MBBS Curriculum Forensic Medicine & Toxicology

Forensic Medicine & Toxicology Curriculum

S.No. Topic Learning Objectives (At the end of session the students should be able to) Teaching Guidelines Methodology Time (Hours)
  1.

 

 

 

 

 

 

 

 

INTRODUCTION

  1. Brief History Of Forensic Medicine
  2. Definition And The Scope Of Forensic Medicine
  3. Medical Jurisprudence And Toxicology
  1. Explain the history and definitions of Forensic Medicine and Medical Jurisprudence
To cover the brief history of Forensic Medicine, Definitions of Forensic or Legal Medicine, Medical Jurisprudence, Forensic Pathology, Medical Ethics, Medical Etiquette
  1. Student Interactive Session through power point projections

 

 

 

 

 

 

1
  2. INDIAN LEGAL SYSTEM

  1. Inquest Types (a) Police (b) Magistrate (c) Coroner
  2. Courts And Their Powers
  3. Legal (Court) Procedure
  4. Medical Evidence
  5. Witnesses-Types
  6. Conduct Of A Doctor In The Court (Witness Box)
  1. Know History of Legal System in India
  2. Explain Inquest
  3. Know Medical Evidence and their record
To cover the definitions of IPC, CrPC, IEA, Criminal & Civil Law, Definition of Inquest and its types, Subpoena, Conduct Money, Medical Evidences and their record, Witnesses and its types, Conduct of duties of the doctor in the witness box
  1. Student Interactive Session through power point projections
  2. Demonstration by role play
3
  3. PERSONAL IDENTITY OF THE LIVING AND THE DEAD

  1. Race
  2. Age
  3. Sex
  4. Stature
  5. Dactylography
  6. DNA fingerprinting
  7. Scars
  8. Tattoo marks
  9. Deformities
  1. Know about Functions of Indian Medical Council and State Medical Council
  2. Know Rights and Duties of Medical Practitioners
  3. Explain Negligence and its types
  4. Know Consent : Rules and types
To cover the Indian Medical Council & its functions, State Medical Council & its functions, Duties of Medical Practitioners, Privileged Communication, Professional Negligence including both Civil & Criminal Negligence, Vicarious Liability, Products Liability, Consent in Medical Practice : Types & Rules, Euthanasia, Malingering Student Interactive Session through power point projections 4
  4. DEATH AND ITS MEDICO-LEGAL ASPECT

  1. Modes of death
  2. Clinical diagnosis
  3. Causes of sudden death
  4. signs of death
  5. postmortem changes
  6. time since death- presumption of death and survivorship
  7. the human organ

Transplantation Act

  1. Explain Identification Data on the basis of Race & religion, Sex, Age, General development & stature, Complexion & features, External peculiarities, Anthropometric measurements, Fingerprints, Teeth, Personal effects : clothes, pocket contents, jewellery etc.
  2. Know Estimation and Medico-legal Importance of Age
  3. Know Age of foetus
  4. Know Dactylography
  5. Know Scars & Tattoo Marks and their medico-legal Importance
  6. Know Hair and difference between Human & Animal Hair
  7. Know Forensic Odontology
To cover the Corpus Delicti, Identification Data on the basis of Race & religion, Sex, Age, General development & stature, Complexion & features, External peculiarities, Anthropometric measurements, Fingerprints, Teeth, Personal effects : clothes, pocket contents, jewellery etc., Estimation of Age as a whole and medico-legal importance of age, Age of the foetus, Dactylography and its medico-legal importance, Scars & Tattoo marks and their medico-legal importance, Hair and difference between Human Hair & Animal Hair, Forensic Odontology
  1. Student Interactive Session through power point projections
  2. Identification
3
  5. Medicolegal Autopsy
  1. Know Medicolegal autopsies and its objectives
  2. Learn External and internal examination of deceased
  3. Learn Preservation of the visceras
  4. Know Examination of the bones
  5. Know Exumation
To cover Medicolegal Autopsies : its objects & Rules, The autopsy protocol, , External Examination, Internal Examination, Examination of the organs, Autopsy of a case of AIDS and infections, Preservation of the viscera in case of suspected poisoning, Instruction for preservation and despatch of viscera, Examination of Bones, Exhumation, Second Autopsy
  1. Student Interactive Session through power point projections
  2. Demonstration of post-mortem examination
3
  6. EXAMINATION OF DECOMPOSED BODIES

