Longitudinal Assessment of Competency Development in Post-Mortem Examination Training for Medical Students

Authors

DOI:

https://doi.org/10.56294/mw2023105

Keywords:

Post-mortem examination, Medical Education, Skill progression, technical skills, diagnostic accuracy, procedural knowledge

Abstract

Post-mortem examinations were vital in forensic science, helped to determine the cause of death and offered essential insights for medico-legal investigations. Proper training in autopsy procedures was crucial for medical students pursuing careers in forensic pathology. However, little was known about how competency in this area develops over time. Research aims to assess how medical students’ competency in performing post-mortem examinations evolves throughout their training and to identify factors that influence skill development. A total of 183 medical students participated, with their competency evaluated at various stages of training. During assessments, participants demonstrated their technical competence as well as diagnostic abilities and procedural expertise. IBM SPSS software version 29 has been utilized in the research. ANOVA, Chi-square tests and T-tests formed the basis for performance assessment, as these methods revealed periodic performance differences and competency reinforcement variables. Student skills significantly improved due to the training curriculum used during the educational journey. Students achieved notable advancement in the technical capabilities together with improvement in precise medical diagnosis. Education combined with repeated practice developed essential skills significantly as early training focused on distinct abilities compared to later stages of training. Post-mortem examination training programs helped students achieve marked progress in the competence development. Systematic assessment methods proved essential for forensic pathology education, as they helped medical students achieve professional-level skill development, according to the data results.

References

1. Willaume T, Farrugia A, Kieffer EM, Charton J, Geraut A, Berthelon L, Bierry G, Raul JS. The benefits and pitfalls of post-mortem computed tomography in forensic external examination: a retrospective study of 145 cases. Forensic Science International. 2018 May 1;286:70-80.https://doi.org/10.1016/j.forsciint.2018.02.030

2. Solarino B, Ferorelli D, Dell’Erba A. Post-mortem routine practice in the era of the COVID-19 pandemic. Journal of Forensic and Legal Medicine. 2020 Aug;74:102010.https://doi.org/10.1016/j.jflm.2020.102010

3. Schweitzer W, Ruder T, Baumeister R, Bolliger S, Thali M, Meixner E, Ampanozi G. Implications for forensic death investigations from first Swiss post-mortem CT in a case of non-hospital treatment with COVID-19. Forensic Imaging. 2020 Jun 1;21:200378.https://doi.org/10.1016/j.fri.2020.200378

4. Graziani G, Tal S, Adelman A, Kugel C, Bdolah-Abram T, Krispin A. Usefulness of unenhanced post mortem computed tomography–Findings in postmortem non-contrast computed tomography of the head, neck, and spine compared to traditional medicolegal autopsy. Journal of forensic and legal medicine. 2018 Apr 1;55:105-11.https://doi.org/10.1016/j.jflm.2018.02.022

5. Trokielewicz M, Czajka A, Maciejewicz P. Post-mortem iris recognition with deep-learning-based image segmentation. Image and Vision Computing. 2020 Feb 1;94:103866.https://doi.org/10.1016/j.imavis.2019.103866

6. Deloire L, Diallo I, Cadieu R, Auffret M, Alavi Z, Ognard J, Salem DB. Post-mortem X-ray computed tomography (PMCT) identification using ante-mortem CT scan of the sphenoid sinus. Journal of Neuroradiology. 2019 Jul 1;46(4):248-55.https://doi.org/10.1016/j.neurad.2018.08.003

7. Keten D, Okdemir E, Keten A. Precautions in postmortem examinations in Covid-19-Related deaths: Recommendations from Germany. Journal of Forensic and Legal Medicine. 2020 Jul 1;73:102000.https://doi.org/10.1016/j.jflm.2020.102000

8. Baier W, Mangham C, Warnett JM, Payne M, Painter M, Williams MA. Using histology to evaluate micro-CT findings of trauma in three post-mortem samples—first steps towards method validation. Forensic Science International. 2019 Apr 1;297:27-34.https://doi.org/10.1016/j.forsciint.2019.01.027

9. Almqvist V, Berg C, Hultgren J. Reliability of remote post-mortem veterinary meat inspections in pigs using augmented-reality live-stream video software. Food Control. 2021 Jul 1;125:107940.https://doi.org/10.1016/j.foodcont.2021.107940

