NMC’s expert panel recommends an LGBTQIA+-friendly MBBS program. Find the list of changes here – Edexlive

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The National Medical Commission (NMC), after consulting an expert panel, has now recommended changes to the competency-based medical education curriculum, to address issues related to the LGBTQIA+ community.

In a letter published on August 18, the NMC said: “Pursuant to the order dated August 31, 2021, passed by the Honorable High Court, Madras in WP (c) No. 7284 of 2021 titled Mrs. S. Sushma & Anr. vs. The Commissioner of Police & Ors., an expert panel has been formed by the Council on Undergraduate Medical Education to address issues related to the LGBTQIA+ community.

The expert committee, after detailed discussions and deliberations, recommended changes to the competency-based medical education program, the letter states. The committee recommended changes to the competencies in forensic pathology and psychiatry.

The list of changes is below:

Competence in forensic medicine

Existing skill

Skill Changed

FM3.16 Describe and discuss adultery and unnatural sexual offenses – buggery, incest, lesbianism, oral sex, bestiality, indecent assault and report preparation, opinion framing and preservation and sending evidence traces in such cases.

FM 3.16: Describe and discuss informed consent in sexual relationships.

Describe and discuss the histories of identities and rights based on gender and sexuality (sexual orientation) in India.

Describe the history of the decriminalization of “adultery” and consensual adult homosexual sexual behavior.

Describe sexual offenses with their forensic significance —

– forced/non-consensual penetrative anal sex

– forced/non-consensual oral sex sexual acts with animals/bestiality/zoophilia

– forced/non-consensual insertion of fingers or objects

– forced/non-consensual touching, groping or undressing (“indecent assault”).

FM3.13: Describe the different types of sexual offences. Describe the different sections of the ICC relating to rape, including the definition of rape (ICC section 375), the punishment for rape (ICC section 376) and recent changes notified to date

FM3.13: Describe the different sections of the IPC and CrPC relating to the definition of rape and sexual assault, medical examination of rape victim and rape accused, briefing of police by doctors and medical care with recent changes notified to date (i.e. Section 375 IPC, 166 B IPC, 357 C & 164 A, 53 A of CrPC).

Describe the relevant provisions of the POCSO Act relating to medical examination, emergency medical care and police information.

FM3.17: Describe and discuss sexual perversions fetishism, cross-dressing, voyeurism, sadism, necrophagy, masochism, exhibitionism, frotteurism, necrophilia.

FM3.17. Describe the difference between paraphilia and paraphilic disorder. Describe the paraphilic disorder according to the latest DSM and ICD guidelines and describe the medico-legal implications of the paraphilic disorder with reference to scientific literature and legal rationale (if applicable).

Describe and discuss the various paraphilias in the context of informed consent in any sexual interaction.

FM3.18 Describe the anatomy of male and female genitalia, hymen and its types. Discuss the forensic importance of the hymen.

Define virginity, defloration, legitimacy and its forensic significance.

FM3.18 Describe legitimacy and its forensic significance.

Describe and discuss how “signs” of virginity (known as “virginity testing,” including finger testing of female genitalia) are unscientific, inhuman, and discriminatory.

Describe and discuss how to evaluate the courts on the non-scientific basis of these tests, if the court so orders.

FM14.14: Investigate and prepare a report on an alleged rape/unnatural sexual offense accused in a simulated/supervised environment

FM14.14: Investigate and prepare a report on an alleged accused in cases of various sexual offenses in a simulated/supervised environment.

Demonstrate an understanding of forming opinion, preserving and sending trace evidence in such cases.

Describe and discuss personal opinions and their impact on these reviews and the need for objectivity/neutrality to prevent bias from influencing the case.

FM14.15 Examine and prepare the forensic report of a victim of a sexual offence/unnatural sexual offense in a simulated/supervised environment.

FM 2:15 p.m. Examine and prepare a forensic report on an alleged victim of various sexual offenses in a simulated/supervised environment. (Forensic Care Guidelines and Protocols for Survivors of Sexual Abuse. Ministry of Health and Family Welfare, Government of India – with latest amendments as applicable).

