CLINICAL SKILL HANDOUT

FORENSIC MEDICINE AND MEDICOLEGAL

Clinical Skill Lab Forensic Medicine-Medicolegal
Medical Faculty of Hasanuddin University
Makassar
2010
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PREFACE

This Clinical Skill Handout is for medical student in Forensic Medicine and Medicolegal.
The major objective of this manual is that the student can master some major skills
needed in patient care management that in line with Good Medical Practice, i.e.:
1. Four basic moral principle of physician
2. Proper Medical Record
3. Proper Informed Consent
4. Patient Confidentiality
We would like to appreciate to all contributors who have helped in compiling this
Clinical Skill Manual .






Makassar, 1 October 2010
Coordinator of Clinical Skill Lab
Forensic Medicine and Medicolegal
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Medicolegal in Patient Care
Medical Indications are the facts, opinions, and interpretations about the patient's
physical and/or psychological condition that provide a reasonable basis for diagnostic
and therapeutic activities aiming to realize the overall goals of medicine: prevention, cure,
and care of illness and injury.

Every discussion of an medicolegal problem in clinical medicine should begin with a
statement of medical indications. Therefore, medical indications are those facts about
the patient's physiological or psychological condition that indicate which forms of
diagnostic, therapeutic, or educational interventions are appropriate.
Medical Indications describe the day-to-day work of clinical care for patients
diagnosing their condition and providing helpful treatments. The medicolegal principles
that should govern these activities are the 4 moral principles of physician, that is respect
patients autonomy, beneficence, nonmaleficence and justice.
The most ancient moral maxim of medicine, stated in the Hippocratic oath, is "I will use
treatment to benefit the sick according to my ability and judgment but never with a view
to injury and wrongdoing." Another Hippocratic imperative to physicians states, "be of
benefit and do no harm" .
Therefore, in medicolegal, beneficence primarily means do the best for the sake of
patient, the duty to try to bring about those improvements in physical or psychological
health that medicine can achieve. These objective effects of diagnostic and therapeutic
actions as well as rehabilitation. Nonmaleficence means going about these activities in
ways that prevent further injury or reduce its risk.
In this skill training session, the attitude of doctor in patient management will be learnt.
This will incorporate some major topics:
1. Four basic moral principle of physician
2. Taking Good Medical Record
3. Establishing a proper Informed Consent
4. Exercising respect for Patient Confidentiality
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In addition, doctors are professional whose main objective is caring for patients health;
there are ten professional responsibilities that should be noted:
1. Commitment to professional competence.
2. Commitment to honesty with patients, emphasizing both informed consent, and
prompt reporting and analysis of medical error.
3. Commitment to patient confidentiality.
4. Commitment to maintaining appropriate relations with patients such as the
avoidance of patient exploitation for sexual advantage, financial gain, or other
private purpose.
5. Commitment to improving quality of care.
6. Commitment to improving access to care.
7. Commitment to just distribution of finite resources.
8. Commitment to scientific knowledge.
9. Commitment to maintain trust by managing conflicts of interest.
10. Commitment to professional responsibilities emphasizing the individual and
collective obligations to participate in processes to improve patient care

Learning Objective

General Objective
After conducting the skill training, students are expected to be able to conduct
taking proper medical record, informed consent and exercise to respect patients
confidentiality. Above all, the four basic moral principle of physician should always be the
basis in our patient care management.

Spesific Objective
After finishing the skills training in this manual, students are expected to be able to
apply :
1. Four basic moral principle of physician
2. Good Medical Record
3. Proper Informed Consent
4. Patient Confidentiality

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Instruments and Tools :
- Manual book of CSL for wound
- Standart measurement / Ruler
- Surgical Tapes
- Patient status, ballpoint
- Audio-visual/ Camera

Learning Method :
1. Demonstration due to manual book
2. Lecture
3. Discusssion
4. Active participation (simulation)
5. Evaluation using check list



References

Beauchamp TL, Childress JF. Chapter. In: Beauchamp TL, Childress JF, eds. Principles
of Biomedical Ethics. 6th ed. New York, NY: Oxford University Press; 2009:140186;
197239.

Brennan T, Blank L, Cohen J, et al. Medical professionalism in the new millennium: a
physician charter. Ann Int Med 2002; 136:243246.