  1. Mutilated and fragmentary remains
  2. Skeleton examination
  3. Exhumation
  1. Learn the thorough examination to see gross, traumatic and poathological lesions.
  2. Know gross external injuries.
To cover the complete examination of decomposed and mutilated dead bodies.
  1. Student Interactive Session through power point projections
  2. Demonstartion of Post-mortem examination
1
  7. EXAMINATION OF BIOLOGICAL STAINS

  1. Blood
  2. Semen
  3. Saliva
  4. Hair and fibre
  5. Medicolegal importance
  1. Explain the various types of the biological stains and their medicolegal importance
To cover the biological stains and their Medicolegal importance.
  1. Student Interactive Session through power point projections
  2. Microscopic examination
2
  8. MECHANICAL INJURIES

  1. Abrasions
  2. Contusions
  3. Incised wounds
  4. Stab wounds
  5. Lacerated wounds
  1. Explain Types of injuries, its classification
  2. Expalin its medico-legal importance
To cover Definition of injury and its classification, Abrasion : types & medico-legal importance, Contusion : types & medico-legal importance, Laceration : types & medico-legal importance, Incised wounds, Defence wounds, Self-inflicted and Fabricated wounds

 

  1. Student Interactive Session through power point projections

 

5
  9. TRAFFIC ACCIDENTS

  1. Pattern of wounds
  1. Explain the injury pattern in the Road Traffic Accidents.
To cover Traffic injuries (Injuries to pedestrians, Cyclists & motor cyclists)
  1. Student Interactive Session through power point projections

 

2
10. REGIONAL INJURIES

 

  1. Explain Head Injury & its types
  2. Know Coup & Countercoup lesions
  3. Know Intracranial haemorrhage and its types
  4. Know Traffic Accidents
To cover Head Injuries, Mechanism of fracture of skull, Contusion of the Brain, Lacerations, Countercoup lesions, , Concussion of the Brain, Intracranial haemorrhage and its types (Extradural Haemorrhage, Subdural Haemorrhage, Subarachnoid haemorrhage, Intracerebral Haemorrhage), Intraventricular Haemorrhage, Traffic injuries (Injuries to pedestrians, Cyclists & motor cyclists)
  1. Student Interactive Session through power point projections
4
11. FIREARMS AND FIREARM WOUNDS

  1. Types of firearms and ammunition – mechanism
  2. Entrance and exit
  3. Range and direction
  4. Collection of evidence
  5. Laboratory examination
  1. Explain Forensic Ballistics
  2. Explain Bomb explosion wounds
To cover Forensic Ballistics : classification, Range, Direction, Distance, Fire arm wounds, Entry & exit wounds, Bomb explosion wounds
  1. Student Interactive Session through power point projections
4
12. MEDICOLEGAL ASPECTS OF INJURIES

  1. Wound certificate
  2. Cause of death
  3. Age of injury
  1. Explain Homicide, Grievous Hurt, Dowry Deaths
  2. Causes of Death from Wounds
To cover Homicide & its types, Grievous Hurt, Dangerous Injuries, Fatal Injuries, Dowry Death, Causes of death from wounds
  1. Student Interactive Session through power point projections
4
13. ARTEFACTS

