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Journal of Cancer Education : the... Apr 2021The pathologist is frequently called "the doctor's doctor." However, there are many uncertainties about the role of a pathologist among patients and policymakers and...
The pathologist is frequently called "the doctor's doctor." However, there are many uncertainties about the role of a pathologist among patients and policymakers and even among other medical specialties. The aim of the current study is to analyze the misconceptions of who a pathologist is among inpatients and Internet users, to find where the lack of understanding is originating from, and to confirm the need to educate the general public about pathologists. The survey of Internet users was conducted among Facebook users, utilizing the snowball sampling method. Inpatients were randomly recruited in the Department of Surgical Oncology. Seventy-eight inpatients and 320 Internet users were enrolled in the study. Significantly, more hospital patients than Internet users answered that the pathologist is not an MD (p = 0.00953). A portion of participants stated that pathologists do not make diagnoses (n = 28, 7.03%) and do not influence the treatment plan (n = 37, 9.30%) and that the other specialists do not gain anything from the pathologist's work (n = 67, 16.83%). Only 15.07% of respondents had their information about pathologists from other doctors. The findings from this study should show that even the most basic knowledge of a pathologist being an MD is not known. Pathologists are not recognized for being involved in the diagnosis of diseases. This should provide an incentive to pathologists to teach future doctors, policymakers, and patients about the perplexity of the pathology specialty. It shows obvious gaps in the knowledge of the treatment process as a whole.
Topics: Humans; Internet; Medical Oncology; Neoplasms; Pathologists; Surveys and Questionnaires
PubMed: 31667680
DOI: 10.1007/s13187-019-01640-0 -
Arquivos de Gastroenterologia 2021Ileitis is defined as an inflammation of the ileum, which is evaluated during colonoscopy. Biopsies should be performed on altered ileus, aiding to the diagnosis.
BACKGROUND
Ileitis is defined as an inflammation of the ileum, which is evaluated during colonoscopy. Biopsies should be performed on altered ileus, aiding to the diagnosis.
OBJECTIVE
Evaluate the correlation of anatomopathological findings on ileitis between pathologists and endoscopists.
METHODS
A retrospective, cross-sectional study, between 2013 and 2017. Examination report, indications for colonoscopy, and medical records were evaluated to identify whether the colonoscopic findings were clinically significant. Anatomopathological samples were reviewed by a pathologist expert in gastrointestinal tract. Patients over 18 years of age who had undergone ileoscopy were included, whereas patients below 18 years of age and those with previous intestinal resections were excluded. The correlation was assessed using the kappa coefficient index.
RESULTS
A total of 5833 colonoscopies were conducted in the study period and 3880 cases were included. Ileal alterations were observed in 206 cases, with 2.94% being clinically significant. A hundred and sixty three biopsies were evaluated using the kappa index, resulting in agreement among pathologists of 0.067 and among pathologist and endoscopist of 0.141.
CONCLUSION
It was observed that despite the low concordance between pathologists and endoscopists, there was no change in patient outcomes. This study confirms the importance of knowledge of the main anatomopathological changes related to ileitis by pathologists and endoscopists, making the best diagnosis and follow-up.
Topics: Adolescent; Adult; Colonoscopy; Cross-Sectional Studies; Humans; Ileitis; Language; Pathologists; Retrospective Studies
PubMed: 34231660
DOI: 10.1590/S0004-2803.202100000-25 -
Archives of Pathology & Laboratory... May 2017
Topics: Artificial Intelligence; Deep Learning; Forecasting; Humans; Pathologists
PubMed: 28447905
DOI: 10.5858/arpa.2016-0593-ED -
Journal of Cutaneous Pathology Apr 2020While patients are the ultimate beneficiaries of pathology services, pathologist to clinician communication is an essential component of excellent patient care. (Clinical Trial)
Clinical Trial
BACKGROUND
While patients are the ultimate beneficiaries of pathology services, pathologist to clinician communication is an essential component of excellent patient care.
OBJECTIVE
To survey dermatologists on how well pathologists communicate with them and to assess which aspects of pathologists' communication skills are deemed most significant to dermatologists, stratified by practice type.
METHODS
A survey-based instrument was developed and sent to dermatologists through various email listservs. Of the approximately 400 potential Association of Professors of Dermatology respondents, 64 returned the survey questionnaire (response rate 16%). Of the 79 state and regional dermatologic societies, seven agreed to distribute the survey on their listservs (response rate 9%).
RESULTS
Surveyed dermatologists believe that the pathologists with whom they work are meeting expectations in the areas of diagnostic accuracy, communicating pertinent information in a timely fashion, integrating written pathology reports into the electronic medical record, and making a clinically meaningful histopathologic interpretation. Discussion of cost of ancillary testing is an area of improvement. University affiliated dermatologists are more likely to use electronic medical records as their predominant mode of communication compared to community dermatologists with and without academic affiliations. Community dermatologists are more likely to use faxed written pathology reports as their predominant mode of communication.
