 4 & 9)

- P. M. Room (Details are as per Sr. No. 8)

- Virtual library – 2 Computer laboratory and 40 Computers with Internet facility

• Details of facilities to carry out additional classes and practicals at PG level.

- Library Cum Seminar Room ( Details are as per Sr. No. 2)

- Museum ( Details are as per Sr. No. 4 & 9)

- P. M. Room ( Details are as per Sr. No. 8)

• Details of laboratories and other facilities to carry out research work.

- Departmental Practical Laboratory – As mentioned above

- Departmental Research Laboratory –

a) Area size – 50 Sq. mt