Return
14 of 14PreviousNext
Decrease
AAA
Increase
Print

Surgical Pathology Subspecialization

August 17th, 2006
Steve Black-Schaffer
MGH


Questions

NO

 

YES

 

TOTAL

- Comments. -

1  Are your only obligate primary subspecialty signout services the ABP certified surgical pathology subspecialties (derm, heme, neuro, and peds)?

16

70%

7

30%

23

- No: the only additional subspecialty is medical renal pathology and some of the transplant cases such as cardiac and lung. - Yes: due to volume and tradition. We have neuro subspecialty sign out because everyone rejects it and we have a skin signout because of tradition. -

2  Are your surgical pathology signout services partially subspecialized, by which we mean that you have both a general surgical pathology signout service and also obligate primary subspecialty signout services other than the ABP certified services (above)?

4

17%

19

83%

23

- Yes: we have close to a fully subspecialized dept, but not quite in addition to the boarded subspecialties (Heme, Cyto, Neuro, Molec Dx), we have subspecialty units in GYN, GI, Pulm, GU etc. and a general unit for the left over of which there are few. Those people who wish to remain generalists can, but on a practical level most people pick 2-3 areas, and a few have only one. About 2/3rds of the group also does frozens. - Yes: whether the case gets signed out on general surgical pathology or by the specialty service also depends on the type of case it is and who the surgeon is. - Yes: pretty well everyone does Gen Surg Path but everyone is also specialized so that anything out of the ordinary gets zipped to the specialist fairly quickly. However most like to keep their hand in across the board. As it is usually the biopsies that cause the problems there are frequently requests for specific individuals to see a specific biopsy and there are a variety of "services" that tend to sign out e.g. all sarcomas, eyes/conjunctiva, prostates, unusual GYN, GI etc. -

3  Is your surgical pathology service fully subspecialized, by which we mean you have only obligate primary subspecialty surgical pathology signout services, and no general surgical pathology signout?

22

96%

1

4%

23

- -

4  If your answer to questions 2 or 3 above is "Yes", please indicate which of the following are obligate primary signout services at your institution:

 

 

 

 

 

 

Subspecialty

NO

 

YES

 

 

- comments -

Breast

15

79%

4

21%

19

- no but I pray daily to make it so -

Bone Soft Tissue

14

74%

5

26%

19

- -

Cardiovascular

12

63%

7

37%

19

- yes for valves, atheromata etc. not surg path - cardiac biopsies only (not explants) -

Derm

6

32%

13

68%

19

- at a separate practice - only for dermatologist biopsies -

ENT

17

89%

2

11%

19

- -

GI

13

65%

7

35%

20

- liver is separate from other GI - liver only - only biopsies - only biopsies -

GU

16

80%

4

20%

20

- -

GYN

14

70%

6

30%

20

- -

Heme

4

20%

16

80%

20

- yes for bone marrow, not lymph node - yes: bone marrows, no lymph nodes - in lab medicine -

Neuro

6

30%

14

70%

20

- -

OB

11

61%

7

39%

18

- yes together with peds - yes for placenta & poc - yes in that only a limited number of faculty do placentas -

Peds

9

50%

9

50%

18

- yes together with OB – no despite a children's hospital – yes because of a children's hospital - yes but at a separate hospital and service: no peds at our hospital -

Pulmonary

15

75%

5

25%

20

- no except for lung transplant biopsies -

Renal

3

16%

16

84%

19

- yes for medical renal not surg path -

Other

10

50%

10

50%

20

- oral, metabolic bone, and embryo/fetus - liver - transplant - molec dx - liver and oral - eye path for ocular lesions - endocrine, transplant, perinatal, and non-neoplastic lung - medical liver and eye - placenta - eye -