Forensic Pathology

ABOUT THE DISCIPLINE

The Forensic Medicine Department is based at Inkosi Albert Luthuli Central Hospital, with the histopathology laboratory located on-site. The Student Co-ordinator operates from the Medical School at 719 Umbilo Road, Room 145, within the School of Laboratory Medicine and Medical Sciences (LMMS) in Durban.

We provide autopsy and medico-legal services for the Greater Durban area and offer consultative expertise across KwaZulu-Natal. Autopsies are conducted at Department of Health mortuaries, and our team comprises University and Provincial Health staff not police personnel, as is sometimes misunderstood.

Our case range includes road traffic fatalities, suicides, workplace and domestic accidents, homicides, sudden natural deaths, and unexpected hospital deaths. Each case undergoes specialized analyses such as histological, radiological, neuropathological, and anthropometric studies, with additional forensic services odontology, serology, toxicology, and ballistics handled by expert collaborators.

The department also contributes to preventative medicine through accident investigation (industrial, aircraft, and road traffic), and applies forensic expertise in traumatology to identify and prevent torture and human rights violations. We maintain active collaboration with private pathologists and NGOs, including partnerships with Physicians for Human Rights (PHR, USA) and Amnesty International (UK), to support the investigation of suspicious or unnatural deaths.

Forensic Sciences

Forensic Medicine receives numerous queries from various quarters regarding forensic training. Most of the enquiries are from scholars, university students themselves and also from persons working in various bio-medical fields. It is hoped that the following simple explanation will clarify what forensic training is all about and what we do in our department.

Incidentally, the word forensic is derived from the Latin word ”forum”, and means a bringing together of people to confer or decide upon a contentious matter. In a way it is comparable to what happens in a court of law.

Perhaps best said, there is no such thing as ‘forensic training’ proper, except for principles of forensics that are very basic and not really a subject on its own. A forensic science is an applied science, meaning that (very broadly-speaking) there is no such thing as pure forensic science. Which of the sciences can be ”forensic”? Just about any science can be a forensic science if it can have any application to justice or judicial matters. It is a very large ”umbrella” of expert fields. Any science that is applied to forensic work becomes a forensic science.

For example, using medicine (or pathology) to solve forensic issues is forensic medicine (or pathology). The study of the life cycles of insects (entomology) to help determine the time of death of a person found dead is forensic entomology. Ballistic knowledge used to solve issues regarding the use of a firearm in a case of shooting is forensic ballistics. Using psychology to help in the unmasking of a perpetrator of cases of serial killings is forensic psychology. Knowledge of chemistry used in a laboratory to detect traces of poisons or drugs in the body or in samples from crime and death scenes is forensic analytical chemistry or forensic toxicology. Accountants who investigate ”paper trails” to trace commercial crimes such as corruption use forensic auditing. The use of X-rays to forensic work such as the detection of bony injuries, bullets and for human identification is the field of forensic radiography. And so it goes ?

There are multiple other fields where this is similarly done, and includes forensic photography, forensic molecular biology (use of DNA ”fingerprinting”), forensic anthropology (human skeleton), forensic odontology (or forensic dentistry, where the teeth and even bite marks are used for identification of remains of people), etc. The list is not exhaustive.

For our purpose therefore, to be a forensic pathologist you have to qualify as a doctor first. To be a forensic nurse, you have to qualify as a nurse first. Simply stated, to train in forensic work requires an initial training completed in any science field to a level of practicing the competencies in that field. This varies between fields but usually one is expected to graduate in that field with a bachelor degree at honours level or a Masters degree at the least, before the candidate may be considered expert enough to apply this knowledge to forensic work.

For additional information, see Evidence and the Forensic Sciences

In conclusion, the discipline is in the College of Health Sciences, School of Laboratory Medicine & Medical Sciences and trains only medical, nursing and other health science students in forensic medical and health care work. Course work training programmes in forensic medicine and health care are available to medical and health graduate students, with a indispensable requirement of a basic knowledge of human anatomy and physiology. In addition, for postgraduate research in forensic medicine, we see only a possibility of graduates with anatomy and physiology being able to do any direct research projects.

