Medical and Dental Council of Nigeria


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  • Medical and Dental Council of Nigeria

    1. 1. 14 November 2011
    2. 2. OUTLINE
    3. 3. FORENSIC MEDICINE    Forensic pathology is not synonymous with forensic medicine Forensic medicine concerns the use of medical knowledge for the purposes of the law and the study of the law as it relates to medical practice The term “Forensic” was derived from “forum”, the Latin word for the market place
    4. 4. SCOPE OF FORENSIC MEDICINE     Medical Jurisprudence- The law relating to medical practice Clinical Forensic Medicine Toxicology Forensic Pathology
    5. 5. MEDICAL JURISPRUDENCE     Medical Acts and Medical Councils Medical certificates Dangerous Drugs Medical Ethics: -consent; negligence; professional secrecy
    6. 6. CLINICAL FORENSIC MEDICINE    Examination of hospital patients for the purpose of the law All hospital patients are potential medicolegal cases Clinical Forensic Medicine cases include:- Drunks, victims of Rape, Accidents and Industrial disease
    7. 7. TOXICOLOGY   The study of the signs and symptoms of poisoning in the living and the recognition of poisoning in the dead Poison can cause sudden death and must therefore be excluded in all cases of sudden unexpected deaths
    8. 8. FORENSIC PATHOLOGY Concerns the examination of the dead for the purpose of law All the citizens of a country belong to the state The state is therefore interested in the circumstances and the cause of death of the citizens.
    9. 9. FORENSIC PATHOLOGY Examination of living or dead to determine/permit:  Cause, mechanism, and manner of disease, injury, or death  Identification of persons;  Significance of biological and physical evidence;  Correlation and reconstruction of wounds, wound patterns, and sequences; and  Performance of comprehensive medicolegal death investigations
    10. 10. FORENSIC PATHOLOGY Forensic pathology applies techniques of pathology to the needs and protection of public health, public safety, quality assurance, education in medicine, research, jurisprudence, and the administration of justice Its highest goal is the development of strategies to prevent injury, disease, and death
    11. 11. BACKGROUND  The practice of all professionals must be regulated by law so as to ensure a. Protection of practitioners from quacks b. Protection of public from qualified practitioners  Hammurabi Code, Hippocratic Oath   In early days the offices of the physician and priest resided in a single individual Of the 3 learned professions (physician, lawyer and priest), Medicine is the only noble profession
    12. 12. MEDICAL AND DENTAL PRACTITIONER’S ACT General Council for Medical Education (1858) Medical and Dental Practitioner’s Act of 1963 Revised in 1990 and 2004 Standards of knowledge and skill Maintenance of register of practitioners Preparation of code of conduct Supervising the practice of alternative medicine Regulations of operation of clinical laboratory practice Performance of other functions conferred on
    13. 13. MEMBERSHIP OF COUNCIL Seventy-one statutory members Chairman (Registrar) of Council, appointed by President 2 representatives of the Federal Ministry of Health (FMOH) Chief Medical Officer of each State MOH 11 representatives of the Nigerian Medical Association (NMA) 1 representative of the National Postgraduate Medical College The Director-General of the Armed Forces Medical Corps 3 representatives of the recognized medical schools in Nigeria 2 representatives of the medical and dental professions appointed by the Minister of Health 11 members (9 NMA, 2 NDA) 1 representative alternate medical practitioner 2 pathologists
    14. 14. STATUTORY ROLES OF COUNCIL    Medical education Medical registration Professional discipline
    15. 15. MEDICAL EDUCATION    Regulation of undergraduate medical education Preregistration year of medical training (housemanship) Regulation of the practice of expatriates or other foreign medical graduates
    16. 16. MEDICAL REGISTRATION Ignorance is no excuse in law  Provisional registration  Full registration  Limited (temporary) registration  Registration of postgraduate medical and dental qualifications
    17. 17. PROFESSIONAL DISCIPLINE  MEDICAL AND DENTAL PRACTITIONERS’ INVESTIGATING PANEL Panel includes 15 members of Council of which at least 3 should be dental surgeons  MEDICAL/DENTAL PRACTITIONERS’ DISCIPLINARY TRIBUNAL Tribunal members includes President (Registrar) of Council and 10 other members of Council (including 4 members of the NMA in Council, 2 dental surgeons and 4 others) Advised by Senior Advocate of Nigeria
    18. 18. “INFAMOUS CONDUCT IN A PROFESSIONAL RESPECT” • • • • • Illegal abortion Adultery Alcoholism Drug addiction Inappropriate association • Undue selfadvertisement • False certification • Breach of professional secrecy • Falsification of expenses • Medical negligence
    19. 19. MEDICAL NEGLIGENCE For a case of medical negligence to be proved legally, it must be established that  Doctor owed patient a duty of care  Breach in the duty  Patient suffered injury as a result
    20. 20. OUTCOMES OF TRIBUNAL HEARING A simple reprimand  Temporarily suspension from practicing for a period of not more than 6 months  Permanently deletion or striking off name from Medical Register either permanently, or for a prescribed period of not less than 2 years A doctor on suspension may re-apply after the period of suspension to get back on the register 