Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
Forensic Medicine and
Clinical Toxicology
FT 314
Basic Information
Program Title
Bachelor of Medicine and Surgery; MB, BCh
Department Offering the
Course
Forensic Medicine and Clinical Toxicology
Academic Year / Level
Fourth year
Date of Specification Approval
8/10/2012
Total Teaching Hours
Total: 140
Lecture: 69
Practical/ Clinical: 71
(including 10 hours for progress of research)
Allocated Marks
200 Marks
Allocated Duration
Round 8 weeks (as per student)
Course Director
Prof. Dr. Mona El kotb Mousa
Head of Department
Teaching Staff
1 of 13
Professors
19
Assistant Professors 4
Lecturers
12
Assistant lecturers
8
Demonstrators
9
2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
Professional Information
1- Overall Aims of Course
Forensic Medicine and Clinical Toxicology Course Provides Students with:
Aim 1
Basics of forensic medicine to recognize types of laws and their
relation to medical practice.
Aim 2
Understanding of basics of medical ethics, medico-legal aspects of
health problems, malpractice and medical errors and the importance of
preservation of evidences of significance for legal procedures.
Aim 3
Ability to medically document and describe different injuries, death
and post-mortem changes.
Aim 4
Understanding of etiology, pathogenesis, clinical features and
complications of common acute life threatening intoxications; to
demonstrate
Aim 5
Essential skills in diagnosis and management plan for common acute
poisoning cases.
Aim 6
Ethical rules in relationships with patients, colleagues and medical
profession.
2- Intended Learning Outcomes of Course (ILOs)
A. Recall of Knowledge and Understanding:
By the end of the course, students will be able to:
Program
ILO
Course ILO
a1
Identify the role of civil and criminal laws in medical practice.
A11
a2
Define the basics of medico-legal aspects of hospital and general
practice.
A11
A12
a3
Describe items of human rights charter.
A11
a4
Discuss elements of medical malpractice.
A11
A12
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2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
a5
Discuss main points of personal identification in living and dead
and the important ages of medico-legal importance.
A4
a6
Identify proper diagnosis of death from the medical and legal
points of view.
A5
a7
Describe post mortem changes.
A5
a8
Discuss the effects of different injuries on the structure and
function of the human body.
A6
a9
Describe methods of preservation of evidences of significance for
legal procedures.
A11
a10
Explain etiology and pathogenesis of different intoxications.
A6
a11
Describe the clinical picture of different cases of intoxications
including acute life threatening intoxications and different possible
complications.
A7
a12
List the essential investigations needed for an intoxicated case.
A8
a13
a14
a15
Discuss different lines of management for intoxicated cases
including acute life threatening intoxications and different possible
complications.
Describe the different prevention strategies to minimize the
susceptibility of occurrence of poisoning.
Discuss the ethical and medical aspects of clinical audit.
A8
A12
A10
A13
B. Intellectual Skills
By the end of the course, students will be able to:
Program
ILO
Course ILO
b1
Evaluate cases of medical malpractice.
B4
b2
Correlate the data collected from a living or dead body with his
personal identification, age or sex.
B4
b3
Correlate post-mortem changes with the time passed since death.
B4
b4
Interpret different findings in different injuries to detect
suspected criminal cases.
B2
B4
b5
b6
Select appropriate investigations for common intoxications and
interpret results.
Interpret the clinical data collected from an intoxicated patient
including history, general examination and investigations and
reach a provisional diagnosis.
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B3
B4
2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
b7
Solve problems dealing with different forensic and toxicological
cases.
B4
b8
Design a management plan for intoxicated cases.
B6
b9
Design the initial course of management to stabilize cases of acute
life threatening intoxications.
B7
C. Professional and Practical Skills
By the end of the course, students will be able to:
Program
ILO
Course ILO
c1
Criticize and report medical malpractice cases.
C10
c2
Identify and comment on individual’s age from a radiological
specimen.
C4
C10
c3
Identify and write a comment on different injuries.
C10
c4
Write medico-legal reports and death certificates that fulfill the
whole medico-legal requirements.
C10
c5
Obtain and record medical history of intoxicated cases.
C2
c6
c7
c8
Perform general and special clinical examination of intoxicated
cases and detect emergency life threatening conditions.
Identify pathologic findings in different images, ECG, ABG and
laboratory test results.
Practice Basics of health and patient’s safety and safety
procedures.
C3
C4
C6
c9
Perform Cardiopulmonary resuscitation on a model.
