Marks distribution of Assessment of Forensic Medicine: Total marks – 300
- Written =100 (MCQ+ SEQ+ SAQ+ FA)
- MCQ-20 (50% SBA+50% MTF),
- SEQ (Structured Essay Question)-20, SAQ-50 (Short Answer Question) +
- FA (formative assessment) marks 10
- Structured Oral Examination= 100
- Practical=50, OSPE= 40 & Others (PM report, Injury certificate & Practical assignment) =10
Forensic Medicine & Toxicology
Section -01: Introduction to Forensic Medicine and Recent advances in Forensic Medicine.
Core
- Introduction to Forensic Medicine& its subdivision; medical jurisprudence
- Recent advances in Forensic Medicine o
- Emerging issues in sex verification and disorder of sex development (DSD)
- Medico-legal issues in consent
- Euthanasia: legal, social and humanitarian aspect
- Legal and ethical issues in medical records
- Legal issues in End-of-life care and palliative care
- Age of child: legal perspective
- Analytic and Clinical toxicology
- Mass disaster: Introduction, effect, management strategies, disaster victim identification (DVI)
- Sports medicine (type, mechanism, management, and prevention of sports injuries.
- Forensic science
- Trace evidence (blood stain, blood group, hair, semen)
DNA Profiling
Optional:
- Forensic science
- criminalistics
- crime scene investigation
- forensic lab
- Cybercrime, Basics of ICT
- History and landmarks of Forensic medicine
- HLA typing and Bioinformatics
Forensic Medicine & Toxicology
Section 3: Medical Jurisprudence (Medical ethics)
Core
Medical ethics:
- WMA declaration Geneva declaration, International Code of medical ethics
- BMDC: Bangladesh Medical &Dental Council (BMDC), its constituents, functions and disciplinary control. a professional death sentence
- Right & privilege, Duties
- Rights and privileges of a doctor
- Rights of patients
- Duties of a medical practitioner toward patients & society, Professional secrecy & privileged communication
- Doctor-patient relationship; Component; Skills
- Fairness and Equity; Specific Health Issues; Jargon in the field of medical ethics.
- Code of Medical ethic of BMDC
- Malpractice
- Ethical malpractice: Professional Infamous conduct
- Professional (Medical) Malpractice: civil and criminal Negligence
- Precautions, prevention & defenses against professional negligence
- Vicarious liability, Contributory negligence, corporate negligence; Res ipsa loquitor Novus actus interne
- Medical maloccurance; Product liability
- Applied ethics and research ethics
- Soft skill and humanities; End-of-life care; palliative care
Additional:
- Code and law of medical ethics, its history
- Tokyo Declaration 1975, Helsinki Declaration. Other important WMA declaration
- Ethical review board. Procedure of ethical review in a research proposal. Dealing with ethical dilemmas and conflicts
- Organ Transplant Act. MTP Act. Consumers Protection Act
- Legal provision related to medical practice
Forensic Medicine & Toxicology
Section 4: Forensic Pathology
Core
01. Autopsy:
- Definition; Type; prerequisite; objective
- Procedure: external, internal (opening body cavity, 3rd incision, removal of viscera, internal exam) and laboratory procedure; Report writing; opinion
- Collection and dispatch of specimen
- Inquest report: definition, type, content, magistrate inquest
- Modern morgue
- Exhumation: definition, procedure; importance; 2 nd autopsy
- Forensic anthropology: Post Mortem exam of mutilated and skeletal remains
Additional:
- Virtual autopsy procedure, Academic autopsy
- Special Autopsy & disposal of radioactive corpse
- Recommendation of autopsy as per Human Rights Commission
- Clinical autopsy: Legal formalities, Procedure; Precaution; Importance
- Methods of preserving a dead body
Core:
02. Death
- Mood and manner of death (natural/ unnatural)
- Asphyxia; syncope; coma
- PM changes after death
- Immediate
- Early change: skin change, eye change, cooling of body, hypostasis, rigor mortis
- Late change: putrefaction, adipocere formation, and mummification
- Post-mortem artifacts: Resuscitative artifact, agonal artifact, and postmortem artifact
- Sudden death
- Custodial death
- Anesthetic and operative deaths
Additional:
- Radioactive carbon(C14) estimation
- Forensic entomology
- Death due to occupational and environmental hazards
- Dead body management & handling in disaster
Core
03. Infanticide:
definition, legal bearing, cause of death, and mode of death.
a. Dead born (def, Spalding sign, maceration)
b. Live born
c. Still born
Additional:
- Precipitated labor
- Cot death, SIDS, feticide
- Death due to neglect
Core:
04. Violent asphyxia death:
- Hanging: def, types, cause of death, mechanism of death, PM finding, ML imp
- Strangulation: definition, type, throat ling, ligature strangulation, cause of death, PM finding, ML imp
- Drowning: Definition, types, pathophysiology, PM findings, cause of death, ML imp.
- Suffocation: smothering, choking, and gagging
Core
05. Wound: (L-6hrs; T-3hrs)
Transportation wound:
- Trauma in RTA; cause, preventive device (helmet, seat belt syndrome)
- Injuries sustained by pedestrians; drivers, motorcyclists; and passengers; Crush syndrome
- Objectives of autopsy in traffic wounds
Firearm and explosives:
- Firearms, cartridge composition, firearm injuries (entry and exit) according to range, medico-legal aspect.
- The bomb blast and explosion
- Electrocution and lightning
- Autopsy (mass disaster) protocol
Additional:
- Transportation: Trauma in Railway disaster; River traffic, Air crush
Forensic Medicine & Toxicology
Section 5: Clinical Forensic Medicine
Forensic Medicine & ToxicologySection 6: IdentificationForensic Medicine & ToxicologySection-09: Forensic ToxicologyForensic Medicine & Toxicology Section-10: PRACTICALForensic Medicine & Toxicology Section-11: Observation of ten Medico-legal Autopsies
Forensic Medicine & Toxicology Section-12: Day visit-06