The performance of autopsies by a fellow reduced the overall caseload average for the full-time forensic pathologists, helping to keep them below 325 annual autopsies and preserving critical criteria that must be met for National Association of Medical Examiners (NAME) accreditation. The fellowship was an affordable and cost-effective approach to solving concerns regarding record autopsy numbers, as well as bolstering forensic pathology in the future, by providing two well-trained forensic pathologists to an understaffed field.