C7
c10
Perform endotracheal intubation on a model.
C7
c11
Perform gastric lavage on a model.
C7
c12
Test for the presence of toxins in urine.
C7
c13
Identify toxin elimination substances and mention
indications, contraindications and route of administration.
c14
c15
their
Identify and write a comment on different toxicological plants.
Communicate clearly, sensitively and effectively with patients
and their care givers, regardless of their social, cultural or ethnic
background.
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C1
C1
C8
2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
D. General and Transferable Skills
By the end of the course, students will be able to:
Program
ILO
Course ILO
d1
Value the interests and dignity of patients and families.
D1
d2
Communicate in difficult situations including breaking bad news.
D2
d3
d4
Respect superiors, colleagues and any other members of the health
profession.
Gather, organize and appraise the medical information including
the use of information technology where applicable.
D3
D4
d5
Present medical information in written, oral or electronic forms.
D6
d6
Communicate ideas and arguments effectively.
D7
d7
Be prepared for the lifelong learning needs of the medical
profession.
D8
d8
Work constructively and cooperatively within a team.
D9
d9
Practice self and peer evaluation.
D10
d10
Manage time effectively.
D11
3-
Course Contents
Teaching and Learning Methods
Topics
Total
%
L
T
P/ C
O
FORENSIC MEDICINE
[1] Medical Ethics, Medico-Legal Responsibility and Malpractice
(16%)
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2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
1.1 Laws and Medical Practice
1.2 Civil and criminal responsibility
claims on physicians
1.3 Human and patient's rights
1.4 Medical Ethics
1.5 Medical Duties and Responsibilities
1.6 Medical Consent
1.7 Professional Secrecy
1.8 Malpractice Claims
1.9 Medico-Legal Responsibility During
Medical Practice
1.10 Medico-Legal Aspects of Organ
Transplantation and Gene Therapy
1.11 Clinical Audit
[2] Medical Documentation
10.5
7.5
-
3
-
1.5
-
5
-
1.5
-
3.5
-
(10%)
2.1 The Medical And Medico-Legal
Reports
2.2 The Death Certificate
2.3 Forensic Evidences
2.4 Forensic Samples Preservation
6.5
[3] Identification and DNA Typing
(8%)
3.1 Identification of Livings and Dead
3.2 Age Determination and Ages of
Medico-Legal Importance
3.3 Forensic DNA Applications
5
[4] Legal Significance of Death and Post-Mortem Changes and Their Clinical
Applications
(13%)
4.1 Somatic and Molecular Death
4.2 Brain Death
4.3 Post-Mortem Changes
4.4 Differences Between The Cause
Mode and Manner of Death
4.5 Determination of Postmortem Interval
8.5
4.5
-
4
-
2.5
-
[5] Medico-Legal Considerations of General trauma and complications
(11%)
5.1 Types of Wounds
5.2 Defensive and Fabricated Wounds
5.3 Aging of Injuries
5.4 Duties of The General Practitioner in
Wounded Cases
5.5 Complications and Causes Of Death
From Wounds
5.6 Neck, Chest and Abdominal Injuries
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7
4.5
-
2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
[6] Medico-Legal Considerations of Head injuries
(12%)
6.1 Types of Head Injuries
6.2 Clinical Presentation of Head Injuries
6.3 Duties of The General Practitioner in
Head Injury Cases
6.4Complications of Head Injuries and
Causes of Death
6.5 Post Injury Survival Time
7.5
4.5
-
3
-
1.5
-
2.5
-
-
1.5
-
2.5
-
1
-
[7] Medico-Legal Considerations of Firearm injuries
(6%)
7.1 Types of Weapons
7.2 Types of Firearm Injuries
7.3 Duties of The General Practitioner in
Firearm Cases
7.4 Complications of Firearm Injuries and
Causes of Death
4
[8] Medico-Legal Considerations of Physical injuries.
(7%)
8.1 Types of Heat Injuries
8.2 Types of Electrical Injuries
8.3 Complications of Physical Injuries
and Causes of Death
[9] Sexual Assault Examination.