10. Imaizumi K, Usui S, Taniguchi K, Ogawa Y, Nagata T, Kaga K, Hayakawa H, Shiotani S. Development of an age estimation method for bones based on machine learning using post-mortem computed tomography images of bones. Forensic Imaging. 2021 Sep 1;26:200477.https://doi.org/10.1016/j.fri.2021.200477

11. Tuchman L, Lesieur E, Bartoli C, Delteil C, Sarda-Quarello L, Torrents J, Sigaudy S, Piercecchi MD, Gorincour G. Diagnosis of congenital abnormalities with post-mortem ultrasound in perinatal death. Diagnostic and Interventional Imaging. 2018 Mar 1;99(3):143-9.https://doi.org/10.1016/j.diii.2017.11.005

12. Pointon A, Hamilton D, Kiermeier A. Assessment of the post-mortem inspection of beef, sheep, goats, and pigs in Australia: Approach and qualitative risk-based results. Food Control. 2018 Aug 1;90:222-32.https://doi.org/10.1016/j.foodcont.2018.02.037

13. Flössel U, Clas S, Willemer M, Sommer M, Poweleit G, Schulze R, Heide S, Erfurt C. Using simulation mannequins and actors in training for external post-mortem examinations-experiences from use in medical students and police officers. Journal of Forensic and Legal Medicine. 2021 Jan 1;77:102102.https://doi.org/10.1016/j.jflm.2020.102102

14. Heide S, Lessig R, Hachmann V, Stiller D, Rönsch M, Stoevesandt D, Biolik A, Watzke S, Kellner J. Establishment of two forensic medicine OSCE stations on the subject of external post-mortem examination. International journal of legal medicine. 2018 Jan;132:311-9.https://doi.org/10.1007/s00414-017-1630-6

15. Valentini J, Goetz K, Yen K, Szecsenyi J, Dettling A, Joos S, Steinhaeuser J, Flum E. Knowledge, competencies and attitudes regarding external post-mortem physical examination: a survey among German post-graduate trainees in general practice. European Journal of General Practice. 2018 Jan 1;24(1):26-31.https://doi.org/10.1080/13814788.2017.1389884

16. Rutty J, Biggs M, Dowsett D, Kitchener A, Coltman N, Rutty G. Post mortem computed tomography: An innovative tool for teaching anatomy within pre-registration nursing curricula. Nurse Education Today. 2019 May 1;76:154-64.https://doi.org/10.1016/j.nedt.2019.02.001

17. Bolcato V, Braga P, Bini G, Belli G, Quaiotti J, Tronconi LP, Osculati AM. Corpses against science death: new Italian law titled ‘Rules relating to the directives of one’s body and tissues post-mortem for study, training, and scientific research purposes’. Annals of Anatomy-Anatomischer Anzeiger. 2021 Jan 1;233:151595.https://doi.org/10.1016/j.aanat.2020.151595

18. Woudenberg-van Den Broek CM, Werkhoven SA, Zeegers MP, Duijst-Heesters WL. Consistent acting, legal knowledge, and competence in external postmortem examination in Dutch hospital settings. Journal of Forensic and Legal Medicine. 2021 May 1;80:102178.https://doi.org/10.1016/j.jflm.2021.102178

19. Jones RM. Online teaching of forensic medicine and pathology during the COVID-19 pandemic: A course evaluation. Journal of forensic and legal medicine. 2021 Oct 1;83:102229.https://doi.org/10.1016/j.jflm.2021.102229

20. Ciliberti R, Bonsignore A, Bonzano C, Ventura F, Licata M. Taking care of life: the new Italian law on post-mortem donation for study purposes, training and scientific research. Annals of Anatomy-Anatomischer Anzeiger. 2021 Jul 1;236:151712.https://doi.org/10.1016/j.aanat.2021.151712

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Published

2023-12-30

How to Cite

1.
Samantsinghar P, Varma P, Shrivastava D. Longitudinal Assessment of Competency Development in Post-Mortem Examination Training for Medical Students. Seminars in Medical Writing and Education [Internet]. 2023 Dec. 30 [cited 2025 Mar. 10];2:105. Available from: https://mw.ageditor.ar/index.php/mw/article/view/105