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CLINICAL SKILL HANDOUT FORENSIC MEDICINE AND MEDICOLEGAL

Clinical Skill Lab Forensic Medicine-Medicolegal Medical Faculty of Hasanuddin University Makassar 2012

....... Preface .................................................................................................................................... Medicolegal in Patient Care (theoritical background) ........................................................................................................ 1 2 3 5 6 6 7 8 1 ..............................................................................................................................................................................................................................................Forensic Medicine-Medicolegal TABLE OF CONTENT Cover Table of Content ...................................................... Preparation ........................................ Reference ..................... Evaluation .............. Learning Objective ................................................................................................ Learning Stretegies ...............

Forensic Medicine-Medicolegal PREFACE This Clinical Skill Handout is for medical student in Forensic Medicine and Medicolegal. 1 October 2010 Coordinator of Clinical Skill Lab Forensic Medicine and Medicolegal 2 . The major objective of this manual is that the student can master some major skills needed in patient care management that in line with Good Medical Practice. Makassar. We would like to appreciate to all contributors who have helped in compiling this Clinical Skill Manual .

medical indications are those facts about the patient's physiological or psychological condition that indicate which forms of diagnostic. and care of illness and injury. opinions. that is respect patient’s autonomy. stated in the Hippocratic oath. the attitude of doctor in patient management will be learnt. beneficence primarily means do the best for the sake of patient. Therefore.Forensic Medicine-Medicolegal MEDICOLEGAL IN PATIENT CARE Medical Indications are the facts. non-maleficence and justice. Every discussion of an medicolegal problem in clinical medicine should begin with a statement of medical indications. cure. Taking Good Medical Record 3." Another Hippocratic imperative to physicians states. In this skill training session. Establishing a proper Informed Consent 4. This will incorporate some major topics: 1. Therefore. or educational interventions are appropriate. beneficence. is "I will use treatment to benefit the sick according to my ability and judgment but never with a view to injury and wrongdoing. the duty to try to bring about those improvements in physical or psychological health that medicine can achieve. Nonmaleficence means going about these activities in ways that prevent further injury or reduce its risk. Exercising respect for Patient Confidentiality 3 . in medicolegal. The most ancient moral maxim of medicine. therapeutic. and interpretations about the patient's physical and/or psychological condition that provide a reasonable basis for diagnostic and therapeutic activities aiming to realize the overall goals of medicine: prevention. Medical Indications describe the day-to-day work of clinical care for patients— diagnosing their condition and providing helpful treatments. Four basic moral principle of physician 2. These objective effects of diagnostic and therapeutic actions as well as rehabilitation. The medicolegal principles that should govern these activities are the 4 moral principles of physician. "be of benefit and do no harm" .

and prompt reporting and analysis of medical error. 4. Commitment to professional responsibilities emphasizing the individual and collective obligations to participate in processes to improve patient care 4 . Commitment to improving quality of care. 2. Commitment to improving access to care.Forensic Medicine-Medicolegal In addition. 3. Commitment to scientific knowledge. Commitment to patient confidentiality. doctors are professional whose main objective is caring for patient’s health. Commitment to maintaining appropriate relations with patients such as the avoidance of patient exploitation for sexual advantage. emphasizing both informed consent. 10. Commitment to maintain trust by managing conflicts of interest. 8. 7. 9. Commitment to honesty with patients. Commitment to professional competence. 5. Commitment to just distribution of finite resources. or other private purpose. 6. there are ten professional responsibilities that should be noted: 1. financial gain.

students are expected to be able to conduct taking proper medical record. Spesific Objective After finishing the skills training in this manual. the four basic moral principle of physician should always be the basis in our patient care management. informed consent and exercise to respect patient’s confidentiality. Proper Informed Consent 4. Four basic moral principle of physician 2. students are expected to be able to apply : 1. Good Medical Record 3. Above all. Patient Confidentiality 5 .Forensic Medicine-Medicolegal LEARNING OBJECTIVE General Objective After conducting the skill training.

Cohen J. et al. NY: Oxford University Press. Childress JF. New York. Principles of Biomedical Ethics. 2009:140–186. Observation on the play 2. In: Beauchamp TL. 6th ed. eds. Active participation (simulation) 4. Evaluation using check list References Beauchamp TL. Ann Int Med 2002. Childress JF. 197–239. ballpoint Audio-visual / Camera Spygmomanometer Stetoscope Patient Scenario Learning Method : 1. Brennan T. 136:243–246. Medical professionalism in the new millennium: a physician charter. Discusssion 3. Chapter.Forensic Medicine-Medicolegal LEARNING STRATEGIES Instruments and Tools : Manual book of CSL for Medicolegal Standart measurement / Ruler Patient status. 6 . Blank L.

Forensic Medicine-Medicolegal PREPARATION Prepare the room used for role play The setting used was a GP ( General Practicioner) office with three patients already seated inside the room waiting for the doctor Brief the patient about their scenario Instruct the other student to observe the play and to take note if necessary Instruction for the patient Play accordingly to the scenario provided for each patient When the doctor is conducting history taking and the scenario does not contained the solution. the patient is allowed to improvised Instruction for the doctor Play as a doctor taking the patient history as already been teached in previous major (system) Instruct the doctor to enter the room prepared and thus begin the play - - 7 .

nonmaleficence. autonomy. nonmaleficence) TOTAL 0 1 2 : not performed : performed but not perfect / complete : perfectly performed 8 . autonomy) 4 Start the history taking properly (beneficence) and fill the medical record provided accordingly (medical record) 5 Chek the patient vital status (informed consent. introduce self to the patient 0 1 2 2 Ask two of the other patient to wait outside the examination room (patient confidentiality.Forensic Medicine-Medicolegal Evaluation No 1 Activity Greet the patient. beneficence) 6 Made the working diagnosis based on the history taking result and vital status (beneficence. justice) 3 Take consent from the patient after informed the patient the purpose of the history taking and examination afterward (informed consent.