Kodikara Sarathchandra
Department of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Sri Lanka.
Leg Med (Tokyo). 2012 Jul;14(4):167-71. doi: 10.1016/j.legalmed.2012.02.003. Epub 2012 Apr 12.
Clinical forensic medicine is a sub-specialty of forensic medicine and is intimately associated with the justice system of a country. Practice of clinical forensic medicine is evolving, but deviates from one jurisdiction to another. Most English-speaking countries practice clinical forensic medicine and forensic pathology separately while most non-English-speaking countries practice forensic medicine which includes clinical forensic medicine and forensic pathology. Unlike the practice of forensic pathology, several countries have informal arrangements to deal with forensic patients and there are no international standards of practice or training in this discipline. Besides, this is rarely a topic of discussion. In the adversarial justice system in Sri Lanka, the designated Government Medical Officers practice both clinical forensic medicine and forensic pathology. Practice of clinical forensic medicine, and its teaching and training in Sri Lanka depicts unique features. However, this system has not undergone a significant revision for many decades. In this communication, the existing legal framework, current procedure of practice, examination for drunkenness, investigations, structure of referrals, reports, subsequent legal procedures, undergraduate, in-service, and postgraduate training are discussed with suggestions for reforms.
临床法医学是法医学的一个子专业，与一个国家的司法系统密切相关。临床法医学的实践在不断发展，但因司法管辖区不同而存在差异。大多数英语国家将临床法医学和法医病理学分开实践，而大多数非英语国家则实践涵盖临床法医学和法医病理学的法医学。与法医病理学实践不同，几个国家有处理法医患者的非正式安排，并且该学科没有国际实践或培训标准。此外，这很少成为讨论的话题。在斯里兰卡的对抗性司法系统中，指定的政府医务人员同时从事临床法医学和法医病理学工作。斯里兰卡临床法医学的实践及其教学与培训具有独特的特点。然而，这一体系几十年来并未经历重大修订。在本交流中，将讨论现有的法律框架、当前的实践程序、醉酒检查、调查、转诊结构、报告、后续法律程序、本科、在职和研究生培训，并提出改革建议。
