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Hospital Autopsy Decline

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Decline of the Hospital Autopsy

The hospital autopsy is a thorough post mortem medical examination of a patient, usually done by or supervised by a Pathologist, with the aim to find any disease processes present, and therefore determine the cause of death. Unlike the forensic autopsy, it requires the consent of the deceased patient’s family, and is requested by clinicians for a variety of reasons. It is widely acknowledged as an important cornerstone in the practice of modern medicine, long providing an invaluable learning opportunity to students as well as practitioners of medicine, and continues to be an important quality and safety assurance tool in the daily work of a teaching hospital.
The progressive decline of the hospital autopsy has been a source of concern worldwide, with even The Royal College of Pathologists of Australasia (RCPA) Autopsy Working Party publishing a comprehensive review of the practice of the hospital autopsy in Australia and New Zealand …show more content…
It is widely understood that the manner in which the clinician asks for consent from the family greatly determines the likelihood of a positive response. Ideally, the RCPA has recommended that a senior medical officer be the person to communicate the request and seek consent from the family. However, busy public hospital systems mean that in a day to day basis, it is more likely that junior doctors of the treating team are left to this task. The problem with this is that surveys have shown that junior doctors themselves have inadequate exposure to and experience in observing and understanding the autopsy process, due to it not being a primary focus of medical school curriculum in recent years. This is coupled with junior doctors reporting feelings of being insufficiently trained by senior members to carry out this task. In the end, this may lead to ineffective consent discussions and an inability to address all concerns of the grieving

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