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Forensic Autopsy Experience and Core Entrustable Professional Activities: A Structured Introduction to Autopsy

Walter L Kemp1, Mark Koponen1, Mary Ann Sens1

  • 1Department of Pathology, University of North Dakota, School of Medicine and Health Science, Grand Forks, ND, USA.

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Summary

Medical students gain practical experience in forensic autopsy pathology through a structured observership. This program reinforces core professional activities and the vital role of pathology in medicine.

Keywords:
autopsyentrustable professional activitiesforensic pathologymedical educationpreclinical autopsy rotation

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Area of Science:

  • Medical Education
  • Forensic Pathology
  • Pathology Training

Background:

  • The Department of Pathology at the University of North Dakota School of Medicine offers a structured autopsy experience for second-year medical students.
  • This optional observership aims to reinforce forensic autopsy pathology and its connection to clinical practice.

Purpose of the Study:

  • To evaluate the effectiveness of an optional, structured autopsy observership for preclinical medical students.
  • To demonstrate how this experience integrates the American Association of Medical Colleges (AAMC) Core Entrustable Professional Activities (CEPAs) into pathology training.

Main Methods:

  • Second-year medical students participated in an optional, noncredit autopsy observership.
  • Students engaged in comprehensive autopsy reviews, including scene investigation, performance, slide review, and toxicology.
  • Structured presentations were used to summarize cases, formulate diagnoses, and discuss quality management.

Main Results:

  • The experience successfully introduced students to autopsy pathology and reinforced its role in medicine.
  • At least six AAMC CEPAs were addressed in each student's autopsy review.
  • One student's case resulted in a national meeting presentation and publication.

Conclusions:

  • The structured autopsy observership provides a positive and foundational learning experience for medical students.
  • The program effectively illustrates AAMC CEPAs within the context of preclinical pathology education.
  • This observership reinforces the critical role of pathology in the broader medical field.