Forensic medicine

A.Y. 2020/2021
4
Max ECTS
48
Overall hours
SSD
MED/43 MED/44
Language
English
Learning objectives
The aim of the course is to explain main forensic aspects of medical issues, starting from forensic pathology (wound examination and documentation) and followed by the clinical forensic medicine (rape, sexual and domestic violence, child abuse and neglect, torture, age estimation). A comparison between Italian and international legislations will be treated, as well as bioethics and ethical codes. The course also explains post-mortem alterations, death certification, and the estimation of time since death. During the course there will be a one-morning tutorial where each student will be given the possibility to participate in an autopsy. Students are introduced to the lists of occupational diseases in the world and their role in promoting reporting and prevention of occupational diseases.
Expected learning outcomes
At the end of the course students are expected:
- to know the main bases of forensic pathology.
- to be aware about how to describe and collect all kinds of wounds, how a clinical forensic examination must be performed to be used as evidence.
- to illustrate the crimes of interest to physicians (rape, sexual abuse, neglect, child abuse, domestic violence, age estimation ) and know when report is due.
- to know the main differences between Italian and international legislations
- to identify post-mortem alterations
- to learn how to identify the cause of death, the estimation of time since death and post-mortem identification, including the importance of toxicology, anthropology, odontology, entomology and neuropathology for these issues.
- to know how to write certificates and medical documents of legal interest
- to illustrate the meaning of evidence-based medicine and its importance in cases of medical malpractice
- to know the difference between private and social insurance
- to learn how a judicial autopsy should be performed.
- how to report an occupational disease
Course syllabus and organization

Single session

Responsible
The teaching, given the current health situation, will be carried out entirely at a distance.
Prerequisites for admission
To take the Forensic Medicine exam, students must have already passed all the exams of the first and second year (Fundamentals of Basic Sciences, Cells, Molecules and Genes 1 and 2, Human Body, Functions and Mechanisms of Diseases).
Assessment methods and Criteria
Assessment of the content of the Forensic Medicine course is organized to offer students some degree of flexibility in the calculation of their final mark. The purpose is also to encourage students to achieve better learning outcomes and hence a better overall final evaluation.
The end-of-semester exam, which is a multiple-choice test (31 questions), is followed by a further open question, that is not mandatory, but it may improve, confirm or worsen the final mark (if the students answers the open question, it will be taken into account in the final mark). If the student feels confident with the multiple-choice test, he/she can reach the maximum result only with it; if the student is unsure of his/her answers, he/she can fill the open question, trying to improve the final mark.
Each multiple choice question corresponds to 1 point. The exam is deemed to be passed successfully if the final grade is equal to or higher than 18/30 (18 correct MCQ). 31 correct MCQ corresponds to honors (30/30 e lode).
Registration to the exam through SIFA is mandatory.
Forensic medicine
Course syllabus
LECTURE 1. Introduction to legal medicine and the legal system for physicians
LECTURE 2. Code of ethics
LECTURE 3. Certificates and other medical documents of legal interest
LECTURE 4. Forensic pathology: wound examination and documentation
LECTURE 5. Clinical forensic medicine; Sexual and physical abuse, maltreatment
LECTURE 6. Crimes of interest to physicians: crimes against the person
LECTURE 7. Italian legislation and law (comparatively to international legislations)
LECTURE 8. Private and social insurance
LECTURE 9. Medical malpractice
LECTURE 10. Death: diagnoses, post mortem alterations, certification; estimation of time since death
LECTURE 11. The autopsy
LECTURE 12. Humanitarian forensic medicine, torture, aging the living
LECTURE 13. Death certification, and the autopsy
LECTURE 14. Post mortem interval and scene of crime
Teaching methods
Lectures, practicals, seminars, formative tests
Teaching Resources
· Pekka Saukko and Bernard Knight, Knight's Forensic Pathology, 4th Ed. CRC Press, 2015
Occupational medicine
Course syllabus
The lists of occupational diseases in the world and their role in promoting reporting and prevention of occupational diseases.
How to report an occupational disease: Italy as a case study.
Teaching methods
Lectures, practicals, seminars, formative tests
Teaching Resources
· Pekka Saukko and Bernard Knight, Knight's Forensic Pathology, 4th Ed. CRC Press, 2015
Forensic medicine
MED/43 - FORENSIC MEDICINE - University credits: 3
Lessons: 36 hours
Professor: Cattaneo Cristina
Occupational medicine
MED/44 - OCCUPATIONAL MEDICINE - University credits: 1
Lessons: 12 hours
Professor: Colosio Claudio
Educational website(s)