Forensic medicine

A.A. 2021/2022
4
Crediti massimi
48
Ore totali
SSD
MED/43 MED/44
Lingua
Inglese
Obiettivi formativi
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.
Risultati apprendimento attesi
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
Programma e organizzazione didattica

Edizione unica

Responsabile
More specific information on the delivery modes of training activities for academic year 2021/22 will be provided over the coming months, based on the evolution of the public health situation.
Prerequisiti
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).
Modalità di verifica dell’apprendimento e criteri di valutazione
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, is followed by a further open question, that is not mandatory, but it may improve, confirm or worsen 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.
Exam content and evaluation: Content
· 31 questions (each question 1 point): Questions will include the whole program of the course and are mandatory.
· 1 open question, which is not mandatory, but if the student decides to answer it, it will be taken into account for the final mark.
Evaluation: 31 multiple-choice questions
To pass the test the student needs to answer to at least 18 questions correctly. 31 correct answers = 30 cum laude; 30 correct answers = 30; 29 correct answers = 29;
If at least 18 questions are correctly answered, and the open question is answered, it will be read and analyzed, and it may improve, confirm or worsen the multiple- choice mark.
Forensic medicine
Programma
· 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
OCCUPATIONAL MEDICINE
· LECTURE 15: The causal association and the relevance of the Bradford Hill criteria with selected examples to discuss.
· LECTURE 16. The lists of occupational diseases in the world and their role in promoting reporting and prevention of occupational diseases.
· LECTURE 17. How to report an occupational disease: Italy as a case study.
· LECTURE 18: The estimation of the levels of disability deriving from occupational diseases and accidents.
Metodi didattici
Synchronous: lectures
Asynchronous: clinical cases discussion, journal club, videos in clinical medicine
Materiale di riferimento
· Pekka Saukko and Bernard Knight, Knight's Forensic Pathology, 4th Ed. CRC Press, 2015
Occupational medicine
Programma
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.
Metodi didattici
Synchronous: lectures
Asynchronous: clinical cases discussion, journal club, videos in clinical medicine
Materiale di riferimento
· Hunter's Diseases of Occupations. Editors Baxter PJ, Aw T-C, Cockcroft A, Durrington P, Harrington JM. Tenth Edition, London: Hodder Arnold, 2010 (advanced textbook)
· European Commission, Directorate-General for Employment, Social Affairs and Equal Opportunities, F4 unit. Information notices on occupational diseases: a guide to diagnosis. Luxembourg: Office for Official Publications of the European Communities, 2009 ISBN 978-92- 79-11483-0; doi 10.2767/38249 (provided without costs by the course coordinator)
Moduli o unità didattiche
Forensic medicine
MED/43 - MEDICINA LEGALE - CFU: 3
Lezioni: 36 ore

Occupational medicine
MED/44 - MEDICINA DEL LAVORO - CFU: 1
Lezioni: 12 ore
Docente: Colosio Claudio

Siti didattici
Docente/i
Ricevimento:
previo appuntamento da concordare via e-mail
Ricevimento:
Su appuntamento
Azienda Ospedaliera San Paolo-Polo Universitario. Sede di Via San Vigilio 43.