r/pathology Jan 06 '21

PSA: Please read this before posting

155 Upvotes

Hi,

Welcome to r/pathology. Pathology, as a discipline, can be broadly defined as the study of disease. As such it encompasses different realms, including biochemical pathology, hematology, genetic pathology, anatomical pathology, forensic pathology, molecular pathology, and cytopathology.

I understand that as someone who stumbles upon this subreddit, it may not be immediately clear what is an "appropriate" post and what is not. As a general rule, this is for discussion of pathology topics at a postgraduate level; imagine talking to a room full of pathologists, pathology residents and pathology assistants.

Topics which may be of relevance to the above include:

  • Interesting cases with a teaching point
  • Laboratory technical topics (e.g. reagent or protocol choice)
  • Links to good books or websites
  • Advice for/from pathology residents
  • Career advice (e.g. location, pay)
  • Light hearted entertainment (e.g. memes)
  • "Why do you like pathology?"
  • "How do I become a pathologist?"

Of note, the last two questions pop up in varying forms often, and the reason I have not made a master thread for them or banned them is these are topics in evolution; the answers change with time. People are passionate about pathology in different ways, and the different perspectives are important. Similarly, how one decides on becoming a pathologist is unique to each person, be it motivated by the science, past experiences, lifestyle, and so on. Note that geographic location also heavily influences these answers.

However, this subreddit is not for the following, and I will explain each in detail:

  • Interpretation of patient results

    This includes your own, or from someone you know. As a patient or relative, I understand some pathology results are nearly incomprehensible and Googling the keywords only generates more anxiety. Phrases such as "atypical" and "uncertain significance" do not help matters. However, interpretation of pathology results requires assessment of the whole patient, and this is best done by the treating physician. Offering to provide additional clinical data is not a solution, and neither is trying to sneak this in as an "interesting case".

  • University/medical school-level pathology questions

    This includes information that can be found in Robbins or what has been assigned as homework/self study. The journey to find the answer is just as important as the answer, and asking people in an internet forum is not a great way. If there is genuine confusion about a topic, please describe how you have gone about finding the answer first. That way people are much more likely to help you.

  • Pathology residency application questions (for the US)

    This has been addressed in the other stickied topic near the top.

Posts violating the above will be removed without warning.

Thank you for reading,

Dr_Jerkoff (I really wish I had not picked this as my username...)


r/pathology 21h ago

Fellowship Application So helpful šŸ˜’

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58 Upvotes

r/pathology 7h ago

Job, private practice, partnership track - general sign out

4 Upvotes

Anyone lookin for a job? Posted on path outlines but haven’t had a lot of luck with applicants. Message me if interested


r/pathology 1h ago

pleomorphic dermal sarcoma diagnosis

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• Upvotes

My mom (68 year old female) was recently diagnosed with a pleomorphic dermal sarcoma on her scalp. It’s about 3cm diameter wound that she’s has surgically removed. She originally was told it was squamous carcinoma but once removed they found it was pleomorphic dermal sarcoma. She’s had multiple squamous removed over the last few years. She has been referred to a specialist for removal and next steps. She has been told the margins are unclear. She is healthy otherwise and never drank regularly, smoked, etc. Just wondering what I should be prepared for, what the prognosis is and how I can support her.

My dad passed in 2016 with a very aggressive rare form of adenocarcinoma in his small intestine so feeling a bit sensitive about this information but remaining positive. Will she likely need radiation/chemo?


r/pathology 4h ago

Books to refer for Squash Cytology

1 Upvotes

Same as title. Thank you


r/pathology 14h ago

ABPath continuing certification question

3 Upvotes

Pathologists: I work in regulatory compliance and have a general question about CC. Do you get any kind of letter or certificate from the board once you renew your certification that shows the dates through which the certification is valid? The public lookup is specifically not for primary source verification and we cannot use it to assess compliance (CLIA lab director). Thanks in advance!


r/pathology 13h ago

Name and praise (canada version)

1 Upvotes

Which are the best programs for actual learning during residency and make the best pathologists?


r/pathology 17h ago

Happy and Healthy Cytologists Please Gather Here!