4.5
3
(6%)
9.1 Medico-Legal Principles
9.2 Collection of Samples
9.3 Legal Implications of Evidences
9.4 Rape and Sodomy
4
1.5
9.5 Notification of Authorities
9.6 Virginity
9.7 Pregnancy and Abortion
[10] Medico-Legal basis of Child Abuse medical examination
(6%)
10.1 Definition
10.2 Effects of Abuse
10.3 Role of Physician
10.4 Domestic Violence
4
3
10.5 Types of Injuries
10.6 Torture
10.7 Duties of The General Practitioner in
Child Abuse Cases
[11] Primary care physicians and legal aspects of violent Asphyxia
(5%)
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2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
11.1 Drowning
11.2 Hanging
11.3 Ligature Strangulation
11.4 Throttling
11.5 Smothering
11.6 Overlaying
11.7 Choking
11.8 Sudden Infant Death Syndrome
Total
3.5
1.5
-
2
-
65+5
(100%
)
34.5
-
30.5
5
1.5
-
4
-
3
-
4
-
3
-
4
-
CLINICAL TOXICOLOGY
[1] Diagnosis Of Poisoning
(8%)
1.1Toxic Syndromes, General Signs and
Symptoms of Intoxication and Role of
The Laboratory
1.2 Assessing a Case of Intoxication
1.3.General Examination of an
Intoxicated Patient
1.4. Required Investigations to Reach to a
Provisional Diagnosis
1.5Writing a Sheet For an Intoxicated
Patient
5.5
[2] Common Toxicological Emergencies
(11%)
Toxic Causes, Diagnosis, Treatment of:
2.1.Respiratory Failure
2.2 Coma
2.3.Convulsion
2.4 Acute pulmonary edema
2.5.Shock and hypotension
2.6.Rhabdomyolysis
[3] Decontamination of Poisons
3.1 Elimination of Ingested Poisons
(Emesis-Gastric Lavage-Activated
Charcoal –Catharsis)
3.2 Elimination Of Poisons Administered
By Other Routes (Dermal, Eye And
Inhalation)
3.3 Enhancement Of Excretion Of
Poisons (Diuresis, Hemodialysis,
Hemoperfusion)
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7
(11%)
7
2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
[4] Household Poisons
Pathophysiology, Clinical Picture
Treatment of Acute Overdose of :
4.1 Corrosives
4.2 Insecticides and Rodenticides
4.3 Hydrocarbons
4.4 Non Toxic Exposure
[5] Volatiles poisoning
Pathophysiology, Clinical Picture
Treatment of Acute Overdose of :
5.1 Ethyl alcohol
5.2 Methyl alcohol
5.3 Ethylene glycol
[6] Substance Of Abuse intoxication
6.1 Definitions and General
Considerations
6.2 Doping
6.2 Pathphysiology, Clinical Picture and
Treatment of Acute Overdose of
- Opiates
- Alcohol dependence
- Cannabis
- Amphetamine
- Cocaine
- Sedative Hypnotics
(barbiturates,bnzodiazepines)
- Nicotine
- Volatiles
[7] Metallic Poisons
Pathphysiology, Clinical Picture and
Treatment of
7.1 Iron Toxicity
7.2 Lead Toxicity
7.3 Mercury Toxicity
[8] Toxicities of analgesics
Pathphysiology, Clinical Picture and
Treatment of Acute Overdose of:
8.1 Salicylates
8.2 Paracetamol
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(13%)
8.5
4.5
-
4
-
3
-
0.5
-
4.5
-
3.5
-
3
-
1
-
1.5
-
2
-
(5.5%)
3.5
(12.5%)
8
(6%)
4
(5.5%)
3.5
2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
8.3 Non steroidal anti-inflammatory drugs
[9] Poisoning with cardiovascular System Acting Drugs (7%)
Pathphysiology, Clinical Picture and
Treatment of Acute Overdose of:
9.1 Digitalis
9.2 B- Blockers
9.3 Calcium channel blockers
9.4 Nitrites
4.5
3
-
1.5
-
[10] Intoxications with central Nervous System Acting Drug
(7.5%)
Pathphysiology ,Clinical Picture and
Treatment Of Acute Overdose Of:
10.1 Sedative Hypnotics
10.2 Theophylline
10.3 Antidepressants
10.4 Antipsychotics
10.5 Aniconvulsants
3
-
2
-
1.5
-
2
-
3
-
2
-
-
30.5
5
[11] Toxic Gases Exposures
5
(5.5%)
Pathophsilogy, Clinical Picture and
Treatment of:
11.1 Carbon Monoxide
11.2 Cyanide
11.3 Hydrogen Sulphide
3.5
[12] Natural Poisons
(7.5%)
Pathophsilogy, Clinical Picture and
Treatment of:
12.1 Food Poisoning
12.2 Botulism
12.3 Scorpion Sting
12.4 Snake Bite
12.5 Spider Sting
5
65+5
(100%
34.5
)
L: lecture, T: Tutorial, P: Practical, C: Clinical, O: Other
Directed Self Learning includes:
- Department museum
- Explanatory posters for curriculum
- Practical teaching materials in department computers
- Progress of research .
