[Histonet] Number of Blocks Submitted by PA
|From:||"Stephen Peters M.D." |
There are a number of excellent references such as the Manual of Surgical Pathology
by Susan Lester MD or the index of Rosai's Surgical pathology which offer
recommendations on number of sections to be sampled in the common specimens.
Depending on the gross findings a pathologist will take additional sections as he sees
fit depending on the gross. There are many cases that do not fall into these typical cases
and the pathologist or PA will section them as based on their impression of the case.
When the pathologist is grossing a case he often has a good idea of what he will need
for sections and can be conservative if that is his nature. It is more difficult for the PA
to second guess the pathologist so when the PA is unsure how much the pathologist will
want they tend to put a bit more through initially so they do not have to go back a second
time leading to more work and a delay of the case. The number of blocks will often
be inversly proportional to their level of experience of both the PA and the pathologist.
A point I try to stress with my group is that even though they may think putting through
" more than necessary " may seem like an innocuous practice, in fact overloading the
histology staff will stress the staff and can lead to potential mistakes as well as a
delay in the work. This will effect the entire department. The same logic applies to ordering
of specials and immunos by the less experienced pathologists. If you recognize a trend
of increase work coming from a indevidual PA, or pathologist it may be worth discussing it
with the medical director to see if their is valid reason to further educate these indeviduals.
Histonet mailing list
<< Previous Message | Next Message >>