In July,
1991 the Department of Emergency Medicine at the University
of Louisville and the Kentucky Medical Examiner's Office
initiated the first clinical forensic medicine program
in the United States. This program incorporated clinical
forensic training into the emergency medicine residency
training program and established a one-year fellowship
in clinical forensic medicine (Smock, Nichols &
Fuller, 1993, p. 835).
The Clinical
Forensic Medicine program is designed to address the
unmet forensic needs of patients who are survivors
of violent injury and trauma and those patients who
have not yet succumbed to mortal injuries. Trauma
victims present regularly to emergency departments
in need of acute care (Smock, Nichols & Fuller,
1993, p. 835).
The emergency physician is well trained to provide
competent medical treatment but may be unable, uncomfortable,
or unwilling to provide the patient with an equally
competent forensic evaluation (Smock, Nichols &
Fuller, 1993, p. 835).
The clinical
forensic physicians evaluate adult and pediatric victims
of blunt and penetrating trauma, sexual and physical
abuse and collect evidentiary material when indicated
(Smock, Nichols & Fuller, 1993, p. 835).
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