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Core Competency Requirements

Certification Examination

By Jake
November 9, 2025

Core Competency Areas 

Medicolegal Death Investigations



Below are the eight areas of core competency on which the certification examination is based. Each section highlights the areas of knowledge and skills our certification board feels are the critical base of knowledge required to qualify as  a Certified Medicolegal Death Investigator, C-MDI

Effective Communication Strategies

  • Demonstrate clear, professional written and verbal communication.

  • Prepare accurate investigative narratives and reports.

  • Conduct professional testimony and courtroom communication.

  • Maintain professionalism, clarity, and documentation integrity across all communications.

  • Build cooperative relationships with law enforcement, EMS, funeral homes, and ancillary agencies.

  • Communicate appropriately with media while maintaining confidentiality.

Liaising with Next of Kin and Families

  • Conduct timely, compassionate, and accurate death notifications.

  • Obtain critical background and medical information from families.

  • Prepare families for identification and postmortem procedures.

  • Facilitate information requests, explain processes, and report findings such as autopsy results.

  • Recognize and respond appropriately to emotional and behavioral reactions of family members.

  • Working with different cultures and people groups during an investigation

Scene Response & On-Site Investigation

  • Arrive safely and establish jurisdictional authority on scene.

  • Ensure scene safety and secure the environment.

  • Utilize proper equipment and personal protective equipment (PPE)

  • Perform proper scene documentation through photography

  • Conduct thorough documentation and evidence recognition.

  • Conduct scene assessment identifying inconsistencies and indicators of staging

  • Interview witnesses and coordinate with other responders.

  • Establish presumptive identification

  • Demonstrate basic knowledge of Mass Fatality protocols 

Post-Mortem Examination & Decedent Dignity

  • Perform systematic physical assessments and body documentation.

  • Demonstrate professionalism while maintaining dignity of the deceased.

  • Maintain chain of custody during recovery, transport, and storage.

  • Facilitate organ and tissue donation processes.

  • Demonstrate drawing and preserving blood and fluids for toxicology

  • Apply foundational medical and forensic pathology concepts to support accurate case conclusions. 

Anatomy and Injury Recognition

  • Demonstrate a working knowledge of basic anatomy

  • Recognize acute medical intervention, surgical artifacts, postmortem changes

  • Recognize, assess, and document injuries to the body (gunshot, force trauma, abuse)

  • Demonstrate knowledge of forensic science specialties

  • Demonstrate knowledge in determining cause of death

  • Demonstrate knowledge in determining time of death

  • Understanding basic medical and forensic terminology

Evidence Identification, Collection & Preservation

  • Distinguish evidence from personal property at the scene.

  • Collect, label, and preserve physical evidence in accordance with forensic standards.

  • Complete all forms, maintain chain of custody, and coordinate release of evidence.

  • Integrate evidence findings with investigative reports and scene documentation.

  • Obtaining medical records and conducting  a social history investigation

 Ethical & Legal Accountability

  • Understand manners of death and certification procedures.

  • Uphold professional ethics and investigative integrity.

  • Protect confidentiality and ensure legal defensibility of findings.

  • Understand jurisdictional authority between coroner/medical examiner offices and law enforcement.

  • Demonstrate the need for updated office policy and procedures

  • Apply HIPAA and other legal standards for information release. 

Professional Resilience

  • Recognize the emotional and psychological effects of medicolegal death work.

  • Develop and apply strategies for personal health, wellness, and longevity in the field.

  • Manage exposure to traumatic scenes and maintain mental resilience.

  • Demonstrate leadership in promoting wellness culture within investigative teams.

  • Navigate conflict resolution in workplace and investigative interactions

  • Recognize the effects that confirmation and anchoring bias have on an investigation

  • Establish ongoing professional development and education

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