Meeting #1
April 2–3, 2024
Washington, DC
9:00 AM*
Welcome, Introductions, Purpose of Meeting
Committee Co-chairs:
Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit
John A. Rich, RUSH University Medical Center
9:15 AM
Committee on Science, Technology, and Law (CSTL) Handoff of Study to Committee
CSTL Co-chair:
Martha Minow, Harvard University
9:20 AM
Charge to Committee
Speaker:
Josh Jackson, Arnold Ventures
9:30 AM
Discussion with Committee
9:40 AM
Session 1: Overview of Forensic Pathology—Challenges and Opportunities (Training, Practice, and Standards)
Speaker:
James R. Gill, Connecticut Office of the Chief Medical Examiner
10:00 AM
Discussion with Committee
10:45 AM
Break
11:00 AM
Session 2: Overview of Deaths in Custody—Introduction to the Data
Speakers:
Alex R. Piquero, University of Miami (virtual)
Terence Keel, University of California, Los Angeles
Andrea Armstrong, Loyola University New Orleans College of Law
Josh Leung-Gagné, Stanford Center on Poverty and Inequality
11:50 AM
Discussion with Committee
12:30 PM
Lunch
1:30 PM
Session 3: U.S. Department of Justice Inspector General Report on Issues Surrounding Inmate Deaths in Federal Bureau of Prisons Institutions
Speaker:
Michael E. Horowitz, U.S. Department of Justice
1:50 PM
Discussion with Committee
2:30 PM
Break
2:45 PM
Session 4: Perspectives on Forensic Pathology and Deaths in Custody
Speakers:
Peter Neufeld, Innocence Project
Corene Kendrick, American Civil Liberties Union National Prison Project
Seth W. Stoughton, University of South Carolina
3:30 PM
Discussion with Committee
4:00 PM
Adjourn to Closed Session
Meeting #2
June 17, 2024
Washington, DC
9:30 AM
Welcome, Introductions, Purpose of Meeting
Committee Co-chairs:
Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit
John A. Rich, RUSH University Medical Center
9:35 AM
Session 1: U.S. Government Accountability Office 2022 Report to Congress—Deaths in Custody: Additional Action Needed to Help Ensure Data Collected by the U.S. Department of Justice (DOJ) Are Utilized
Speaker:
Jeffrey Fiore, Assistant Director, U.S. Government Accountability Office
9:55 AM
Discussion with Committee
10:30 AM
Session 2: The Role of the Bureau of Justice Assistance and the Bureau of Justice Statistics in Deaths in Custody—Data Collection, Analysis, and Monitoring
Speakers:
Michelle Garcia, Bureau of Justice Assistance, U.S. Department of Justice
Kevin Scott, Bureau of Justice Statistics, U.S. Department of Justice
11:00 AM
Discussion with Committee
11:45 AM
Lunch
1:00 PM
Session 3: Standards, Certification, and Accreditation
Speakers:
Kelly Keyes, International Association of Coroners & Medical Examiners
J. Keith Pinckard, National Association of Medical Examiners
Bethany Smith, American Board of Medicolegal Death Investigators
1:45 PM
Discussion with Committee
2:15 PM
Break
2:30 PM
Session 4: Medicolegal Death Investigation Working Group—A Joint Effort of the National Institute of Justice and the Centers for Disease Control and Prevention
Speakers:
Lucas Zarwell, National Institute of Justice, U.S. Department of Justice
Margaret Warner, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services
3:15 PM
Discussion with Committee
3:45 PM
Session 5: Law Enforcement Perspectives on Death in Custody
Speakers:
Chris Magnus, The Policing Project, New York University School of Law (virtual)
Jennifer Sommers, Police Executive Research Forum
4:30 PM
Discussion with Committee
5:00 PM
Adjourn to Closed Session
Meeting #3
September 19, 2024
Washington, DC
9:00 AM
Welcome and Introductions
Committee Co-chairs:
Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit
John A. Rich, RUSH University Medical Center
9:10 AM
Session 1: Improving Medical Determinations of Deaths in Custody through a Paradigm Shift from Individual Accountability to a Safer System
Moderator:
Marc F. Stern,** University of Washington
Speakers:
Simon Cole, University of California, Irvine
Mark L. Graber,** Society to Improve Diagnosis in Medicine
Kedar Mate, Institute for Healthcare Improvement (virtual)
Itiel E. Dror, University College London
10:30 AM
Discussion with Committee
11:00 AM
Break
11:15 AM
Session 2: Evaluating the Scientific Foundation of Medicolegal Death
Investigation—Identifying Strengths and Limitations
Moderator:
Peter Stout,** Houston Forensic Science Center
Speakers:
Keith A. Findley, University of Wisconsin–Madison School of Law
Adele Quigley-McBride, Simon Fraser University/National Institute of Standards and Technology (NIST) Organization of Scientific Area Committees for Forensic Science (OSAC) Human Factors Task Group Co-Vice Chair
Maria Cuellar, University of Pennsylvania
Katherine H. Judson, Center for Integrity in Forensic Sciences
Commentator:
Michael Rosenblum,** Johns Hopkins University
12:30 PM
Discussion with Committee
1:00 PM
Lunch
1:45 PM
Session 3: Strengthening Death Investigations/Determinations—Best Practices for Coroners
Moderator:
Roger Mitchell Jr.,** Howard University Hospital
Speakers:
Hayley L. Thompson, D-ABMDI, Skagit County Coroner, Mount Vernon, Washington (virtual)
Cilina Evans, Coroner, Shelby County, Alabama
David Kintz Jr., Coroner, Park County, Colorado
2:30 PM
Discussion with Committee
3:15 PM
Adjourn to Closed Session