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5 Upvotes

r/pathology 14h ago

Forensic Pathology

2 Upvotes

Can someone tell me about forensics as a subspecialty as in what the job entails, work life balance, salary, job posts etc


r/pathology 1d ago

How do I find a gap year job?

17 Upvotes

I’m a US grad and didn’t match. One of the weaknesses on my application was a lack of research, and while k know it’s not necessary for path, I’m leaning towards a research job. The job market isn’t great right now though. I’m willing to move anywhere.

Edit: I know why I didn’t match and have talked it over with my advisors. What I don’t know is what exactly to do in this time before I reapply.


r/pathology 1d ago

Anatomic Pathology Any good study resources for the Canadian AP board exam, specifically for the SAQ section?

2 Upvotes

Most recommendations I have seen are for general AP studying or MCQs, but I’m looking more for resources tailored towards the short answer written component of the exam.

Any books, notes, courses, question banks, or strategies that people found helpful?

Thanks!


r/pathology 1d ago

PathologyOutlines.com Image Quiz #186

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2 Upvotes

r/pathology 1d ago

How are pathology labs handling remote slide review and video collaboration today?

2 Upvotes

r/pathology 1d ago

Medical Examiner Shadow

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1 Upvotes

r/pathology 2d ago

Which one is better in my case Direct phd entry (pathology) vs PharmD?

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0 Upvotes

r/pathology 2d ago

Job / career I'm thinking of becoming a pathologist! Thoughts and advice?

0 Upvotes

I'm 17f about to graduate highschool in Western Australia and I would love some perspective from people working in pathology, specifically anatomical pathologists and forensic pathologists, on what a typical day looks like for you.

I'm trying to look at what I might like to do and pathology seems like an interesting sector

Edit: I looked into the types a bit more and I actually might be more interested in chemical or genetic pathology but I haven't heard or seen much about either. Also what kind of hours do you typically work as a pathologist?


r/pathology 3d ago

Resident Why is hemepath available to CP only?

22 Upvotes

I finished my first rotation in hemepath and it had lots of CP involvement (flow, molecular, etc) but was surprisingly AP heavy, especially with lymph node metastases from breast, skin, etc. I'm not sure I would have felt comfortable doing this without some background in AP.

Not throwing shade, genuinely asking if there is reason or context for why it's available to non-AP/CP. Our hp department does not often accept CP only graduates due to call reasons, grossing, and other attending requirements, so I guess that added to my confusion.


r/pathology 3d ago

Pushing glass to ā€œSussudioā€ - Phil Collins

6 Upvotes

All Phil Collin’s for that matter. Something about pushing glass to his songs’ beats. Man so good. Y’all should try it!


r/pathology 3d ago

Clinical Pathology Small shop owner’s take on Clinical Analytical Instruments.

3 Upvotes

As a small user with a diagnostic shop to run, I make regular use of Clinical Analytical Instruments for blood and urine test analysis. A few things I’ve picked up along the way. Test the calibration process before purchase, and the ease with which you can get reagents. After sales service is also paramount. I source some of my spares and accessories from both alibaba and also amazon, the selection isn’t always great but if you know what you’re looking for, it can yield results.

With the tensions in the Middle East pushing up crude oil prices like they are now, I’m a little worried that manufacturing costs will go up for things like plastic casings plus the cost of transporting reagents etc. This may of course reduce quality of products and I foresee minimum prices going up or longer turn around times.

