Re: [Histonet] RE: pathologists in the lab (shivers down thespine...)

From:Geoff McAuliffe

Two reasons for not training medical students:
1. Not enough time in the curriculum.
2. Most medical students won't be pathologists, so why train them to 
process tissue and stain slides? Those who train in Pathology should 
know what is involved in tissue preparation and know enough not to 
demonstrate their ignorance.

Geoff

kgrobert@rci.rutgers.edu wrote:

>We're just a small research and teaching lab, but I have taught all sorts
>of people about histology-from high-schoolers on up to full professors,
>and every time my boss teaches his Toxicologic Pathology graduate course,
>I get to teach the lab portion of it, where the students learn almost the
>same thing-from animal necropsy all the way to staining.
>
>So why isn't Histology part of Medical School/Pathology training?
>
>Kathleen
>Principal Lab Technician
>Neurotoxicology Labs
>Rutgers University
>
>
>
>
>  
>
>>"OOOHHH, there it is."
>>
>>Oh, the days in the lab... My favorite is the pathologist who came in late
>>in the evening, opened the (already running) tissue processor and then
>>spent
>>two hours grossing, occasionally lobbing a cassette into the processor.
>>Next
>>day he (and all the other pathologists) was mad that his blocks were were
>>two hours late - but soon he was hiding under his desk after he explained
>>what he had done and all the other pathologists turned on him. Luckily,
>>only
>>his blocks were wrecked - he had lobbed them in while the processor was
>>late
>>in 100%, and did not fully dehydrate.
>>
>>It is truly amazing how ignorant most pathology residents are about basic
>>histology procedures. Our lab director was enlightened and he made all the
>>path residents spend  5 full days in the histo lab following the tissue
>>through the entire process from accession to H&E, then specials, IHC, EM
>>etc. They were chaffing by the second day, but by the 5th they were very,
>>very appreciative of all the work that went on to get their slides and
>>stains  done. It made life a lot easier later because they actually
>>understand what was going on - and knew it was better to ask a tech what
>>to
>>do rather than  just blindly (arrogantly?) do what ever they felt like
>>doing.
>>
>>Tim Morken
>>
>>
>>
>>
>>I had a resident come in looking at at a block contemplating ordering a
>>special stain.  She looked and looked at the top of the block where tissue
>>is placed when grossing.
>>
>>Finally she said.  "I need to order a special on this block, but there
>>isn't
>>any more tissue."
>>
>>The tech took the block out of her hand and turned it over.
>>
>>
>>"OOOHHH, there it is."
>>
>>Ross M Stapf
>>Histopathology Manager
>>Baylor University Medical Center
>>3500 Gaston Ave.
>>Dallas, TX 75246
>>214-820-2465
>>
>>214-820-4110 fax
>>RossS@baylorhealth.edu
>>
>>
>>
>>-----Original Message-----
>>From: histonet-bounces@lists.utsouthwestern.edu
>>[mailto:histonet-bounces@lists.utsouthwestern.edu] On Behalf Of Fred
>>Underwood
>>Sent: Wednesday, February 23, 2005 10:02 AM
>>To: froyer@bitstream.net; histonet@lists.utsouthwestern.edu
>>Subject: [BULK] - Re: [Histonet] Left-handed microtome.
>>
>>
>>Or, perhaps the pathologist wanted sections from the opposite side of the
>>block.
>>
>>    
>>
>>>>>Ford Royer  02/23/05 09:43AM >>>
>>>>>          
>>>>>
>>Jim Staruk wrote:
>>
>>    
>>
>>>I remember an older histologist I met in Florida who had the
>>>      
>>>
>>microtome
>>    
>>
>>>facing away from him as he cut ribbons!
>>>
>>>Jim
>>>
>>>______________________
>>>   Jim Staruk
>>>Mass Histology Service
>>>www.masshistology.com
>>>
>>>      
>>>
>>Poor fellow... didn't know whether he was coming or going. Obviously due
>>to
>>all those years of unbridled exposure to xylene &
>>
>>formalin (or is that formaldehyde? ...I can never remember).
>>
>>;-)  ~ Ford
>>Ford M. Royer, MT(ASCP)
>>Midwest Science Biocenter, Inc.
>>Minneapolis, MN
>>800-745-4869
>>
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-- 
--
**********************************************
Geoff McAuliffe, Ph.D.
Neuroscience and Cell Biology
Robert Wood Johnson Medical School
675 Hoes Lane, Piscataway, NJ 08854
voice: (732)-235-4583; fax: -4029 
mcauliff@umdnj.edu
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