Office of the Medical Investigator Presented to Courts, Corrections - PowerPoint PPT Presentation

New Mexico Office of the Medical Investigator Presented to Courts, Corrections & Justice Committee Ian Paul, MD, Associate Medical Investigator Associate Professor, Department of Pathology UNM School of Medicine July 27, 2012

History – Moved from County Coroner “Justice of Peace” system in 1973 – New system provided for statewide medical examiner system based at the UNM School of Medicine to assure quality service

Importance of Quality Death Investigation System – Determine correct cause and manner of death in reasonable amount of time • Families need information – Support prosecution of crimes • District attorneys rely on OMI testimony – Discover emerging trends in causes of death to facilitate and support prevention measures • Hantavirus • Prescription drug overdoses

Benefits of basing OMI physicians at UNM • Attracts high quality forensic pathologists • Guarantees enhanced clinical and technical consultations • Training program produces well-trained new forensic pathologists • Research can focus on public health issues in New Mexico • Provides access to UNM infrastructure and support • Educational mission is funded by UNM School of Medicine

• Implications of basing OMI physicians at UNM – Multiple missions of • Service • Education • Research

Service Requirements Required by Statute and Rules • Complete medico legal death investigation – Receive notice of and respond to scenes of reportable deaths – Take custody of body, maintain chain of custody – Conduct investigation into cause and manner of death – Obtain toxicology samples and arrange for necessary testing – Certify cause and manner of death – Cooperate with authorized agencies having involvement with death investigation (District Attorneys, Law Enforcement, FBI, Department of Health)

Educational Requirements – Faculty of School of Medicine, Department of Pathology – Teaching blocks to undergraduate medical students – Pathology residency program co-directors – Required UNM SOM Pathology residency training – Forensic pathology fellowship program (4 per year)

Research – National Violent Death Reporting System (CDC) – Sudden Unexplained Infant Death System (CDC) – Med-X project (CDC) – Victims of Crimes Act (VOCA) grant – Utility of Post-mortem CT grant (NIJ)

Other State and Federal Collaborations Using OMI Data – Child Fatality Review – Department of Transportation traffic fatality data – Death certificate data to Bureau of Vital Statistics – Multiple Agency Collaborations

STATISTICS CY 2011 • 15,982 total deaths in New Mexico* • 5,341 deaths investigated • 2,081 autopsies performed • 2,111 toxicology requests • 227 autopsies performed for tribal, federal and private entities • 77 UNMH and VA autopsies performed • 153 forensic dental identification exams • 6 human and animal bite mark evaluations • 45 forensic anthropology cases * BVS records for 2011

Accreditation NATIONAL ASSOCIATION OF MEDICAL EXAMINERS (NAME) COLLEGE OF AMERICAN PATHOLOGISTS (CAP)

OMI Financing • Sources of funds – State appropriations account for approximately 61% of budget – Department of Pathology assumes faculty teaching expenses of approximately 6% of budget – Contracts, fees and grants account for remaining

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Office of the Medical Investigator Presented to Courts, Corrections - PowerPoint PPT Presentation

New Mexico Office of the Medical Investigator Presented to Courts, Corrections & Justice Committee Ian Paul, MD, Associate Medical Investigator Associate Professor, Department of Pathology UNM School of Medicine July 27, 2012 History

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