Orange County Medical Examiner seeks staff increase to handle rising autopsy demands

In a pivotal meeting held on March 19, 2025, the Orange County Legislature's Health & Mental Health Committee convened to discuss critical staffing needs within the county's medical examiner's office. The atmosphere was charged with urgency as legislators and health officials addressed the pressing demand for additional personnel to enhance the efficiency of autopsy services.

Dr. Roman, the county's medical examiner, joined the meeting via phone to present a legislative request for the creation of an additional autopsy assistant position. This request comes in light of the significant workload faced by the medical examiner's office, which investigated 994 deaths in 2024, resulting in 319 autopsies and 87 external examinations. The current staffing, which relies heavily on per diem assistants, has proven inadequate, particularly during peak times or when staff are unavailable due to other commitments.

Dr. Roman emphasized the necessity of having full-time autopsy assistants to ensure timely and thorough examinations. "Having three autopsy assistants in the building full-time would enable us to have more flexibility," she stated, highlighting the challenges posed by the current reliance on part-time staff. The additional position would not only help manage the increased workload but also improve the overall quality of service provided by the medical examiner's office.

The discussion also touched on advancements in autopsy technology, including the use of a low-dose postmortem X-ray machine. Dr. Roman clarified that while such technology aids in the examination process, it does not replace the need for traditional autopsies. "The root of the word autopsy literally means 'see for yourself,' and that will remain the gold standard in the field," she asserted, reinforcing the importance of hands-on examinations.

Legislators expressed their support for the proposed staffing changes, recognizing the critical role of the medical examiner's office in public health and safety. The committee ultimately voted in favor of the motion to create the additional autopsy assistant position, marking a significant step towards bolstering the county's health services.

As the meeting progressed, the committee also reviewed other staffing requests, including positions for a data program coordinator and additional public health technicians, reflecting a broader commitment to enhancing health services in Orange County. The discussions underscored the ongoing challenges faced by health departments in adapting to growing demands while ensuring the highest standards of care for the community.