A “Pathology Explanation Clinic (PEC)” for Patient-Centered Laboratory Medicine Test Results

Gibson, Blake A.; Bracamonte, Erika; Krupiński, Elizabeth A.; Briehl, Margaret M.; Barker, Gail; Weinstein, John B.; Weinstein, Ronald S.

doi:10.1177/2374289518756306

Cited by 14 publications

(19 citation statements)

References 21 publications

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“…To address this concern, the development of a specific training route was suggested for the pathologists interested to become Certified Pathology Navigators. 17 Another important consideration is the time the meetings and the necessary preparation require, since this process is currently not factored in to the pathologist's workload, daily routine and billing.…”

Section: Short Reportmentioning

confidence: 99%

Public perceptions on pathology: a fundamental change is required

et al. 2020

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Pathology has been mostly invisible for the public. The missing recognition affects the pathologists’ reputation, and efforts with recruitment and advocacy. Our survey with 387 respondents confirms that the public knowledge on the role of the pathologists has not improved despite campaigns and advocacy efforts. Pathology was identified as a medical specialty by 79.1% of the respondents. Only 34.8% assumed that it takes more than 8 years of post-high school training to become a pathologist. Most commonly, another medical specialist was identified as the ultimate diagnostician on Pap tests (gynaecologist), breast biopsies or malignant surgical excisions (oncologist), gastrointestinal biopsies (gastroenterologist) or prostate biopsies (urologist). The experience gained by undergoing these procedures had minimal impact on understanding the pathologists’ role, since they were identified as ultimate diagnosis makers by the minority of these patients (13.8%–36.4%). The integration of pathologist–interactions into patient care may be a potential solution with benefits beyond improved perceptions.

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Section: Short Reportmentioning

confidence: 99%

Public perceptions on pathology: a fundamental change is required

et al. 2020

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“… 6 Furthermore, the expansion of patients receiving their surgical pathology specimens could represent a further component of patient-centered pathology. 7 This preliminary study investigates motivations, values, and needs of those who obtained their surgical pathology specimen at one academic institution in the last 18 months.…”

Section: Introductionmentioning

confidence: 99%

Patients Who Take Home Their Surgical Pathology Specimens: A Preliminary Study

Gibson

Sobonya

2019

Academic Pathology

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Patients regularly request to take possession of their human tissues after they have become surgical pathology specimens. To date, few formal research studies have examined the prevalence of this practice or the reasoning patients’ request that their specimens to be returned to them. This study interviews patients from 2015 to 2017 at one US academic medical center who requested their surgical pathology specimens. Of the 22 eligible patients, 8 patients agreed to be interviewed. Interviews lasted 10 to 30 minutes and included 5 questions. The questions were: (1) What motivated your decision to obtain your surgical pathology specimen, (2) What, if anything, did you do with your specimen, (3) What were positive aspects of your experience, (4) What were negative aspects of your experience, (5) What can the pathology department change to better support patients who request their surgical pathology specimens? Verbatim transcripts were generated and a mixed-methods analysis was performed. The type of specimens included products of conception, placenta and cord, costal cartilage and ribs, loop explant recorder, pacemaker, below knee amputation, and cervix, uterus, Fallopian tubes, and ovaries. The dominant themes included adversity, medical interest, souvenir, cultural beliefs, and curiosity. Subthemes included becoming whole in the afterlife, preservation, my body, restoration, honoring, and regret. In conclusion, pathologists can expand their role as patient advocates and advance patient-centered pathology by supporting patient’s individual needs, motivations, and goals, when they request their surgical pathology specimens.

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“…Adam Booth, MD, Lija Joseph, MD, and colleagues have shown that patients have a desire to meet directly with their pathologist face-to-face and discuss their diagnosis to help them ''see the dragon they are slaying.'' 10 Gibson et al 11 have discussed the establishment of Pathology Explanation Clinics to address this same need. Uthman 12 has written about the benefit of pathologists getting out from behind the ''paraffin curtain,'' interacting with other clinicians and becoming a visible part of the hospital system.…”

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confidence: 99%

Emerging From the Basement: The Visible Pathologist

Harrold

Bean

Williams³

2019

Archives of Pathology &Amp; Laboratory Medicine

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T here is a perception that US medical school graduates' (USMGs) interest in pathology is waning. This concern, in an era of projected physician and pathologist shortages, 1,2 has implications for the delivery of quality patient care to an aging population. Given this, can we increase interest in our field?Data from the National Residency Match Program reveal a steady decline in the percentage of first-year pathology positions filled by graduating medical students from allopathic schools since 1978. 3 During that same time span, the percentage of total graduating US allopathic seniors selecting pathology as their specialty fluctuated cyclically. In 1979, 2.16% (282 of 13 036) of students selected pathology, whereas 0.88% (128 of 14 610) did so in 1998. By 2005, 2.21% (326 of 14 719) selected pathology, with the percentage falling to 1.17% (220 of 18 818) by 2018. Although the percentage of total positions filled by USMGs has decreased since 1978, the actual ratio of USMGs choosing pathology compared with the total number graduating has only mildly fluctuated. Therefore, the outlook may not be as bleak as once suspected; however, the drive for increased interest in our field should remain a goal.To increase interest in pathology, we must focus on visibility within both medicine and popular culture. Medical students think of pathology as a clinically invisible specialty and are unaware of it, forget about it, or ignore it as a career path. 4,5 Therefore, students are not rejecting pathology; it simply is not included in their slate of career options. Pathology is not a required clerkship in most American medical schools, which limits students' exposure to the role that pathologists play in patient care. If students complete elective pathology clerkships, they typically do so during the fourth year of medical school, when career path changes seldom occur. Recent changes in undergraduate medical education could also be leading to a poor understanding of the clinical practice of pathology. After the release of the Carnegie Report in 2010, many medical schools changed curriculum delivery from a traditional subject-based approach with multiweek pathology courses to a systemsbased approach with integration of subjects. 6 This more fragmented view of pathology may lack sufficient exposure and leads students to believe pathologists are basic scientists with limited career options. 4,7,8 Moreover, when students are aware of pathologists their perceptions are limited to unflattering stereotypes perpetuated in medicine and the media.Stereotypically, the depiction of pathologists on television has usually been restricted to autopsy and forensic pathology. Furthermore, it is unclear that those characters are physicians or they are forced to do autopsies because they are incompetent physicians. Negative portrayals of pathologists are difficult to counter in the media. Good role models in pathology, such as Bennet Omalu, MD, and his work with concussions and chronic traumatic encephalopathy, need highlighting to balance the more ...

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A “Pathology Explanation Clinic (PEC)” for Patient-Centered Laboratory Medicine Test Results

Cited by 14 publications

References 21 publications

Public perceptions on pathology: a fundamental change is required

Public perceptions on pathology: a fundamental change is required

Patients Who Take Home Their Surgical Pathology Specimens: A Preliminary Study

Emerging From the Basement: The Visible Pathologist

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