Indianapolis Forensic Pathologist Shortage Sparks Increased Use of Contract Services

August 13, 2025 | Indianapolis City, Marion County, Indiana


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Indianapolis Forensic Pathologist Shortage Sparks Increased Use of Contract Services
The City Council of Indianapolis recently addressed the pressing issue of forensic pathology staffing during a Public Safety & Criminal Justice Committee meeting. With a growing shortage of forensic pathologists nationwide, the committee discussed the reliance on contracted professionals to meet the demands of autopsy services.

Currently, Indianapolis employs five full-time forensic pathologists, all of whom are funded through the city’s budget. However, the increasing caseload has necessitated the hiring of additional contracted pathologists, known as locums. These locums, who are brought in from various locations, are essential to support the local staff, especially as forensic pathologists are limited to performing a maximum of 250 autopsies per year.

The financial implications of this staffing model are significant. The city spends nearly $600,000 on locum pathologists, reflecting a national trend where medical examiners face challenges in staffing due to a shortage of qualified professionals. This shortage allows locums to command higher fees, as their services become increasingly necessary.

In terms of operational efficiency, the committee learned that examinations are typically conducted within 48 hours of a death being reported. However, determining the cause and manner of death can take longer, especially in complex cases involving infants or children, which may require up to 12 weeks for comprehensive testing.

The discussions highlighted the critical need for adequate forensic pathology resources in Indianapolis, emphasizing the importance of timely autopsy services for families awaiting closure. As the city navigates these challenges, the reliance on contracted pathologists may continue to grow, raising questions about future staffing strategies and budget allocations.

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