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future years. In particular, there will likely be the eventual requirement from the State and/or Federal <br /> Government for the office to be certified by the National Association of Medical Examiners (NAME). <br /> Already, Dr. Linda O'Neil, Associate Medical Examiner and I have already exceeded accreditation <br /> limits of autopsy numbers per doctor (performance of over 250 autopsies or equivalent workload per <br /> doctor will result in a "deficiency" in accordance with accreditation guidelines). In order to address <br /> potential future accreditation issues, we have decreased our autopsy load per doctor in recent years in <br /> accordance with guidance from the Florida Association of Medical Examiner document, the "Practice <br /> Parameters". Past cases which were brought to the Medical Examiner's Office for autopsy or external <br /> examination have become what we call "consult cases." Consult cases do not require that the body <br /> come into the Medical Examiner's Office for examination. Nevertheless, these cases require similar <br /> evidence gathering and record reviews which result in an overall increase in case load. There is no <br /> doubt that,as the population continues to increase, the Medical Examiner will eventually require another <br /> Associate Medical Examiner and support staff. A part-time Associate Medical Examiner would be a <br /> temporary solution; however, there are very few qualified professionals available to do such work, and <br /> even fewer, if any, live in this geographical area. The near future will certainly call for expansion of <br /> staff. <br /> In summary,I am presenting what I believe to be a reasonable budgetary request. <br /> Sincerely, <br /> CTp TYVAYP1,,e/ <br /> - Roger E.Mittleman,M.D. <br /> Chief Medical Examiner <br /> Enclosure <br /> REM/ps <br /> 115 <br />