Inguito G B, Pelletier T K, Pretzler E, Ingle J H
Del Med J. 2001 Jan;73(1):11-5.
In 1194, the coroner system was formally established in England with the original interest in death to protect the financial interest of the crown. This coroner system was brought to the United States during the early 1600s where the first recorded autopsy was performed in Massachusetts in 1647. Significant changes were made to improve upon the coroner system. In 1877, the first medical examiner system was established in the state of Massachusetts requiring that the coroner be supplanted by a physician known as a medical examiner. Using the system established in Massachusetts as a model, New York City developed an improved medical examiner system in 1915. The improvements made by New York City, under the leadership of men such as Drs. Charles Norris and Alex Gettler, essentially laid down the foundation for medical examiner systems and forensic toxicology throughout the country. Part II of this series will begin in Maryland. Maryland soon followed in New York City's footsteps and in 1939 developed the first statewide medical examiner system in the U.S. Influenced by systems such as Maryland's and New York City's, Delaware established a medical examiner system in 1955 to work alongside of the pre-existing coroner system. It was not until about a decade later in 1964 that the system became successful under the leadership of Dr. All Z. Hamell. In 1970, after 15 years of uphill battles with supporters of the antiquated coroner system, it was abolished, resulting in a statewide medical examiner system. Today, Delaware's medical examiner system has one of the best medicolegal investigative facilities in the country, complete with its own forensic sciences laboratory under the jurisdiction of a Chief Medical Examiner. Delaware's Office of Chief Medical Examiner will try to continue its tradition to serve as a model for other states and possibly other countries to follow.
1194年,死因裁判制度在英格兰正式确立,最初旨在处理死亡事件,以保护王室的经济利益。17世纪初,这一死因裁判制度被引入美国,1647年,美国马萨诸塞州进行了首次有记录的尸检。为改进死因裁判制度做出了重大变革。1877年,马萨诸塞州建立了首个医学检验官制度,规定由一名被称为医学检验官的医生取代死因裁判官。以马萨诸塞州建立的制度为蓝本,纽约市于1915年开发了一套改进后的医学检验官制度。在查尔斯·诺里斯博士和亚历克斯·格特勒博士等人的领导下,纽约市所做的改进,实际上为全国的医学检验官制度和法医毒理学奠定了基础。本系列的第二部分将从马里兰州开始讲述。马里兰州很快效仿纽约市,于1939年在美国建立了首个全州范围的医学检验官制度。受马里兰州和纽约市等地制度的影响,特拉华州于1955年建立了医学检验官制度,与原有的死因裁判制度并行。直到大约十年后的1964年,在奥尔·Z·哈梅尔博士的领导下,该制度才取得成功。1970年,在与过时的死因裁判制度的支持者进行了15年的艰苦斗争后,死因裁判制度被废除,从而形成了全州范围的医学检验官制度。如今,特拉华州的医学检验官制度拥有全国最好的法医学调查设施之一,设有一个在首席医学检验官管辖下的法医科学实验室。特拉华州首席医学检验官办公室将努力延续其传统,为其他州乃至其他国家树立榜样。