PT - JOURNAL ARTICLE AU - Urszula Carr AU - Lesley Bowker AU - Richard Y Ball TI - The slow death of the clinical post-mortem examination: implications for clinical audit, diagnostics and medical education AID - 10.7861/clinmedicine.4-5-417 DP - 2004 Sep 01 TA - Clinical Medicine PG - 417--423 VI - 4 IP - 5 4099 - http://www.rcpjournals.org/content/4/5/417.short 4100 - http://www.rcpjournals.org/content/4/5/417.full SO - Clin Med2004 Sep 01; 4 AB - The adult clinical post-mortem examination has seriously declined in Norwich recently, with only 34 of them (representing 1.4% of deaths in hospital) having been undertaken in 2003. Moreover, the next-of-kin are increasingly restricting the extent of the examination when they give consent. Analogous but less severe changes have occurred in the post-mortem examination of stillbirths and perinates. Many clinicians are unaware of these events, which may come to have wide-ranging detrimental effects. One possible cause is the lack of training of junior medical staff in obtaining consent for postmortem examination, though other factors are also important.