Embrace the twists and turns of your learning journey: Forensic pathology under the microscope
We aim to shine light on different career paths every week, to educate and allow young people to discover new interests.
This week we give a platform to a medical officer in the career of forensic pathology. Johannesburg resident Dr Nokuthula Mphambukeli has been a medical officer in forensic pathology for a year now.
She mentioned that she has always had a curious mind and heart to understand the human experience. “I have never felt that death was something to be afraid of or to view as evil, but rather something to attempt to understand or even embrace,” she said.
What is a forensic pathologist?
A forensic pathologist is an expert in determining cause and manner of death.
What does a medical officer in forensic pathology do?
A medical officer in forensic pathology performs post-mortem examinations to determine cause of death. A medical officer in forensic pathology in South Africa must hold a medical degree and complete an internship and community service. Thus, becoming an independent practitioner.
Where can I study to become a medical officer in forensic pathologist?
In order to become a medical officer you must go to medical school and become an independent practitioner.
• Stellenbosch University
• Wits University
• University of Pretoria
The above institutions of higher learning offer courses in forensic pathology.
Which high school subjects do I need?
• Life science
• Physical Science
• Mathematics
With an advisable average greater than 80%.
How long does it take to become a medical officer in forensic pathology?
Depends on the medical school you have chosen to study from. It can take between five to seven years. Internship takes two years to complete and community service takes a year to complete. It can thus be a total of nine years from the end of matric.
What are the roles and responsibilities of a medical officer forensic pathologist?
The roles and responsibilities are many, however the main ones are:
• Performing a postmortem examination.
• Investigation to determine cause of death.
• Compiling a post mortem report.
• Working in a team setting, with investigating officers (like the police), administrators and forensic officers.
• Testifying in court as an expert witness.
What skills should I possess in order to become a good medical officer in forensic pathology?
• Strong medical knowledge and analytical skills. • Should be excellent communicators and have investigative skills.
• Someone who pays close attention to detail.
• Ability to stay up to date with current and latest research and advancements in the field.
• Objectivity, organisational skills, and technical proficiency.
How does the medical officer in forensic pathology use the history, external physical examination and laboratory studies to determine the cause and manner of death?
A medical officer in forensic pathology reviews medical records, investigate the circumstances of death, and examines the body externally and internally, collecting tissue and fluid samples for analysis. Laboratory tests, such as toxicology and histopathology, provide further insights.
By synthesising this information, the forensic pathologist can determine the underlying cause of death and the circumstances surrounding it, classifying the manner of death as homicide, suicide, accident, natural causes, or undetermined. This comprehensive approach enables them to provide critical information for legal investigations and public health initiatives.
What is the importance of performing an autopsy on someone in whom the cause of death is obvious?
Performing an autopsy, even when the cause of death seems obvious, is crucial as it confirms the suspected cause, or proves another cause (which can have grave legal implications). It provides additional information, and reveals underlying conditions.
It also serves as quality control, ensuring appropriate medical care and identifying potential diagnostic errors. Autopsy contributes to public health surveillance, medical education, and research, while providing legal documentation and closure for families. Overall, autopsy offers valuable insights, accuracy, and confirmation, making it an essential step in understanding the circumstances surrounding a death.
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What are the advantages and disadvantages that come with your job?
The advantages of being a forensic pathologist include having a strong sense of self and aligning your work with your values and interests. The subject matter is inherently fascinating, allowing for intellectual curiosity and growth in the field. Working with deceased individuals, case by case, provides a sense of focus and organisation, which suits those who enjoy tasks, deadlines, and precision. However, there are also disadvantages.
The work can be monotonous and socially isolating at times, and the extensive paperwork involved can be timeconsuming, requiring prolonged periods of screen time, reading, and documentation. Additionally, it can be challenging to deliver answers to families that may not be what they want to hear. Nevertheless, for those who thrive in this environment, it can be a rewarding career.
What advice would you give to someone who aspires to walk in your footsteps?
To aspire to be a forensic pathologist, start by knowing yourself, your values, and beliefs. Research the field thoroughly, utilising online resources and teaching platforms to gain a deep understanding of the subject matter. Ensure academic excellence to secure acceptance into a medical programme.
Once you have started, stay focused and determined, ignoring doubting voices and persevering through challenges. With dedication and hard work, you can succeed in this field and reach your full potential. Remember, it’s about your personal commitment and resilience that will drive your success as a forensic pathologist.
Where do forensic pathologists work?
Forensic pathologists work in various settings, including:
• Medical examiner’s offices and coroner’s offices.
• Forensic pathology laboratories.
• Hospitals.
• University medical schools.
• Government agencies.
• Private practice.
• Military and veterans’ affairs facilities and research institutions. They may also collaborate with law enforcement agencies, legal teams, and other professionals in the criminal justice system, and some work as consultants or experts in private practice, providing services to diverse organisations and individuals.
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