  1. Artefacts introduced between the death & autopsy
  2. artefacts introduced during autopsy
  1. Explain the artefacts which lead to misinterpretation of significant ante-mortem findings.
To cover artefacts introduced between the death & autopsy and artefacts introduced during autopsy.
  1. Student Interactive Session through power point projections
2
14. MECHANICAL ASPHYXIAL DEATHS

  1. Hanging
  2. Strangulation
  3. Drowning
  4. Suffocation
  5. Modes of death in above
  1. Explain the different types of death due to asphyxia
  2. Diatoms & its medico-legal Importance
To cover Hanging (Types, cause of Death, Post-mortem appearance), Ligature, Strangulation and its post-mortem appearance, Lynching, Bansdola, Garrotting, Mugging, Throttling or Manual Strangulation, Hyoid Bone fractures, Suffocation, Smothering, Gagging, Burking, Cafe coronary, Traumatic asphyxia, Drowning, Diatoms & its medico-legal importance, Sexual asphyxia

 

  1. Student Interactive Session through power point projections
5
15. ANAESTHETIC AND OPERATIVE DEATH

  1. Death occur during administration of anaesthesia
  2. methods of investigation, examination & study
  3. toxicological examination
  4. death due to complication of surgical procedure
  1. Explain the death occur due to administration of anaesthesia
  2. Explain death due to surgical procedure complication.
To cover death occur during administration of anaesthesia, methods of investigation, examination & study, toxicological examination and death due to complication of surgical procedure.
  1. Student Interactive Session through power point projections
2
16. OTHER FORMS OF DEATH

  1. Starvation
  2. Heat
  3. Cold
  4. Burns
  5. Electricity
  6. Lightning stroke
  1. Know cause of death.
To cover mechanism of death and circumstances of death.
  1. Student Interactive Session through power point projections
2
17. IMPOTENCE, STERILITY AND ARTIFICIAL INSEMINATION

  1. Certification
  2. Medicolegal Importance
  1. Explain the classification & Medico-legal Importance of Impotence, Sterility and Artificial Insemination
To cover the definition of Impotence & Sterility, The causes of impotence & Sterility in males & females, Sterilisation & its types, Artificial Insemination (types, indications, precautions, legal problems)
  1. Student Interactive Session through power point projections
3
18. VIRGINITY, PREGNANCY AND DELIVERY

  1. Diagnosis in the living and Dead
  2. Medicolegal aspects
  3. The Pre Natal Diagnostic Techniques Act
  1. Explain the Diagnosis of pregnancy in living & dead and its medico-legal importance
  2. Know The Prenatal Diagnostic Techniques Act
To cover Virginity, Hymen & its types, Pregnancy & its diagnosis, Legitimacy and Paternity, Delivery and its signs in living & dead

 

 

 

 

  1. Student Interactive Session through power point projections
4
19. LEGITIMACY, DISPUTED PATERNITY

  1. Investigation and reporting
  2. Legal aspects

 

  1. Learn to establish identity.
To cover the establishment of identity of a child and its medico-legal aspects.
  1. Student Interactive Session through power point projections
2
20. SEXUAL OFFENCES

  1. Rape
  2. Examination of accused and victim
  3. Collection and despatch of materials
  4. Unnatural sexual offences
  5. Sexual Perversions
  6. Medico-legal aspects
  1. Explain Rape : Examination of accused & victim, Collection and dispatch of materials
  2. Know Unnatural Sexual Offences
  3. Know Sexual Perversions

 

To cover definition & classification of Rape, Examination of the victim, Examination of the accused, Types of unnatural sexual offences, Sexual Perversions.
  1. Student Interactive Session through power point projections
6
21. ABORTION

  1. Criminal and Legal
  2. Its diagnosis in the living and dead
  3. MTP act
  1. Explain Criminal & Legal abortion, Diagnosis of Abortion in living & dead
  2. Know MTP act
To cover classification of abortion, Causes of abortion, The Medical Termination of Pregnancy Act 1971

 

