Veidlapa Nr. M-3 (8)
Study Course Description

Clinical Forensic Medicine I

Main Study Course Information

Course Code
RTM_020
Branch of Science
Clinical medicine; Forensic science
ECTS
29.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

to provide theoretical knowledge and practical skills and development of clinical forensic medicine according to Terms of Reference of Forensic experts specialities regulations, to prepare the doctor for certification and independent work in specialty of forensic medicine in accordance with the current legislation of the Republic of Latvia.

Learning Outcomes

Knowledge

1.To understand any of the types of forensic medical examinations of living persons and the examination of medical documents.

Skills

1.Carry out forensic medical examination of living persons using approved methodology, instruments, remove and send objects for laboratory examination, conduct research of medical documents, compile and present research results in the form of an expert opinion.

Competences

1.Carry out forensic medical research of living persons, research of medical documents and draw up an expert's opinion, be able to defend the expert's opinion in court.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Prepare a presentation on one of the topics of the seminar, by in-depth research of the literature and archives of clinical cases.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
2.

Examination

-
-
Report on the forensic medical examinations carried out in the course, case analysis, testing of practical skills with a situational task, oral examination of theoretical knowledge, evaluating theoretical knowledge and practical activity in a 10-point system.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Placement

Modality
Location
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Topics

To determine the severity of physical injuries; - Evaluation of the mechanism of injury and the time of its occurrence; - Evaluation of the consequences of injuries and permanent loss of general working capacity corresponding to them; - Methodology of forensic medical examination of victims of violence; - Health state expertise; - Age determination expertise for living persons; - Forensic gynecological examinations; - Forensic andrological examinations; - Commissions and complex medical forensic
  1. Seminar

Modality
Location
-
-

Topics

Criteria for determining the severity of injuries
  1. Seminar

Modality
Location
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Topics

Method of detection of physical damage; determination of the time and mechanism of occurrence in living persons (visually, radiologically, according to medical documents). Aggravation and simulation.
  1. Seminar

Modality
Location
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Topics

Sample collection rules for forensic biological research in clinic, forensic pathology.
  1. Seminar

Modality
Location
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Topics

Examination of the corpse in the year of the fall. from a height, falls on a plane, morphology, variants, differential diagnosis
  1. Seminar

Modality
Location
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Topics

Determining the sequence of injury. Probability of committing active actions in the case of various physical injuries, Evaluation of competing pathology, determining the degree of severity of physical injuries and the cause of death in post-mortem examinations.
  1. Seminar

Modality
Location
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Topics

Principles and logic of drawing up an expert opinion.
  1. Seminar

Modality
Location
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Topics

Forensic gynecological examinations, issues to be resolved, methodology, opinion formulation, sampling.
  1. Seminar

Modality
Location
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Topics

Andrological examinations. Issues to be resolved, methodology, wording of the opinion, sampling.
  1. Seminar

Modality
Location
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-

Topics

General adaptive response to trauma. Assessment of trauma complications and their severity (shock and its pathomorphology, clinic, assessment in clinical forensic medicine; organ failure, embolism, MODS.
  1. Seminar

Modality
Location
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Topics

Bicycle, motorcycle and railway injuries, types, morphology, examples of expertise.
  1. Seminar

Modality
Location
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Topics

Procedural aspects of the forensic expert's participation in criminal proceedings, administrative and civil proceedings. Law on forensic experts.
  1. Seminar

Modality
Location
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Topics

Analysis of cases of serious bodily injury, examples of practice.
  1. Seminar

Modality
Location
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Topics

Moderate, light and minor injuries. Case analysis.
  1. Seminar

Modality
Location
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Topics

Commission of forensic medical expertise in clinical forensic medicine. Determining the extent of remaining health impairment in %.
  1. Seminar

Modality
Location
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Topics

Accounting, analysis, casuistry, examination of theoretical knowledge of the work done in the cycle of clinical forensic medicine and the course of forensic pathology.
Total ECTS (Creditpoints):
29.00
Number of Residency Seminars:
15
Length (weeks):
21
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Vadlīnijas “Dzīvo personu un mirušo un tiesu medicīniskā ekspertīze”, VTMEC, 2021.10.07.

2.

Miesas bojājumu noteikšanas un novērtēšanas metode, Nr. 2-20/VTMEC-I/519IP, v.3, 2018.03.15.

3.

LR Tiesu ekspertu padomē apstiprinātās izpētes metodes miesas bojājumu smaguma, darba spēju zaudējuma apjoma, veselības stāvokļa, personas vecuma noteikšanai un tiesu ginekoloģisko ekspertīžu veikšanai. 2013.

4.

Tiesu medicīnas praktikums, Rīga, RSU, 2007.

5.

Kritēriji miesas bojājumu smaguma pakāpes noteikšanai, veicot medicīnisko ekspertīzi. LR Krimināllikums, 3.pielikums, 2018.

6.

LR Kriminālprocesa likums, 2005. ar labojumiem līdz 2022.

7.

O.Teteris. Tiesu medicīnas esence. R., Rasa ABC, 2004, 591 lpp

8.

Veselības stāvokļa noteikšanas metode, 2-20/VTMEC-I/337, v.3, 18.02.2013

9.

Tiesu medicīnas ekspertīzes veikšanas metode gadījumos, kas saistīti ar ārstniecības personu profesionālo darbību, 2-20/VTMEC-I/612IP, v.2, 05.10.2021.

10.

Tiesu ekspertu likums/ Latvijas Vēstnesis 01.03.2016., Nr.42

11.

Vincent J.H. Di Maio, D.Kimberly Molina. Di Maio’s Forensic Pathology. 3rd Edition. 2021.

12.

Helen L Whitwell. Forensic Neuropathology. 2nd ed., CRC Press, 2021

13.

J.P.Wyatt, T.Squires, G. Norfolk, J. Payne-James. Oxford Handbook of Forensic Medicine. Oxford Medical Handbooks, 2011/

Additional Reading

1.

Žurnāls "Latvijas Ārsts"

2.

Itabashi H.H., Andrews J.M.,Tomiyasu U., Erlich S.S. Forensic Neuropathology. Elsvier Acad.Press, 2007.

3.

Клевно В.А. Судебно-медицинская экспертиза вреда здоровью. ГЭОТАР-Медиа, 2009.