Meeting #4
December 3–4, 2024
(Virtual)
1:00 PM
Welcome and Introductions
Committee Co-chairs:
Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit
John A. Rich, RUSH University Medical Center
1:05 PM
Session 1: Lessons Learned from Shaken Baby Syndrome/Abusive Head Trauma Determinations
Speaker:
Evan Matshes, NAAG Forensic PC
1:25 PM
Discussion with Committee
1:40 PM
Session 2: Lessons Learned from Excited Delirium Determinations
Speaker:
Altaf Saadi, Massachusetts General Hospital (MGH) Asylum Clinic and Harvard Medical School
2:00 PM
Discussion with Committee
2:20 PM
Session 3: Lessons Learned from Prone Restraint Cardiac Arrest in In-Custody/Arrest-Related Deaths
Speaker:
Victor Weedn, George Washington University
2:40 PM
Discussion with Committee
3:00 PM
Adjourn to Closed Session
Meeting #5
January 9–10, 2025
(Virtual)
11:00 AM
Welcome and Introductions
Committee Co-chairs:
Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit
John A. Rich, RUSH University Medical Center
11:05 AM
Coronial System in England and Wales/Deaths in Custody/Cause and Manner of Death
Speaker:
Lucy Easthope, University of Bath
11:30 AM
Discussion with Committee
12:00 PM
Adjourn to Closed Session
1:00 PM
Welcome and Introductions
Committee Co-chairs:
Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit
John A. Rich, RUSH University Medical Center
1:05 PM
A Discussion with the U.S. Department of Justice
Speaker:
David J. Gorman, U.S. Attorney’s Office, District of Columbia
1:25 PM
Discussion with Committee
2:00 PM
Adjourn to Closed Session
Meeting #6
February 4–5, 2025
Washington, DC
8:30 AM
Welcome and Introductions
Committee Co-chairs:
Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit
John A. Rich, RUSH University Medical Center
8:35 AM
Session 1: Perspectives on Cause and Manner of Death and Investigative Independence
Speakers:
J. Keith Pinckard, Travis County, Texas
Reade A. Quinton, Mayo Clinic and National Association of Medical Examiners
8:55 AM
Discussion with Committee
9:30 AM
Session 2: Medical Examiner Perspectives on Infrastructure and Resource Needs
Moderator:
Jonathan Lucas,** San Diego County Department of the Medical Examiner
Speakers:
Theodore “Ted” Brown, Arkansas State Crime Laboratory
Erin Linde, Forensic Pathologist, Omaha, Nebraska
Deland Weyrauch, Montana Medical Examiner’s Office
10:00 AM
Discussion with Committee
10:45 AM
Break
11:00 AM
Session 3: Medical Examiner Perspectives on Deaths in Custody
Moderator:
Roger Mitchell Jr.,** Howard University Hospital
Speakers:
Jan Gorniak, World Peace Forensic Consulting, LLC
Michelle Jorden, Santa Clara County, California and National Association of Medical Examiners (virtual)
11:30 AM
Discussion with Committee
12:00 PM
Lunch
1:00 PM
Session 4: Perspectives on the Affected Community
Moderator:
John A. Rich,** RUSH University Medical Center
Speakers:
Linda Franks, Fair Fight Initiative
Cheryl Pilate, Partner, Morgan Pilate, LLC (virtual)
1:30 PM
Discussion with Committee
2:00 PM
Session 5: Perspectives from the Correctional and Correctional Health Community
Moderator:
Marc F. Stern,** University of Washington
Speakers:
John Wetzel, Keystone Restituere Justice Center
Johnny Wu, Centurion Health
2:30 PM
Discussion with Committee
3:00 PM
Break
3:15 PM
Session 6: Peer Review in Forensic Pathology
Moderator:
Paul S. Appelbaum,** Columbia University
Speakers:
Nicole Martin, Know Your Rights Camp Autopsy Initiative
Alfredo E. Walker, Eastern Ontario Regional Forensic Pathology Unit and University of Ottawa
3:45 PM
Discussion with Committee
4:15 PM
Session 7: Sickle Cell Trait and Cause of Death
Moderator:
Josiah “Jody” Rich,** Brown University
Speaker:
Lachelle D. Weeks, Harvard Medical School (virtual)
4:25 PM
Discussion with Committee
4:55 PM
Adjourn to Closed Session
9:00 AM
Welcome and Introductions
Committee Co-chairs:
Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit
John A. Rich, RUSH University Medical Center
9:05 AM
Session 8: Restraint of Agitated Individuals
Speaker:
James J. Gerace, Colonie Police Department
9:20 AM
Discussion with Committee
10:00 AM
Adjourn to Closed Session
Meeting #7 April 17, 2025 (Virtual)
4:00 PM
Welcome and Introduction
Committee Co-chairs:
Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit
John A. Rich, RUSH University Medical Center
4:05 PM
Overview of the National Center’s Child Death Review
Speaker:
Abby Collier, National Center for Fatality Review and Prevention
4:25 PM
Discussion with Committee
4:45 PM
Adjourn to Closed Session
Meeting #8
May 16, 2025
(Virtual)
11:00 AM
Welcome and Introduction
Committee Co-chairs:
Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit
John A. Rich, RUSH University Medical Center
11:05 AM
Session 1: Overview of the State of Maryland’s Office of Chief Medical Examiner (OCME) Audit Report
Speaker:
Jeff Kukucka, Case Manager
11:50 AM
Discussion with Committee
12:15 PM
Session 2:
Comments from Maryland Office of the Attorney General
Speaker:
Zenita Wickham Hurley, Deputy Attorney General, Maryland Office of the Attorney General
12:30 PM
Discussion with Committee
12:45 PM
Adjourn to Closed Session
* All Times U.S. Eastern
** Member of Study Committee
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