  1. Student Interactive Session through power point projections
3
22. INFANT DEATH

  1. Infanticide
  2. Proof of live birth
  3. Still born and dead born
  4. Period of survival
  5. Acts of commission and omission
  6. Concealment of birth
  7. Abandoning of infants
  8. Battered baby
  9. Cot death
  1. Explain Infanticide – Proof of live birth – still born and dead born
  2. Know Battered baby Syndrome
To cover Infanticide, Still birth, Dead birth, Signs of live birth, Battered Baby Syndrome or Non-Accidental injuries of childhood

 

  1. Student Interactive Session through power point projections
4
23. FORENSIC PSYCHIATRY

  1. Definition
  2. General Terminology
  3. Mental subnormality
  4. Insanity
  5. Causes and classification of mental diseases (disorders)
  6. Diagnosis and certification
  7. True and feigned insanity
  8. Restraint of insane and discharging
  9. Civil and criminal Responsibility of mentally ill person
  10. The Mental Health Act
  1. Explain Definition & classification of mental diseases (disorders)
  2. Know True & feigned insanity
  3. Know The Mental Health Act
To cover Definition, General terminology, Insanity : causes, Classification of mental diseases, Civil & criminal responsibility of mentally ill person, The Mental Health Act

 

 

 

  1. Student Interactive Session through power point projections
4
24. LAW RELATING TO MEDICAL PRACTICE

  1. Medical Ethics and Infamous Conduct
  2. Warning notice
  3. Indian Medical Council Act
  4. Composition and Function of MCI State Medical Council
  5. Judicial Procedure in Infamous Conduct

b). Right and Duties of registered medical practitioner
c). Medical Negligence – Civil and Criminal
d). Consent
e). Miscellaneous – Workmen’s compensation act, Consumer Protection Act, Medical Indemnity Insurance, Employee’s State Insurance Act, Laper’s Act, Malingering, Euthanasia

1. To know rights and duties of Registered Medical Practitioners. To cover Laws applicable to Registered Medical Practitioners.
  1. Student Interactive Session through power point projections
3
25. TOXICOLOGY

  1. Definition of poison – Poisoning in India
  2. Manner of death in poisoning
  3. Ideal homicidal and suicidal poisons
  4. Classification of poisons
  5. Route of administration and elimination
  6. Action
  7. Factors modifying the action of poisons
  8. Diagnosis in living and dead
  9. Treatment of poisoning commonly encountered
  10. Duties of Medical Practitioners attending a case of poisoning
  1. To know sign and symptoms, management & Treatment and antidote & Fatal dose.
To cover all known poisons in general.
  1. Student Interactive Session through power point projections
20
26. FORENSIC SCIENCE LABORATORY

  1. Organization & function of FSL
  2. criminal investigation
  3. Narco analysis and

brain mapping

  1. Explain the usefulness of FSL in criminal investigation
  2. Know advanced technology in investigation.
To cover organisation & function of FSL, criminal investigation, Narco analysis and brain mapping.
  1. Student Interactive Session through power point projections
2
27. Common provisions of Law as applicable to medical man and Medicolegal practice.
  1. To know the legal implication of medical practice.
To cover all applicable Laws.
  1. Student Interactive Session through power point projections
2
Total= 100

B.       PRACTICAL

S.No. Topic Learning Objectives (At the end of session the students should be able to) Teaching Guidelines Methodology Time (Hours)
  1. Clinical Case Demonstration

  1. Age determination case
  2. Injury Case
  3. Drunkenness case
  1. Examine the Medicolegal cases of assault and prepare the Medicolegal report.
To cover the examination of the various injuries and preparation of the Medicolegal report and cases of alcoholism and determination of age of an individual by examination and prepare the report.
  1. Demonstration in the emergency department.
2
  2. Medicolegal autopsies in cases of death due to

  1. Poisoning
  2. Traffic accidents
  3. Hanging
  4. Strangulation
  5. Drowning
  6. Burns
  7. Stab/ Firearm wounds
  8. Decomposed
  9. Mutilated bodies
  10. Skeleton examination

