Jeff Silverman at Southside Hospital in  Bay Shore NY describes very 
carefully thought out and written procedures for a variety of non-gynecologic 
cytopathology specimens.

Most of the small laboratories I work in have only the sketchiest procedures 
written for non-gynecologic specimens, and typically what gets done depends 
on the whim of the person doing cytopreparation that day, and there is no 
feedback to the physician performing the procedure. The result is that these 
cytologic procedures are very nearly worthless, particularly if there is no 
cytotechnologist available to prepare and screen the specimens. A lot of 
these services would benefit from taking Jeff Silverman's approach. 

The real question we have to ask here, though, is: how much longer will small 
hospitals, particularly in rural areas, be able to maintain pathology 
services at all? Based on what I'm seeing out there, I'm not optimistic.

Bob Richmond
Samurai Pathologist
Knoxville TN