Demonstrate an understanding of forming opinion and preserving and sending trace evidence in such cases.

Describe and discuss sympathetic/empathetic examination and interview of victims of sexual assault, including the presence of a trusted adult in cases of minor victims.

Competence in psychiatry

Existing skill Skill Changed

Subject Name: Psychosexual and Gender Identity Disorders (Vol II Page 210)

Subject Name: Human Sexuality;

Gender incongruence or gender dysphoria;

Gender nonconformity;

Differences in Sex Development (DSD) or Intersex;

Paraphilia and paraphilic disorders;

Sexual dysfunctions.

PS 13.1: List and describe the extent and etiology of psychosexual and gender identity disorders.

PS13.2 List, obtain, describe and document clinical features in patients with the extent and etiology of psychosexual and gender identity disorders.

PSI 3.3 List and describe indications for and interpret laboratory and other tests used in psychosexual and gender identity disorders

SP 13.4 Describe the treatment of psychosexual and gender identity disorders, including behavioral, psychosocial and pharmacological therapy.

PS13.5 Demonstrate family education in a patient with psychosexual and gender identity disorders in a simulated environment.

PS 13.1: List and describe the extent and etiology of psychosexual and gender identity disorders.

PS13.2 List, obtain, describe and document clinical features in patients with the extent and etiology of psychosexual and gender identity disorders.

PSI 3.3 List and describe indications for and interpret laboratory and other tests used in psychosexual and gender identity disorders

SP 13.4 Describe the treatment of psychosexual and gender identity disorders, including behavioral, psychosocial and pharmacological therapy.

PS13.5 Demonstrate family education in a patient with psychosexual and gender identity disorders in a simulated environment.

PS13.1: Demonstrate an understanding of the difference between sex and gender/biological and social construction of the person;

Demonstrate an understanding of gender identity;

Demonstrate an understanding of transgender, gender nonconformity, and other diverse gender identities.

Demonstrate an understanding of gender identity/sexuality, sexual orientation, sexual desire;

Demonstrate an understanding of the wide variety of sexual orientations and desires;

Describe and demonstrate an understanding of differences in sexual development in individuals who do not fit the male or female biological binary;

Demonstrate an understanding of common myths and misconceptions about LGBTQIA+ identities such as Hijra, Intersex;

Demonstrate an attitude of openness and respect for all genders and sexualities;

Demonstrate an understanding of common psychosocial stressors faced by members of LGBTQIA+ communities in India;

Demonstrate knowledge of the basic principles of LGBTQIA+ affirmative counseling.

Demonstrate knowledge and ability to educate family members that unnecessary medical interventions on individuals with intersex variations are unethical.

PS13.9: Describe the difference between paraphilia and paraphilic disorder.

Describe different paraphilias.

Describe and discuss the importance of informed consent in any sexual interaction.

Describe and discuss the impact of personal opinions on working with people who express paraphilias.

PS13.10: Describe the prevalence and etiology of paraphilic disorders.

PS13.11: List the diagnostic criteria (diagnostic criteria) of paraphilic disorders according to the latest psychiatric classification.

PS13.12: Demonstrate in the simulated environment the ability to educate the individual/family members that the paraphilia itself is not a disease and may not require clinical intervention.

PS13.13: List the reasons for referrals to specialists for each case.

PS13.14: Describe the stages and differences of the human sexual cycle.

PS13.15: List the diagnostic criteria for various sexual dysfunctions corresponding to the stages of the human sexual cycle.

PS13.16: Describe management (up to MBBS graduate field level) and reasons for specialist referral for sexual dysfunction.

The move comes after the NMC’s decision in May that removed the term ‘unnatural’ from the classification of sexual activities, such as oral coitus, lesbianism from the ‘Forensics and Toxicology’ subject of the MBBS course, as noted in a report. from PTI.

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