The most effective situation is generally where a forensic pathologist and a coroner work hand in hand to cover the same jurisdiction with the forensic pathologist taking care of the medical side and the coroner taking care of the paperwork.
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Medical Examiner systems, by contrast, usually do not include a Coroner. Medical Examiners are generally not elected, but appointed to their positions, and are always physicians, usually forensic pathologists, who have specialized training in death investigation. Medical Examiners can manage a medicolegal death investigation office, perform death investigations, complete autopsies, interpret toxicology and other laboratory testing results, collect and document evidence, and provide expert testimony.
The Medical Examiner system therefore is considered by many to be a modern, streamlined approach to death investigation, and the likely future trend of death investigation in the U. Over half of the U. Washoe County converted its Coroner system to a Medical Examiner system in , by county ordinance. Nevada Revised Statutes require that each county have a Coroner, but leave the details of the death investigation system to the counties to determine.
The professions however are different and require unique educational training and work responsibility. For example, we are aware that in cases of unexpected and violent deaths, an examination of the cause of death becomes necessary.
Medical examiners carry out this process and pick samples to be sent for further investigation. Also, every state has different laws. In some states, the medical examiner is a licensed forensic pathologist while in other states they are physicians with other duties. In a few states, they are not required to be a physician. Similarly, in case you ever wondered who examines body fluid and tissue samples collected from the deceased, then the answer is a pathologist. These medical professionals work in laboratories and examine every sample to uncover the cause of sudden death through an appropriate procedure.
They are also the ones who perform autopsies. Hence, the two medical fields while connected and often overlapping are vastly different. If you are keen to become a forensic pathologist you will need additional training and certifications.
You must complete a residency in pathology, followed by a fellowship in forensic pathology. Read on to find out more about the professions.
A medical examiner is most often a physician who investigates and examines a person who has died a sudden, unexpected and violent death. They also determine the cause of the death and how it happened. While carrying out this role, you will be required to use your medical expertise while undertaking a physical examination of the deceased and also assess their medical history.
While the physician medical examiner is not required to have a speciality in pathology, the law varies on a state by state basis. For example, according to the California law, a "medical examiner shall be a licensed physician and surgeon duly qualified as a specialist in pathology".
Medical examiners are also required to work with law enforcement and public health officials and their duties include reporting data for other medical conditions that may affect public health.
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