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. 1994 Apr;87(4):232–236.

Autopsy and medical education: a review.

R Charlton 1
PMCID: PMC1294451  PMID: 8182683

Abstract

During the twentieth century there has been a decline in the rate of autopsies performed. A review of the literature reveals reasons for this decline which include: an improvement in the medical diagnostic technology available; inadequate training of doctors as to the importance of autopsy; and difficulties in obtaining consent from relatives and the present use of audit. Recommendations for changes in medical education are made which include: a greater appreciation of the procedure as a useful investigation tool; the development of attitudes towards death; and improving communication skills with the bereaved. Recommendations are also made regarding education of the public, awareness of differences in cultural attitudes, the role of leaflets, the post-autopsy conference and the place of audit.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beckwith J. B. The value of the pediatric postmortem examination. Pediatr Clin North Am. 1989 Feb;36(1):29–36. doi: 10.1016/s0031-3955(16)36614-7. [DOI] [PubMed] [Google Scholar]
  2. Benbow E. W. Medical students' views on necropsies. J Clin Pathol. 1990 Dec;43(12):969–976. doi: 10.1136/jcp.43.12.969. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Boglioli L. R., Taff M. L. Religious objection to autopsy. An ethical dilemma for medical examiners. Am J Forensic Med Pathol. 1990 Mar;11(1):1–8. doi: 10.1097/00000433-199003000-00001. [DOI] [PubMed] [Google Scholar]
  4. Britton M. Diagnostic errors discovered at autopsy. Acta Med Scand. 1974 Sep;196(3):203–210. doi: 10.1111/j.0954-6820.1974.tb00996.x. [DOI] [PubMed] [Google Scholar]
  5. Brown H. G. Lay perceptions of autopsy. Arch Pathol Lab Med. 1984 Jun;108(6):446–448. [PubMed] [Google Scholar]
  6. Brown H. G. Lay perceptions of autopsy. Arch Pathol Lab Med. 1984 Jun;108(6):446–448. [PubMed] [Google Scholar]
  7. Böttiger L. E. The post-mortem: its decline--and fall? J Intern Med. 1992 Feb;231(2):99–101. doi: 10.1111/j.1365-2796.1992.tb00508.x. [DOI] [PubMed] [Google Scholar]
  8. Cameron H. M., McGoogan E. A prospective study of 1152 hospital autopsies: I. Inaccuracies in death certification. J Pathol. 1981 Apr;133(4):273–283. doi: 10.1002/path.1711330402. [DOI] [PubMed] [Google Scholar]
  9. Cameron H. M., McGoogan E., Watson H. Necropsy: a yardstick for clinical diagnoses. Br Med J. 1980 Oct 11;281(6246):985–988. doi: 10.1136/bmj.281.6246.985. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Charlton R. C. Breaking bad news. Med J Aust. 1992 Nov 2;157(9):615–621. doi: 10.5694/j.1326-5377.1992.tb137405.x. [DOI] [PubMed] [Google Scholar]
  11. Charlton R. Faith, culture and a good death. Palliat Med. 1993;7(4):339–339. [PubMed] [Google Scholar]
  12. Dorsey D. B. Limited autopsies. Defined benefits, limited costs. Arch Pathol Lab Med. 1984 Jun;108(6):469–472. [PubMed] [Google Scholar]
  13. Gambino S. R. The autopsy. The ultimate audit. Arch Pathol Lab Med. 1984 Jun;108(6):444–445. [PubMed] [Google Scholar]
  14. Geller S. A. Religious attitudes and the autopsy. Arch Pathol Lab Med. 1984 Jun;108(6):494–496. [PubMed] [Google Scholar]
  15. Goldman L. Diagnostic advances v the value of the autopsy. 1912-1980. Arch Pathol Lab Med. 1984 Jun;108(6):501–505. [PubMed] [Google Scholar]
  16. Gwynne J. F. Death certification in Dunedin hospitals. N Z Med J. 1977 Jul 27;86(592):77–81. [PubMed] [Google Scholar]
  17. Holzner J. H. The role of autopsy in the control of mortality in Austria. IARC Sci Publ. 1991;(112):25–35. [PubMed] [Google Scholar]
  18. Katz P. R., Seidel G. Nursing home autopsies. Survey of physician attitudes and practice patterns. Arch Pathol Lab Med. 1990 Feb;114(2):145–147. [PubMed] [Google Scholar]
  19. King L. S., Meehan M. C. A history of the autopsy. A review. Am J Pathol. 1973 Nov;73(2):514–544. [PMC free article] [PubMed] [Google Scholar]
  20. Lauder I. Auditing necropsies. BMJ. 1991 Nov 16;303(6812):1214–1215. doi: 10.1136/bmj.303.6812.1214. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Lundberg G. D. Medicine without the autopsy. Arch Pathol Lab Med. 1984 Jun;108(6):449–454. [PubMed] [Google Scholar]
  22. McGoogan E., Cameron H. M. Clinical attitudes to the autopsy. Scott Med J. 1978 Jan;23(1):19–22. doi: 10.1177/003693307802300106. [DOI] [PubMed] [Google Scholar]
  23. McPhee S. J., Bottles K., Lo B., Saika G., Crommie D. To redeem them from death. Reactions of family members to autopsy. Am J Med. 1986 Apr;80(4):665–671. doi: 10.1016/0002-9343(86)90822-3. [DOI] [PubMed] [Google Scholar]
  24. Revitalizing the ultimate medical consultation. College of American Pathologists Foundation Conference on the Autopsy. Snowmass, Colo., July 20-23, 1983. Arch Pathol Lab Med. 1984 Jun;108(6):437–512. [PubMed] [Google Scholar]
  25. Roberts W. C. The autopsy: its decline and a suggestion for its revival. N Engl J Med. 1978 Aug 17;299(7):332–338. doi: 10.1056/NEJM197808172990704. [DOI] [PubMed] [Google Scholar]
  26. Saracci R. Is necropsy a valid monitor of clinical diagnosis performance? BMJ. 1991 Oct 12;303(6807):898–900. doi: 10.1136/bmj.303.6807.898. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Sidorov J. An attempt to motivate internal medicine housestaff to obtain consent for autopsies. Acad Med. 1990 Oct;65(10):647–649. doi: 10.1097/00001888-199010000-00012. [DOI] [PubMed] [Google Scholar]
  28. Tolle S. W., Girard D. E. The physician's role in the events surrounding patient death. Arch Intern Med. 1983 Jul;143(7):1447–1449. [PubMed] [Google Scholar]
  29. Valdes-Dapena M. The postautopsy conference with families. Arch Pathol Lab Med. 1984 Jun;108(6):497–498. [PubMed] [Google Scholar]
  30. Waldron H. A., Vickerstaff L. Necropsy rates in the United Birmingham Hospitals. Br Med J. 1975 May 10;2(5966):326–328. doi: 10.1136/bmj.2.5966.326. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Whitty P., Parker C., Prieto-Ramos F., al-Kharusi S. Communication of results of necropsies in north east Thames region. BMJ. 1991 Nov 16;303(6812):1244–1246. doi: 10.1136/bmj.303.6812.1244. [DOI] [PMC free article] [PubMed] [Google Scholar]

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