PDF(Pubmed)
Abstract：
OBJECTIVE: This study was conducted to assess the need for clinical forensic medicine (CFM) training (hands-on and bedside) in medical undergraduate students and to determine the utility of skill-based teaching methodology in CFM.
METHODS: A cross-sectional study was carried out in the Government Medical College, where we used the mixed model approach (qualitative and quantitative component) to access the approach of three groups containing 50 participants each from (1) resident doctors/interns, (2) faculty, (3) casualty medical officers, toward skill-based teaching of CFM. A structured pretested questionnaire was administered to all study participants. The questionnaire was based on their perception regarding the legal problems faced during clinical practice and their attitude toward the need for CFM. It was followed by a focus group discussion (FGD) arranged separately for each group of 10 participants. Each FGD session lasts for 40 minutes with a moderator and recorder.
RESULTS: Present MBBS (Bachelor of Medicine & Bachelor of Surgery) curriculum teaches CFM very early is strongly agreed by 20 (40%) of the faculty, four (8%) of interns, and three (6%) of medical officers. 40 (80%) of interns, 43 (86%) of medical officers, and 40 (80%) of faculty necessitate hands-on training in CFM in the MBBS curriculum. Forensic medicine specialists should handle clinical medico-legal cases (MLCs), as agreed by 50 (100%) faculty, 46 (98%) interns, and 47 (94%) medical officers.
CONCLUSIONS: Hands-on training in CFM is needed for a better practical approach for doctors toward handling MLCs. Hands-on training should be introduced in the second-year MBBS curriculum, and their clinical aspects should be taught simultaneously with clinical subjects till the internship.
METHODS: A cross-sectional study was carried out in the Government Medical College, where we used the mixed model approach (qualitative and quantitative component) to access the approach of three groups containing 50 participants each from (1) resident doctors/interns, (2) faculty, (3) casualty medical officers, toward skill-based teaching of CFM. A structured pretested questionnaire was administered to all study participants. The questionnaire was based on their perception regarding the legal problems faced during clinical practice and their attitude toward the need for CFM. It was followed by a focus group discussion (FGD) arranged separately for each group of 10 participants. Each FGD session lasts for 40 minutes with a moderator and recorder.
RESULTS: Present MBBS (Bachelor of Medicine & Bachelor of Surgery) curriculum teaches CFM very early is strongly agreed by 20 (40%) of the faculty, four (8%) of interns, and three (6%) of medical officers. 40 (80%) of interns, 43 (86%) of medical officers, and 40 (80%) of faculty necessitate hands-on training in CFM in the MBBS curriculum. Forensic medicine specialists should handle clinical medico-legal cases (MLCs), as agreed by 50 (100%) faculty, 46 (98%) interns, and 47 (94%) medical officers.
CONCLUSIONS: Hands-on training in CFM is needed for a better practical approach for doctors toward handling MLCs. Hands-on training should be introduced in the second-year MBBS curriculum, and their clinical aspects should be taught simultaneously with clinical subjects till the internship.
摘要：
目的：本研究旨在评估医学本科生对临床法医学（CFM）培训（动手和床边）的需求，并确定基于技能的教学方法在CFM中的实用性。
方法：在政府医学院进行了一项横断面研究，我们使用混合模型方法（定性和定量组件）来访问三组的方法，每组50名参与者来自（1）住院医生/实习生，(2)教员,(三)伤亡医务人员,面向基于技能的CFM教学。对所有研究参与者进行结构化的预先测试问卷。问卷基于他们对临床实践中面临的法律问题的看法以及他们对CFM需求的态度。随后是为每组10名参与者分别安排的焦点小组讨论（FGD）。每个FGD会话持续40分钟，主持人和记录器。
结果：目前的MBBS（医学学士和外科学士）课程很早地教授CFM，得到了20名（40％）教师的强烈同意，四名(8%)实习生，和三名(6%)医务人员。40名(80%)实习生,43（86%）的医务人员，40（80％）的教师需要在MBBS课程中进行CFM实践培训。法医学专家应处理临床医学法律案件（MLC），根据50名(100%)教师的同意，46名（98%）实习生，和47名(94%)医务人员。
结论：需要在CFM中进行动手培训，以便为医生处理MLC提供更好的实用方法。应在第二年的MBBS课程中引入动手培训，他们的临床方面应与临床科目同时教授，直到实习。
方法：在政府医学院进行了一项横断面研究，我们使用混合模型方法（定性和定量组件）来访问三组的方法，每组50名参与者来自（1）住院医生/实习生，(2)教员,(三)伤亡医务人员,面向基于技能的CFM教学。对所有研究参与者进行结构化的预先测试问卷。问卷基于他们对临床实践中面临的法律问题的看法以及他们对CFM需求的态度。随后是为每组10名参与者分别安排的焦点小组讨论（FGD）。每个FGD会话持续40分钟，主持人和记录器。
结果：目前的MBBS（医学学士和外科学士）课程很早地教授CFM，得到了20名（40％）教师的强烈同意，四名(8%)实习生，和三名(6%)医务人员。40名(80%)实习生,43（86%）的医务人员，40（80％）的教师需要在MBBS课程中进行CFM实践培训。法医学专家应处理临床医学法律案件（MLC），根据50名(100%)教师的同意，46名（98%）实习生，和47名(94%)医务人员。
结论：需要在CFM中进行动手培训，以便为医生处理MLC提供更好的实用方法。应在第二年的MBBS课程中引入动手培训，他们的临床方面应与临床科目同时教授，直到实习。
