POLICY CHANGES IN SASKATCHEWAN HAVE CAUSED A SHIFT FROM THE PERFORMANCE OF MEDICOLEGAL AUTOPSIES BY NONPATHOLOGISTS, TO THEIR REFERRAL TO SPECIALISTS, THOUGH THE NUMBERS AND PROPORTIONS CANNOT READILY BE DETERMINED. ONE OF THE RESULTS OF THIS CENTRALIZATON TENDENCY HAS BEEN GREATER STRESS ON THE SMALL NUMBER OF PATHOLOGISTS IN SASKATCHEWAN. THIS STUDY COVERED THE PERIOD FROM 1970 THROUGH 1977, DURING WHICH TIME 1,572 AUTOPSIES WERE PERFORMED AT ST. PAUL'S HOSPITAL IN SASKATCHEWAN BY ONE PART-TIME AND TWO FULL-TIME PATHOLOGISTS. OF THE 1,572 AUTOPSIES, 948 OR 60 PERCENT SHOWED DEATH FROM NATURAL CAUSES; 624 DEATHS OR 40 PERCENT RESULTED FROM UNNATURAL CAUSES. UNNATURAL CAUSES INCLUDED ROAD TRAFFIC ACCIDETNS, OTHER ACCIDENTS (POISONING, DROWNING, BURNS, LIGHT PLANE CRASHES, FALL, ASPHYXIA, ASPIRATION OF VOMIT, AND ACCIDENTALLY SELF-INFLICTED GUNSHOT WOUNDS), SUICIDE, AND HOMICIDE (STABBING, BEATING, GUNSHOT WOUNDS, STRANGULATION, CHILD BATTERING, CARD HOOD ON NECK, AND THROWN OUT OF WINDOW). FINDINGS DEMONSTRATED GRADUAL SHIFTS IN THE PROPORTION AND TYPE OF CASE HANDLED BY PART-TIME PROSECTORS. SOME CHANGES WERE RELATED TO EXTERNAL SOCIAL TRENDS, WHILE OTHER CHANGES WERE DUE TO SHIFTS IN THE MEDICOLEGAL SYSTEM. OVERALL, WITH THE USE OF PART-TIME PROSECUTORS, THE LONG DISTANCES TO BE TRAVELED FOR COURT APPEARANCES; AND THE SMALL NUMBER OF FORENSIC PERSONNEL, THE MEDICOLEGAL SYSTEM WAS STRAINED. TRENDS INDICATE A NEED FOR MORE EMPHASIS ON CONTINUING EDUCATION AND THE UPGRADING OF SERVICES TO IMPROVE THE EFFICIENCY OF AUTOPSIES AND THEIR EVALUATION. SUPPORTING DATA AND REFERENCES ARE PROVIDED. (DEP)