RE: [Histonet] Re: Dermpath ???

From:"Marshall Terry Dr, Consultant Histopathologist"

 "With this important exception - in general it's not a good idea for
clinicians to read slides on their own patients."

Try telling that to the dermatologists who do their own.
One claimed to earn twice as much as I earn, full time, from doing 2
sessions a week.
Nice work if you can get it.

The whole point of dermatologists doing skin pathology, is that they
just simply have a better idea of what they are doing. Remember, there
are significantly more named diseases in the skin than everywhere else
put together.

I do however think they are in great danger of agreeing with themselves,
if you see what I mean:-)


-----Original Message-----
[] On Behalf Of Robert
Sent: 28 September 2007 15:53
Subject: [Histonet] Re: Dermpath ???

This thread has some issues that might be worth untangling.

Dermatopathology is a subspecialty certification. Pathologists and
dermatologists who have their respective basic board certifications are
eligible to sit the exam for the dermatopathology certification.

A pathologist with anatomic pathology boards is qualified to sign out
dermatopathology cases. So is a dermatologist with dermatopathology
boards. (I'm not familiar with the various issues concerning
dermatologists without derm path certification.)

It's a great deal easier to do dermatopathology for a dermatologist than
it is to do it for a primary care practitioner who's on the loose with a
biopsy punch. The dermatologist can give me a list of possible diagnoses
which I then, if I'm completely at sea, I can crank through with a good
derm path textbook such as Weedon. The GP who sends me a history of
"rash" and can offer no more information when I call him - now that case
needs a dermatopathologist to sign it out!

Mohs surgeons read their own frozen sections as they work, and a
pathologist is little help to them. Most Mohs surgeons unload anything
else on a pathologist! A Mohs surgeon should be highly qualified to read
his own frozen sections.

With this important exception - in general it's not a good idea for
clinicians to read slides on their own patients.

Bob Richmond
Samurai Pathologist
Knoxville TN

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