 

 

  1. Learn the method of post-mortem of different types.
  2. Explain the cause of death.
  3. Learn to preserve the viscera.
To cover the method of conducting the post-mortem examination, preservation of the viscera, cause of death.
  1. Demonstration in the mortuary.
10
  3. Study of dead body at autopsy for

  1. Sign of death
  2. Cause of death
  3. Manner of death
  4. Time since death
  1. Explain the various post-mortem changes.
  2. Explain the post-mortem interval
To cover the post-mortem changes, cause of death, post-mortem interval.
  1. Demonstration in the mortuary.
2
  4. Collection, Preservation and forwarding of viscera for chemical analysis
  1. Learn the method of preservation of viscera.
To cover the method of preservation of different types of viscera.
  1. Demonstration in the mortuary.
2
  5. Dissection of neck structure, Demonstration of ante-mortem injury, Laryngeal structures such as Hyoid bone, thyroid cartilage and cricoid cartilage with accent on artefacts caused by decomposition
  1. Explain the asphyxial death.
  2. Learn about the post-mortem findings in neck region in asphyxial death.
To cover the dissection of neck, examination of neck structures in case of asphyxial death.
  1. Demonstration in the mortuary.
2
  6. Study of foetus regarding Age, Live Birth and cause of Death etc.
  1. Learn the complete examination of foetus.
To cover the complete medico-legal examination of the foetus.
  1. Demonstration in the mortuary.
2
  7. Study of weapon of offence
  1. Know about the different types of weapons.
To cover the identification and exami8nation of the different types of weapons
  1. Demonstration in the museum
  2. Identification
6
  8. Study of Firearms and ammunition
  1. Identify the firearms
  2. Explain the mechanism of firearm
To cover the identification and the mechanism of the firearm.
  1. Demonstration in the museum
  2. Identification
2
  9. Examination of blood stains/ Blood by Physical, Chemical, Microscopic and spectroscopic methods
  1. Know about the examination of blood.
To cover all the methods of examination of the blood.
  1. Demonstration in the laboratory
2
10. Morbid specimen and slides
  1. Explain the gross and microscopic structures.
To cover the gross and the microscopic examination of the structures.
  1. Demonstration in the laboratory
2
11. Slides demonstration: Sexual Offences etc.
  1. Examine the presence of tissues and foreign body in the slide of sexual offence
To cover the method of examination of the slide of the sexual offence and the presence of tissues and foreign body in the slide of sexual offence
  1. Demonstration in the laboratory
2
12. Study of photographs and X-rays
  1. Explain the photographs of various injuries and identification marks
  2. Explain the X-rays in age determination cases

 

To cover the identification of the X-rays for age determination and the various types of grievous injuries, photographs for the identification marks and injuries.
  1. Demonstration in the museum
  2. Demonstration 8n the laboratory
2
13. Study of Identification methods:

  1. Finger Prints
  2. Tattoo Marks
  3. Deformities
  4. Hair
  5. Mole
  6. Scars
  1. Explain the different methods of identification of individual
To cover various methods of identification.
  1. Demonstration
2
14. Identification of poisons:

  1. Organic
  2. Inorganic
  3. Animal poison
  4. Vegetable poison
  1. Know about the poisons in general.
To cover sign and symptoms, fatal dose, fatal period, treatment and post-mortem appearance in case of poisoning.
  1. Demonstration
8
15. Proformas for demonstration:

  1. Summons
  2. Consent form
  3. Potency certificate
  4. Sexual offence certificate
  5. Sickness certificate
  6. Physical fitness certificate
  7. Medico-legal Report
  8. Post-mortem report
  9. Death certificate
  1. Prepare the all types of the certificate mentioned in the topic list.
To cover all the Proformas mentioned.
  1. Demonstration
4
Total = 50