Pediatric forensic pathology in evolution

Pediatric forensic pathology has been under considerable scrutiny in recent years with a number of significant issues being raised concerning the quality and application of this subspecialized area. Considering the relatively small numbers of pediatric cases that are seen in medicolegal practice, the area unfortunately attracts more than its share of public and professional attention and criticism. Although easy to define (it is the study of injury and disease in children and its application to the law), problems have arisen in determining how pediatric forensic pathology should be taught, certified, and practiced. Despite a number of positive developments occurring, with formal inquiries into practices and the formulation of recommendations and protocols, it is still unclear what constitutes a pediatric forensic pathologist; for example; is it an adult forensic pathologist who has an interest in pediatric cases, or should the term be restricted to a board certified pediatric pathologist who undertakes forensic work? Alternatively, should pediatric forensic pathology be a separate subspeciality with its own examinations and standards?Roger W. Byar