Pathology & Laboratory Medicine
TITLE:
FORENSIC PATHOLOGY -ICE
Students actively participate in all aspects of postmortem forensic autopsy examinations and have the option to experience additional elements related to death investigation, including supervised visits to reported death scenes with one of the office investigators and attendance at any ongoing courtroom trial cases to observe testimony related to death investigations performed by the Hamilton County Coroner’s Office. Tours of the office’s toxicology and evidence labs, the forensic DNA lab, and the ballistics section (including the firing range) may also be available upon special request and approval. Clinical rounds occur every weekday morning and dedicated teaching sessions occur weekly. Students are expected to review available literature relevant to each day’s cases and are encouraged to read about any additional topics of interest.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26980373 (SURGERY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)
None
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GENERAL INFORMATION
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
STATUS:
Full-Time
OFFERED AS FULL-TIME AND PART-TIME:
NO
ALLOWS OVERLAP:
NO
COURSE LENGTH:
2 or 4 weeks
DIRECTOR:
Annie Laib
Anne.Laib@hamilton-co.org
513-946-8710
Hamilton County Coroner's Office, 348
ADMINISTRATIVE SUPPORT PERSON:
Lindsay Stover
stoverlr@ucmail.uc.edu
513-584-1323
LMB, 4067
SITE(S):
Hamilton Cnty Coroner Office
ROTATIONS:
Rotation |
Dates |
Max |
1 |
05/06/2024 - 05/31/2024 |
0 |
2 |
06/03/2024 - 06/28/2024 |
0 |
3 |
07/01/2024 - 07/26/2024 |
3 |
4 |
07/29/2024 - 08/23/2024 |
2 |
5 |
08/26/2024 - 09/20/2024 |
2 |
6 |
09/23/2024 - 10/18/2024 |
3 |
7 |
10/21/2024 - 11/15/2024 |
2 |
8 |
11/18/2024 - 12/13/2024 |
0 |
9 |
12/16/2024 - 01/10/2025 |
0 |
10 |
01/13/2025 - 01/24/2025 |
2 |
10 |
01/13/2025 - 02/07/2025 |
2 |
10 |
01/27/2025 - 02/07/2025 |
2 |
11 |
02/10/2025 - 02/21/2025 |
3 |
11 |
02/10/2025 - 03/07/2025 |
3 |
11 |
02/24/2025 - 03/07/2025 |
3 |
12 |
03/10/2025 - 04/04/2025 |
2 |
12 |
03/24/2025 - 04/04/2025 |
2 |
13 |
04/07/2025 - 05/02/2025 |
0 |
NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
7:45 am - 3:45 pm M- F
REPORT 1ST DAY:
Please arrive by 7:45 am, the address is 4477 Carver Woods Drive, Blue Ash, OH 45242 – It is a big glass building with "Hamilton County Coroner and Crime Laboratory" signs. Turn left into the driveway in front of the Coroner street sign, and park by the front door. Badges will be provided on the first day for access throughout the building. Please call the main office number with any questions or for access on the first day at 513-946-8700; or you can contact Dr. Laib at 513-946-8710 or Anne.Laib@hamilton-co.org with any questions. In case of emergencies only, you can reach Dr. Laib at 859-957-7191.
INSTRUCTION
LEARNING ACTIVITIES:
- Case-Based Instruction/Learning
- Conference
- Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
- Discussion-Small Group (Small Group (=12)
- Independent Learning (Instructor-guided learning activities to be performed by the learner outside of formal educational settings.)
- Laboratory
- Lecture
- Mentorship
- Patient Presentation--Faculty
- Reflection
- Research
- Self-Directed Learning (Learners take initiative for their own learning; diagnosing needs; formulating goals; identifying resources; implementing appropriate activities; and evaluating outcomes.)
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.
The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
TEACHING:
100% |
Faculty/Staff of Hamilton County Coroner's Office |
ASSESSMENT:
Grading will be based on the following:
- Portfolio-based Assessment: Completion and submission of Case Record Forms for all autopsies the student attended and assisted with, and evaluation of these forms showing progressing autopsy knowledage throught-out the rotation
- Multisource Assessment: Subjective review of the student's performance throughout the rotation will be elicited from multiple sources (attending forensic pathologists, autopsy technicians, morgue staff, death scene investigators, and crime laboratory staff) and will be based on their demonstrated skills, professionalism/attitude, attendance/punctuality, their level of participation in the postmortem examinations and teaching sessions, and their understanding and preparedness during case presentations.
- Participation: Students are required to actively participate in the autopsy examinations, case review sessions, scheduled lecture presentations, and dedicated crime laboratory tours. They are also expected to attend at least one death scene investigation during the course of their rotation.
- Stimulated Recall: Students will be prompted during autopsy examinations and case discussion sessions to recall and describe various topics they have been taught throughout their rotation.
ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Multisource Assessment (a formal assessment of performance by supervisors, peers, patients, and coworkers)
Participation
Portfolio-Based Assessment
Stimulated Recall
FINAL GRADE:
GRADE ASSIGNED BY:
Course director
OBJECTIVES
Curricular Resources :
Several forensic pathology textbooks will be available in the student/resident office for review during the rotation, and an extensive library of additional specialized textbooks in forensic science and autopsy practices are maintained on premises (too numerous to
list). Suggested list of additional forensic
textbooks can be provided upon request. Journal articles as deemed relevant and
appropriate by attending staff will also be provided to the student.
Instructional Methods:
Learning activities/Instructional Methods:
- Case-Based Instruction/Learning
- Conference
- Demonstration
- Discussion-Small Group (Small Group (=12)
- Independent Learning
- Laboratory
- Lecture
- Mentorship
- Patient Presentation--Faculty
- Reflection
- Research
Assessment Methods:
- Clinical Documentation Review
- Participation
Knowledge/Skills:
The student will attempt to attain familiarity with the
following areas through case work, reading literature and online sources:
A.
Ohio Coroner Statutes and various death
investigation systems used nationally
B.
Use of scene investigation
C.
Determination of post-mortem interval
D.
Identification techniques for unidentified
bodies (dental, DNA, etc.)
E.
Patterned injury interpretation
F.
Investigation of sudden and unexpected deaths,
including infants
G. Evaluation of violent deaths (gun, fire,
drowning, trauma, poisoning)
H.
Death certification using proper nomenclature
(manner, cause, etc.)
I.
Autopsy procedure, special techniques, and
ancillary studies
Main Course Topics :
- Autopsy
-
Patterned injury
-
Post-mortem interval
-
Body identification
-
Sudden unexplained infant death (SUID)/Sudden Infant Death Syndrome (SIDS)
-
Certification of Death (cause and manner of death)
-
Coroner/Medical Examiner
Procedures:
- Assist in the performance of autopsies including active participation ("hands-on") in postmortem organ dissection and evidence/specimen collection.
- Participate in case completion (review history and lab results).Accompany death investigators to at least one scene.
- Attend/observe courtroom testimony, if the opportunity arises.
- Tours of various crime laboratory sections (drug analysis, forensic DNA, trace evidence, firearms analysis, and postmortem toxicology) will be offered to all 4-week rotation students if possible and will be scheduled upon request.
Remediation Plan:
For any unscheduled/unapproved absences, students will either be assigned to give an oral presentation or will be asked to make up the missed time by attending and participating in autopsy cases on a designated Saturday.
Students who are tardy more than twice during their rotation will be asked to give an oral presentation. Additional tardiness or absences will be handled on an individual basis and may result in failure of the rotation.
SAMPLE WEEK
Monday:
8:00AM |
8:30AM |
7:50AM Morning Report |
8:30AM |
1:00PM |
Autopsy Examinations |
1:00PM |
1:30PM |
Lunch |
1:30PM |
3:00PM |
Case Review/Lectures/Tours/Continued Autopsies |
3:00PM |
4:00PM |
Independent Study |
Tuesday:
8:00AM |
8:30AM |
7:50AM Morning Report |
8:30AM |
1:00PM |
Autopsy Examinations |
1:00PM |
1:30PM |
Lunch |
1:30PM |
3:00PM |
Case Review/Lectures/Tours/Continued Autopsies |
3:00PM |
4:00PM |
Independent Study |
Wednesday:
8:00AM |
8:30AM |
7:50AM Morning Report |
8:30AM |
1:00PM |
Autopsy Examinations |
1:00PM |
1:30PM |
Lunch |
1:30PM |
3:00PM |
Case Review/Lectures/Tours/Continued Autopsies |
3:00PM |
4:00PM |
Independent Study |
Thursday:
8:00AM |
8:30AM |
7:50AM Morning Report |
8:30AM |
1:00PM |
Autopsy Examinations |
1:00PM |
1:30PM |
Lunch |
1:30PM |
3:00PM |
Case Review/Lectures/Tours/Continued Autopsies |
3:00PM |
4:00PM |
Independent Study |
Friday:
8:00AM |
8:30AM |
7:50AM Morning Report |
8:30AM |
1:00PM |
Autopsy Examinations |
1:00PM |
1:30PM |
Lunch |
1:30PM |
3:00PM |
Case Review/Lectures/Tours/Continued Autopsies |
3:00PM |
4:00PM |
Independent Study |
SCHEDULE NOTE:
The schedule is somewhat flexible and as opportunities arise (scene investigation, etc.) the student may be involved in these activities when deemed appropriate by faculty and staff. Additionally, depending on the student's goals, alterations in the schedule may occur. The intent is to best utilize the resources available to the Hamilton County Coroner's Office to provide the most beneficial educational experience to suit each individual student.
ATTENDANCE AND ABSENCE POLICY
Session Attendance for M4 Students
- Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
- Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
- AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
- Excused Absences - The following will be considered excused absences:
- Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
- Personal illness, accident or a major catastrophic event
- Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
- Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
- The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
- The following items are explained in detail in the Medical Student Handbook:
- Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work
See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.