Documentation of injuries in hospital records-A study

Examination and documentation of injuries is one of the most important and fundamental medicolegal work done by any doctor e.g. CMO, RMO, resident or even the consultant. Injury report is one of the most important document for police to frame charges against the accused. It is the obligatory duty of a doctor to issue an injury report in the correct proforma with proper nomenclature and description of the injury. Therefore, a study was conducted in a tertiary care hospital like ours with regard to documentation of injuries by resident doctors and other medical staff. The study revealed that there are still some lacunae in documenting injuries. It is the job of Forensic Expert to train the budding doctors. So, based on the study it is suggested that teaching of Forensic Medicine should be further strengthened at the undergraduate level and Internship posting should be made compulsory in Forensic Medicine department.