RE: Case Distribution
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From: | "MacDonald, Jennifer" <jmacdonald@sach.org> (by way of histonet) |
To: | histonet@histosearch.com |
Reply-To: | |
Content-Type: | text/plain; charset="us-ascii" |
WOW!!!! Sure glad I have the pathologists that I have!
> ----------
> From: Tapper, Sheila[SMTP:STapper@smdc.org]
> Sent: Wednesday, December 01, 1999 9:05 PM
> To: 'Woodfin, Amy C'; 'histonet@pathology.swmed.edu'
> Subject: RE: Case Distribution
>
> Amy,
> You have asked a question I have long been too embarrassed to ask!! My
> pathologists insist that we administer a complicated, TIME CONSUMING split
> process for them. When I informed them that the process they have
> determined to equally distribute slides would delay the delivery of their
> slides by 30-45 minutes every day (No kidding!), they were fine with
> that!!!
> The answer I received when I protested was "It makes better financial
> sense
> for a histotech to spend the time to divide the work, and distribute than
> a
> pathologist, who has many other responsibilities to take the time to
> figure
> it out. I have a 5-page procedure. I have so many variables to use in
> computing the split, that I had to create a worksheet to be able to
> administer it!!!! When I took the information from the worksheet, and put
> it into an Excel spreadsheet. I charted averages, daily workloads, and
> distribution. I presented it to the Medical Director; he was not
> impressed...the current system was "working" well for them. This, despite
> the fact it has created a HUGE rift between the techs and the
> pathologists.
> It is difficult to maintain a respectful working relationship when the
> respect is only expected to go one way. The funny part is...if we should
> every inadvertently make a mistake in dividing their work, they know
> immediately!!!! They will come STOMPING and in one case SCREAMING into my
> lab to belittle us for making a mistake. My only question to them...How
> would you know we had made a mistake, if you weren't mentally splitting
> the
> workload yourselves. Needless to say...we are at an impasse, and still
> performing the split. My new lab director is supporting me, but this
> issue
> is obviously a symptom of a much larger issue. I work with a group of
> pathologist that cannot communicate amongst one another. They are certain
> that it is reasonable to have us assign their work to them. I have
> threatened to bring in a phlebotomist to divide our blocks up so that no
> one
> histotech cuts more blocks than the other!!!! They didn't see the humor
> there either.
>
> Sorry for the rant. I just brought the topic up to the Medical Director
> last week - I lost! He has devised a new scheme though...he wants us to
> distribute slides in "discreet linear packages" (consecutive cases - this
> is
> his terminology. I guess all the time he saves while we do the split
> allows
> him to create new catch phrases for slides on a tray!) I'm sorry. I
> better
> stop. I am embarrassing my organization. If however, anyone would like a
> copy of my Distribution of Slides procedure, I would be happy to share it
> with you. It could be a real laugh for those of you who are blessed with
> sane, reasonable pathologists who don't seem to thrive on power, and
> appreciate how hard the techs work. I will apologize in advance to any
> pathologist on the net that I may have offended. I have to say I am not
> impressed with the group I am working for now.
>
> Sheila Tapper
> Anatomic Pathology Team Leader
> SMDC Health System
> Duluth, MN
> Stapper@smdc.org <mailto:Stapper@smdc.org>
>
>
> -----Original Message-----
> From: Woodfin, Amy C [SMTP:AWoodfin@peacehealth.org]
> Sent: Wednesday, December 01, 1999 1:24 PM
> To: 'histonet@pathology.swmed.edu'
> Subject: Case Distribution
>
> Hi folks,
>
> Looking for some insight from hospital based surgical pathology labs
> on how
> your cases are distributed to your docs for microscopic evaluation.
> We are
> in our 5th evolution of case distribution methods and the docs are
> still not
> happy. I would appreciate any information on: how many docs,
> average # of
> cases, who does the distribution, is equanimity of cases a goal in
> your
> distribution, and how you determine who gets what. Any info will be
> GREATLY
> appreciated :-)
>
> Thanks!
> Amy Woodfin
> Pathology Supervisor
> St. Joseph Hospital
> Bellingham, WA 98225
>
>
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