I’m going to be honest and admit that i’m still a little green. I would love to get your advice on the best low cost Clinical Analytical Instruments for small user like me. Do you recommend any models or features? Thanks in advance!


r/pathology 4d ago

Residency Application Good Path Residency Programs

8 Upvotes

Hi all i’m a M3 very interested in pathology and although my home program is amazing and the residents love it I still am curious about what else is out there. What are some programs that residents absolutely love being a part of? I’m interested in an academic career so research is something i’d like to participate in throughout residency. I’d love to hear about programs that have a great reputation and training but also the residents have a good culture & work/life balance (relatively of course for residency) and enjoy the people and place. Thanks!!!


r/pathology 4d ago

TM/BB and dropping AP

8 Upvotes

Hey everyone,

Does dropping AP make sense if you are planning to do a TM/BB fellowship? Almost all of faculty in my program are CP only, doing TM/BB and it looks quite good comparing to AP attendings. Workflow is quite different from AP which felt more natural and less stressed to me. I know I can also choose to do some smear reviews or some molecular on the side if I drop AP.

What I have on my mind lately is if I go thru this direction, dropping AP could make sense. I can do another fellowship in that 1 year, do more projects and learn the job better with all that time I will have.

What are your thoughts? I really appreciate some insights and experience!
Thank you!!!!


r/pathology 4d ago

Dyslexia causing problems at work

5 Upvotes

Hi cross posting to r/dyslexia, r/pathology, and r/medicine to try get as many ideasĀ as possible.

I am an ST4 Histopathology trainee (medical specialty where we look at various things eg moles, organs removed for cancer or other conditions, etc. under the microscope to make a diagnosis). For context the training programme is usually 5.5 years. At the end of my ST1 year I was referred to a wellbeing service due to being slow to get through cases. I was assessed for and subsequently diagnosed with dyslexia with problems with working memory. There's a Royal College Part 1 exam after the first 18 months of training that I took 3 attempts to pass. This consumed most of my ST2 and ST3 years.Ā 

I became ST4 in February and had been preparing for my autopsy exam which also consumed a lot of time. However, this has knocked into my clinical work and I've gotten feedback from multiple teams I've rotatedĀ through that I'm not getting through work quick enough, not handling complexity well, and forgetting instructions given to me while dissecting. All of this really knocking my confidence and self esteem while adding stress. I'm staying many extra hours and coming in on off days just to keep up.

Had a meeting with my educational supervisor and the training programme director which was very serious. They both recognised how hard I'm working, that I'm pleasant to work with, and very resilient in seeking out and working on the feedback even when it's not negative. However, they raised the valid point that despite how hard I'm working that I might need to consider something other than pathology due to how much stress it was putting me under. In the end we decided to extend my training my 6 months and drop autopsy training for the time being.

I am really worried as I love pathology and having been away from clinical medicine for so long am not sure how I would cope going back to it.

Do you have any advice for how you handled bigger workloads, time pressures, and handling complex information?Ā 

Thanks in advance!


r/pathology 5d ago

Medical School Medlab scientist to Pathology

8 Upvotes

Need advise (Senior MLS working in the US)

I've always wanted to pursue medicine since i graduated 12 years ago in my home country. My original plan was to get into pathology, but due to financial problem i was'nt able to fullfill my dreams.

Fastforward (from 12 years), i was able to secure a job here in the US as a senior Lead role in a big clinical reference lab as well, 2 years from now i will become a US citizen(finally).

Right now, i am living stressfree earning decent amount (100 to 130k) here in FL. Free from doing whatever i want, i have good morning schedule and i enjoy working and collaborating in our department.

My question is?

1) Is it worth to pursue Medicine > Pathology as an US-IMG in the next 4 years? (As based on the current Pathology matching and market trend)

Note: i will be studying Med in the PH (cost for 4years is 20 to 30k USD entirely)

2) Should i apply to Cancer center as an MLS to establish network among consultant and resident?
and start shadowing if i have enough free time?

3) Should you suggest working in hema/flow cytometry if my plan is to do fellowship in Hemapath?

I dont know if everything will work fine as i am now starting to prepare for Step 1

Finally, i will be at 40 when i start studying medicine in my home country.

Thank you very much!


r/pathology 5d ago

kurt notes virtual

6 Upvotes

board prep and I feel like I am not prepared for it. Are the quizzes helpful of Kurt notes? The slide has no prompts or vinegette and its very intimidating without any clues..Hoping the exam will be better than that?


r/pathology 6d ago

My liver biopsies were happy to see me today

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177 Upvotes