Total
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2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
4- Teaching and Learning Methods
Teaching/
Learning
Methods
Recall of
Knowledge/
Understanding
4.1Lectures
a1-a15
4.2Tutorials
Intellectual
skills
b1-b9
4.3Practical
classes
Clinical
Rounds
*4.4E-learning
classes
Professional/
Practical
b5-b9
a1-a15
b1-b9
**4.5Directed
Self
Learning
GTS
d3-d10
c1-c4,
c14
d3,d10
c5-c13, c15
d1,d2,
d3,d6,
d8,d10
d4, d7, d8
d3-d11
GTS: general transferable skills
* Online lectures and quizes, museum photos and videos
** Research, home assignments, museum
Facilities Required for Teaching and Learning
 Halls for lectures
 Computer laboratory for e-learning classes and e-exams
 Audiovisuals
 Manikins in skills laboratory (gastric lavage & endo-tracheal intubation)
 Manikins showing different wounds and injuries
 Round tables
 5 X-ray lamps
 Reagents for toxin testing
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2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
5- Teaching and learning methods for students with learning
difficulties
1- Revision for practical part.
6- Student Assessment Methods
6.1 Methods:
Type
Time
Assessment Method
Assessments
Formative
Assessment
Online quizes (MCQs)
Other
Home Assignments
Continuous
Assessment
Summative
Assessment
End-Round
Final
ILOs Measured
a1-a15
b1-b8
a1-a15
b1-b8
Presentations, Projects
d3-d11
Written
[MCQ ]
a1-a15
b1-b8
WRITTEN EXAM
a1-a15
b1-b8
PRACTICAL and
CLINICAL EXAM
c1-c15
ORAL EXAM
a1-a15
b1-b8
6.2 Time Schedule
Week
Method
Formative Assessment:
All through the year
All through the round
Week 6
12 of 13

Online Quizes
Home Assignments
Presentations – Projects
2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification

Weekly Assessments in
POS
Week 2
Week 3
Week 4
Week 5
Week 6
Continuous Assessment
Week 8 (end-round)
MCQ exam
End-Round
Practical and Clinical Exam
To be considered the final exam
Written Exam
END of YEAR




Multiple Choice Questions
Short Essay
Long Essay
Case Studies
Oral Exam
6.3 Weighing of Assessments
Continuous
Assessment
Final
Total
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20%
80%
100%
Method
Weight %
Quizzes
[Short Answer Supply]
5 % (10 Mark)
Research Activity
5 % (10 Mark)
Written Exam
[MCQ]
10 % (20 Mark)
WRITTEN EXAM
50 % (100 Mark)
ORAL EXAM
10 % (20 Mark)
PRACTICAL and
CLINICAL EXAM
20 % (40 Mark)
200 Mark
2012-2013
Faculty of Medicine
Ain Shams University
Undergraduate Program
Course Specification
7- List of References
7.1
Course Notes
Hand-outs
Principles of Forensic Medicine
Principles of Clinical Toxicology
7.2
Essential Books (Text Books) (Available at department and faculty
library)
Forensic Pathology (2001): DiMaio. V. & DiMaio D. Second edition. CRC
Press London, New York
Goldfrank's Toxicological Emergencies (2007): Hoffman, R. & Nelson, L.
(Eds.). McGraw-Hill, New York
Recommended Books
Color Atlas of Forensic Pathology (2000): Dix. J. CRC Press London, New
York
Haddad and Winchester’s Clinical Management of Poisoning and Drug
Overdose (2007): Shannon, M.; Borron, S. W.; Burns, M. (Eds.). Saunders
Elsevier
Periodicals, Web Sites, etc
www.medicaleducationonline.org
www.nejm.com
www.zenosforensicsite.com
www.pathmax.com
Others
7.3
7.4
7.5
Course Coordinator
Prof. Dr.Yasser Fouad
Date:
8/10/2012
‫أستاذ ورئيس قسم الطب الشرعي والسموم‬
‫ مني القطب موسي‬/‫د‬.‫أ‬
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