CONCLUSION
Physician-to-physician communication is a key component of effective patient care. When it comes to dermatopathology services, dermatologists appear overall satisfied with the indicators examined, however, potential opportunities for improvement exist.
Topics: Communication; Dermatologists; Female; Humans; Male; Pathologists; Surveys and Questionnaires
PubMed: 31837051
DOI: 10.1111/cup.13626 -
Annual Review of Pathology Jan 2021I have had the singular opportunity to perform research and to participate in medical education. Not unexpectedly, people have asked me which of the two was more...
I have had the singular opportunity to perform research and to participate in medical education. Not unexpectedly, people have asked me which of the two was more important to me. My answer has always been and remains that I am equally passionate about research and teaching. My research has been curiosity driven and not purposeful; hence, I was willing to take risks. That my research led to the discovery of natural killer cells and the unraveling of the molecular basis of a human disease was an unexpected reward. By contrast, my interest in medical education was purposeful, with the goal of improving healthcare by teaching pathology as the scientific foundation of medicine. It started with participation in Robbins pathology texts but progressed toward development of technology-based tools for medical education. This was driven by the belief that technology, by providing equal access to knowledge across the world, can be a powerful democratizing force.
Topics: History, 20th Century; History, 21st Century; Humans; Immunity, Innate; Pathologists
PubMed: 33497261
DOI: 10.1146/annurev-pathmechdis-012419-032855 -
Oral Oncology Sep 2022
Topics: Artificial Intelligence; Humans; Mouth Neoplasms; Pathologists
PubMed: 35792413
DOI: 10.1016/j.oraloncology.2022.105999 -
Pathologica Sep 2020
Topics: Gastroenterology; Gastrointestinal Tract; Humans; Pathologists; Societies, Medical
PubMed: 33179615
DOI: 10.32074/1591-951X-160 -
Der Pathologe Mar 2022The role of pathologist Hans Klein during the National Socialist era and his career in post-war Germany have hardly received systematic attention. During World War II,...
The role of pathologist Hans Klein during the National Socialist era and his career in post-war Germany have hardly received systematic attention. During World War II, Hans Klein worked in two medical institutions, where he collaborated with individuals who were significantly involved in Nazi crimes. Klein's participation initially extended mainly to his work as an employed pathologist at the Rudolf Virchow Hospital in Berlin. There he was introduced to autopsy practices in the context of the children's euthanasia programme and autopsies of victims of medical experiments. Later, a shift in his activities is noticeable at the Hohenlychen Sanatorium. Klein's activities there increasingly involved independent research or voluntary collaboration in the projects of other scientists that were closely connected to the SS and experiments on human beings in concentration camps. He never had to face justice. His role was not further investigated by the Allies - probably due to his non-existent Nazi party and SS membership.
Topics: Autopsy; Child; Concentration Camps; Germany; History, 20th Century; Humans; Male; National Socialism; Pathologists
PubMed: 34159414
DOI: 10.1007/s00292-021-00954-5 -
Veterinary Pathology Mar 2021Animal models have critical roles in biomedical research in promoting understanding of human disease and facilitating development of new therapies and diagnostic...
Animal models have critical roles in biomedical research in promoting understanding of human disease and facilitating development of new therapies and diagnostic techniques to improve human and animal health. In the study of myriad human conditions, each model requires in-depth characterization of its assets and limitations in order for it to be used to greatest advantage. Veterinary pathology expertise is critical in understanding the relevance and translational validity of animal models to conditions under study, assessing morbidity and mortality, and validating outcomes as relevant or not to the study interventions. Clear communication with investigators and education of research personnel on the use and interpretation of pathology endpoints in animal models are critical to the success of any research program. The veterinary pathologist is underutilized in biomedical research due to many factors including misconceptions about high fiscal costs, lack of perceived value, limited recognition of their expertise, and the generally low number of veterinary pathologists currently employed in biomedical research. As members of the multidisciplinary research team, veterinary pathologists have an important role to educate scientists, ensure accurate interpretation of pathology data, maximize rigor, and ensure reproducibility to provide the most reliable data for animal models in biomedical research.
Topics: Animals; Biomedical Research; Humans; Pathologists; Pathology, Veterinary; Reproducibility of Results; Veterinarians
PubMed: 33327888
DOI: 10.1177/0300985820974005 -
Annals of Diagnostic Pathology Oct 2022
Topics: Humans; Pathologists
PubMed: 35717869
DOI: 10.1016/j.anndiagpath.2022.151980