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I will certainly do that next year or the year after if I am able. I am just hoping to get some perspectives from others. Thanks!
Thanks for replying! May I ask, what would you say your percentage of decomps are versus "fresh" specimens?
Another vote for getting exposure. I'm a first year path resident and was fairly sure (but not 100%) that I was going to be going into forensics, but I too wondered about the decomp thing. I did my ME rotation and saw as many decomps as I could to see if I could handle it. It was pretty smelly, but it didn't affect me too much, so now I'm set on FP.
I too am very interested in path and fp. During college i was lucky enough to earn beer money by working as an autopsy tech at our coroner/crime lab 2-3 days a week. I actually had a strong vasovagal to the first autopsy (not even a decomp) but I sat down and forced myself to get through the next one. After 3 years they never let me live that down! Decomps weren't too awful, I hated the burns, too messy and disturbing that my stomach growled. Sorry to hijack, but is the market for fp much better than other areas? I think it is my # one choice, but I have enjoyed pm&r alot as well, if market is pretty open for fp, I think I would trade the extra 70k to get back to the aitopsy suite. Any guidence from those ahead of me?
I guess by "open" I mean could find a job out of fellowship without applying to 20 positions. I dont have any geographic preferences, and actually like the midwest. I know of the 3 fellows I worked with, one was hired in house, one went to a different city in-state, and the one I knew best always said the market was tough. However it was his 3rd fellowship and he ended up outside of fp, so maybe he never really wanted fp.
Thank you all so much for your input. I managed to get the FP in my town to agree to let me shadow him, although only on non-forensics cases. Hopefully I will be able to see an autopsy and some of what the job entails. I'm very excited! From what I can gather, it seems like everyone thinks decomps are gross but it's just part of the job and you put your head down and do it. I think I could handle that. Mentally, at least... my gag reflex may object but we'll see!
Apparently the medical school and hospital no longer do any type of autopsy, they contract out the FP here. It's a pretty small city so I guess that means the FP does all autopsies, which include non-forensics? Im not sure on the details but I assumed that's what they meant when the coordinator told me.
Unrelated but still forensics-oriented question that I realized I didn't know the answer to: how are true forensic autopsies (as opposed to privately-contracted autopsies) paid for? Is there any sort of medical insurance reimbursement scheme or is it all from the state/county/city budget?
Just got back from shadowing... turns out I did get to see some forensics, one was a male who committed suicide, GSW to head. It only happened 2 days ago but apparently he did it outside (90F lately) and oh man. That smell.
I don't know if I could ever get used to that. I can still smell it in my nostrils.
The first one, though, didn't smell much at all and it was very interesting. Geeeeez though that smell! And I don't even think it was that bad because no one else seemed phased. I think they were getting a kick out of watching me. They said the last student that came in passed out and knocked his head and had to be sent to the ER. They kept telling me to sit if I wanted - I think they were betting among themselves how long I would last.
I didn't pass out and didn't feel close to passing out, it was just that smell that made it hard to breathe. I tried to just take it so my nose would get overwhelmed and stop smelling it, but that never seemed to happen and I had to breathe through my mouth. EEeuuuch.
Not to be pedantic or "tough" but if forensics is a SERIOUS career potential choice for you you must forget the "bystander" mask and mint.I wish they had offered that - I would have gladly accepted!
I also felt myself wondering what the point of an autopsy of the whole abdomen was for GSW to the head - it felt a little unnecessary
I always wondered about this as well. Does examination of the organs serve a function in this case?
However if it's a homicide, it's a totally different issue. Someone may get charged with a crime, and you have to be able to answer any questions a defense attorney may ask. To do a partial autopsy on a homicide is gross FP negligence. Attorney could ask, "how do you know the decedent didn't die of a rupture aortic aneurysm instead of the GSW to the head that passed through the frontal lobes without hitting deep cerebral nuclei or the brainstem?" You can come up with other what-ifs, but this issue is non-negotiable. If a case is even the slightest chance of being a homicide, it warrants a full autopsy in every office in the US, unless there are some really unusual circumstances.
So if I were shot in the head, but on autopsy I also had a ruptured aortic aneurysm, the guy who shot me would get off? That doesn't seem right. Maybe being shot in the head spiked my bp and led to the rupture. Is this example based on a real case?
"Other" autopsy findings also go towards pain & suffering, and related issues that come up in the sentencing phase -- which can make a difference in someone getting 25 yrs, life without parole, or death. That's not to say that some lay coroners out there don't just go "yep, some holes there, gonna be a homicide, you can cremate 'em now." I don't know anyone who would seriously consider not doing an autopsy on an apparent homicide or other truly "suspicious" death (of course, what is suspicious to one person isn't always to another). Well, except Obama. But I certainly know offices that don't autopsy every apparent suicide that comes through (mainly GSW or hangings), or only do a focused dissection of a GSW tract and collect the projectile -- those *tend* to be relatively overworked/underfunded/understaffed offices with hundreds of homicides to deal with annually, but still. Some states/local laws "require" an autopsy on apparent suicides, because of the fear they may be concealed homicides. I've both seen and heard of a number of those (I can't think of anyone in practice more than a few years who claims they haven't, either), and although most are fairly obvious or raise significant suspicions on a good external examination it's generally best practice to do them as an autopsy up front.
Are a lot of D.O's in this field? I got my major in Forensic Chemistry and I have always been fascinated with Forensics
What is this in reference to?
Just got back from shadowing... turns out I did get to see some forensics, one was a male who committed suicide, GSW to head. It only happened 2 days ago but apparently he did it outside (90F lately) and oh man. That smell.
I don't know if I could ever get used to that. I can still smell it in my nostrils.
The first one, though, didn't smell much at all and it was very interesting. Geeeeez though that smell! And I don't even think it was that bad because no one else seemed phased. I think they were getting a kick out of watching me. They said the last student that came in passed out and knocked his head and had to be sent to the ER. They kept telling me to sit if I wanted - I think they were betting among themselves how long I would last.
I didn't pass out and didn't feel close to passing out, it was just that smell that made it hard to breathe. I tried to just take it so my nose would get overwhelmed and stop smelling it, but that never seemed to happen and I had to breathe through my mouth. EEeuuuch.
Are a lot of D.O's in this field? I got my major in Forensic Chemistry and I have always been fascinated with Forensics