Ersoy Gökhan, Özoran Yavuz, Akçay Arzu, Kolusayin Melek Ozlem, Pakış Işıl, Urer Halide Nur, Gülmen Mete Korkut, Öz Büge
Department of Medical Sciences, İstanbul University, Institute of Forensic Medicine, İSTANBUL, TURKEY.
Turk Patoloji Derg. 2013;29(3):201-9. doi: 10.5146/tjpath.2013.01187.
Forensic autopsies are performed by the forensic medicine department and the microscopic examination processes by pathology specialists within the forensic medicine practice in Turkey. This disconnection in the process raises problems in the training of both branches. The aim of this study was to determine the awareness of pathology staff on forensic medicine practices and responsibilities and their opinion on the pathology training model in the forensic medicine specialty and to discuss the matter within the framework of the present situation and global applications.
A 15-item questionnaire form distributed to the participant physicians during registration at the 21st National Pathology Congress held in 2011 was evaluated.
94 participants responded. A negative opinion was expressed by 72% about the interest in the general post-mortem process. The view that pathology specialists should undergo a separate training to perform autopsies was predominant and there was a general lack of interest in all kinds of autopsy processes. The percentage who said they knew the legal responsibility of a pathology specialist regarding forensic autopsies correctly was 37%. The questions "what are the necessary factors to contribute to the pathology training in forensic medicine" and "if anything is required, which of them would take priority" were respectively answered as "for me to be interested (46%)" and "a system guaranteeing that training will always be given by pathology specialists (67%)". Despite the possibility of becoming a forensic medicine specialist in two years, the mean answer score of the participants to the phrase "I do not consider becoming a forensic medicine specialist" was 4.1 (out of 5).
A reluctance among the pathologists in our country was seen regarding forensic medicine specialists being able to perform post-mortem microscopic examination. However, despite their legal responsibilities, their interest in forensic pathology practice was low. There seems to be rational factor that would increase this interest in the near future. Cooperation is necessary to enable forensic medicine specialists to perform post-mortem pathology procedures. This cooperation should be based on improving the training of pathology research assistants.
在土耳其,法医尸检由法医学部门进行,而显微镜检查过程则由法医学实践中的病理学专家负责。这一过程中的脱节给两个分支的培训都带来了问题。本研究的目的是确定病理学工作人员对法医学实践和职责的认识,以及他们对法医学专业病理学培训模式的看法,并在当前形势和全球应用的框架内讨论这一问题。
对在2011年举行的第21届全国病理学大会注册期间分发给参与医师的一份包含15个条目的问卷进行了评估。
94名参与者做出了回应。72%的人对一般尸检过程的兴趣表达了负面看法。认为病理学专家应接受单独培训以进行尸检的观点占主导地位,并且对各类尸检过程普遍缺乏兴趣。表示正确了解病理学专家在法医尸检方面法律责任的比例为37%。对于“有助于法医学病理学培训的必要因素有哪些”以及“如果有要求,其中哪个因素会优先考虑”这两个问题,分别有46%的人回答“我感兴趣”以及67%的人回答“有一个能保证病理学专家始终进行培训的系统”。尽管有可能在两年内成为法医学专家,但参与者对“我不考虑成为法医学专家”这句话的平均回答分数为4.1(满分5分)。
我国病理学家对于法医学专家能够进行尸检后的显微镜检查存在抵触情绪。然而,尽管他们负有法律责任,但他们对法医病理学实践的兴趣较低。在不久的将来似乎存在能提高这种兴趣的合理因素。有必要开展合作以使法医学专家能够进行尸检后的病理学程序。这种合作应基于改进病理学研究助理的培训。