Forensic Medicine-Medicolegal

HANDOUT KETERAMPILAN KLINIKILMU KEDOKTERAN FORENSIK DAN MEDIKOLEGAL

Laboratorium Keterampilan Klinik Ilmu Forensik dan Medikolegal

Fakultas Kedokteran Universitas Hasanuddin Makassar

2010

Forensic Medicine-Medicolegal

KATA PENGANTAR

Handout Keterampilan Klinik ini ditujukan untuk mahasiswa kedokteran yang sedang

mengambil mata kuliah Ilmu Kedokteran Forensik dan Medikolegal. Tujuan utama manual ini

adalah agar mahasiswa dapat menguasai keterampilan utama yang diperlukan dalam

manajemen penanganan pasien yang sejalan dengan Good Medical Practice, antara lain:

1. Empat prinsip dasar moral dokter

2. Rekam Medis yang benar

3. Informed Consent yang benar

4. Konfidensialitas pasien

Kami ingin berterimakasih terhadap semua pihak yang telah memberikan kontribusi

dalam penyusunan Manual Keterampilan Klinik ini

Makassar, 1 October 2010

Koordinator Laboratorium Keterampilan Klinik

Ilmu Kedodkteran Forensik dan Medikolegal

Forensic Medicine-Medicolegal

Medikolegal dalam Penanganan Pasien

Indikasi medis merupakan fakta, opini dan interpretasi mengenai kondisi fisik dan/atau

psikologi pasien yang memberikan dasar yang logis untuk diagnosis dan terapi yang

bertujuan untuk mewujudkan tujuan kedokteran secara menyeluruh: pencegahan,

penyembuhan dan perawatan penyakit dan luka.

Setiap dis

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 patient’s

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

In addition, doctors are professional whose main objective is caring for patient’s health; there

are ten professional responsibilities that should be noted:

Forensic Medicine-Medicolegal

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 patient’s 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

Instruments and Tools :

- Manual book of CSL for wound

- Standart measurement / Ruler

- Surgical Tapes

- Patient status, ballpoint

- Audio-visual/ Camera

Forensic Medicine-Medicolegal

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; 2009:140–186; 197–239.

Brennan T, Blank L, Cohen J, et al. Medical professionalism in the new millennium: a physician charter. Ann Int Med 2002; 136:243–246.