Abstract

Background: Following upon two-year internship, community-service doctors make mistakes when they deal with evidence of medico-legal examinations in various settings. These mistakes result in alleged perpetrators being released by courts. This study investigated undergraduate clinical forensic medicine training, based on experiences and opinions of community-service doctors. This article focuses on incidents of alleged rape cases only. 
 
 Methods: The study was a quantitative retrospective cohort study that made use of a questionnaire with an adapted Likert scale. An electronic survey tool was employed to target 150 community-service doctors throughout South Africa. Percentages are used to display results.
 
 Results: A response rate of 59.3% was achieved. Although 80% of the participants reported that they had undergraduate training on how to manage alleged rape or sexual assault cases, only 11.4% of the participants had hands-on exposure to an alleged rape case during their undergraduate training. In addition, the majority of the participants (77.1%) never had undergraduate training on how to complete the J88 form. These findings indicate that clinical forensic training in the undergraduate medical programme does not adequately prepare community-service doctors to meet the challenges of clinical forensic practice. The current curriculum should be adapted to address these shortcomings.
 
 Conclusions: Perpetrators cannot be convicted if evidence collected cannot stand up in court. Proper training of undergraduate medical students prior to their community-service posting will ensure that medico-legal documentation is completed correctly, leading to the presentation of credible evidence in a court of law in order to ensure successful conviction of alleged perpetrators.
 
 Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp)
 
 S Afr Fam Pract 2018; DOI: 10.1080/20786190.2017.1348046

Highlights

  • Sexual assault and rape are violent crimes and among the most demoralising of personal traumas, often leaving victims physically assaulted, emotionally traumatised or even dead.[1]

  • In a study aimed at investigating the barriers to effective use of medico-legal findings in cases of sexual assault, Du Mont and White reported that a lack of competence among law enforcement, forensic scientists, legal and medical professionals who deal with sexual assault and rape cases often negatively impacts on the integrity of medico-legal findings.[9]

  • This study found that most community-service doctors who participated in the study took detailed histories of the alleged rapes or sexual assaults, as well as gynaecological and sexual histories of patients

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Summary

Introduction

Sexual assault and rape are violent crimes and among the most demoralising of personal traumas, often leaving victims physically assaulted, emotionally traumatised or even dead.[1]. Following upon two-year internship, community-service doctors make mistakes when they deal with evidence of medico-legal examinations in various settings. These mistakes result in alleged perpetrators being released by courts. The majority of the participants (77.1%) never had undergraduate training on how to complete the J88 form These findings indicate that clinical forensic training in the undergraduate medical programme does not adequately prepare community-service doctors to meet the challenges of clinical forensic practice. Proper training of undergraduate medical students prior to their community-service posting will ensure that medico-legal documentation is completed correctly, leading to the presentation of credible evidence in a court of law in order to ensure successful conviction of alleged perpetrators

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