Masters in Forensic Pathology ( MMed)
Forensic specialist practitioners are in short supply in South Africa. The Masters in Medicine (Forensic Pathology) is the specialty training programme for registrars (residents) training to become specialist forensic pathologists. Only qualified medical practitioners enter into Registrarship and currently there are 4 registrars in this department.

Specialist forensic pathologists are practitioners who are competent in forensic diagnosis, both macroscopic and microscopic, and are able to independently conduct forensic medical examinations, and arrive at objective conclusions as to nature, cause, mechanism and manner of injury, morbidity and death, provide expert opinion upon their findings, and conduct teaching and research in the field.

Graduates equipped with the specialised knowledge and competence in the science and practice of forensic medicine and pathology, are then registered with the HPCSA as a specialist. The training programme intends to provide graduates with the foundations for professional practice, engagement with the research process and continued professional and scientific growth. The broader aim is to provide an improved health service to the population, part of the University and the Faculty’s strategic goals of serving the needs of the community in terms of a highly skilled workforce.

The training is conducted in two parts, over 2 years each. The Part 1 of training involves learning, understanding and practicing the depth and extent of general and basic pathology, using the tools of pathology diagnosis, with application to forensic work. Part 2 training involves the practical application of knowledge to all manner of forensic casework and circumstances, where the student matures into a competent practitioner.

MBChB (Undergraduate Medicine) 

Forensic Medicine is taught in the 4th year of study to Undergraduate Medical students. Introductory lectures followed by tutorials and post-mortem observations are designed to cover basic forensic pathology and the medico-legal aspects of clinical medicine.

Emphasis is placed on the evaluation and reporting of injuries and the causes of unnatural deaths. The approach to medico-legal investigation of death and steps in reporting and registration of death are discussed.

Under-graduate teaching within the Faculty of Medicine as well as a Master of Medicine course for training specialist forensic pathologists (accredited by the Health Professions Council of South Africa) is offered. The discipline is also involved in providing postgraduate training to medical practitioners, nurses and paramedics. In-house practical and theoretical training for district medical officers (previously called district-surgeons) for clinical and post-mortem work is provided, and these candidates are encouraged to sit the Diploma in Forensic Medicine offered by the College of Medicine of South Africa.

Year        
 Paper    Conference Presenter(s)               
 2008Digital Photography in Forensic Pathology48th Annual Conference of
the Federation of South African
Societies of Pathology,
Cape Town, July 2008.
Kirk GM
 2008The Medico-Legal Autopsy: a learning experience for undergraduate medical studentsPoster presentation
at South African Association of
Health Educationalists (SAAHE);
Stellenbosch, Cape Town,
July 2008
McNamee LS
 2008International Controversies regarding use of Human TissueCollege of Health Sciences
Astrazeneca Research Symposium,
Durban, August 2008
Naidoo SR
 2010Impact of a PBL Curriculum on the Development of Medical PractitionersShort Paper presentation at SAAHE; Wits (July)McNamee LS
 2011Impact of a PBL Curriculum on the Development of Medical PractitionersPoster presentation at AMEE (International Association of Medical Education); Vienna (August)McNamee LS
 2012Narrative inquiry in identity construction research: What do we do with these stories?Poster presentation at South African Association of Health Educationalists (SAAHE);
UFS, Bloemfontein, June 2012
 Year
 Title    Author(s) 
 2007 Dissertation in part fulfillment of Masters in Education: ”Students’ perceptions of medico-legal
autopsy demonstrations as a learning experience”
 McNamee LS
 2009 Student perceptions of medico-legal autopsy demonstrations in a student-centred curriculum.
Med Educ 2009: 43: 66-73
 McNamee LS

Academic Staff

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Mr.

Shikaar Bugwandeen

Honorary Lecturer
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Ms

Sagie Naidoo

Honorary Lecturer
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Mr.

Clive Moodley

Honorary Lecturer
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Ms

Christa Hattingh

Honorary Lecturer
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Ms

Threnesan Naidoo

Honorary Lecturer
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Dr.

SM AIYER

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Dr.

Sipho Mfolozi

Academic Leader

Profesional Services Staff

Contact Details

Name Position Contact Details
Dr Sipho Mfolozi Academic Leader mfolozis@ukzn.ac.za
Linda Wright Administrator +27 031 240 2583