EXPECTATIONS

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EXPECTATIONS OF THE WORKPLACE RICHARD E.
HOROWITZ, MD CLINICAL PROFESSOR OF PATHOLOGY UCLA
AND USC SCHOOLS OF MEDICINE APC
MEETING MONT-TREMBLANT, QUEBEC JULY 28, 2005
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THE SURVEYS     APC THE SUCCESSFUL COMMUNITY
HOSPITAL PATHOLOGIST WHAT IT TAKES
1996 52/75 69 ADASP CRITERIA FOR
HIRING A COMMUNITY PATHOLOGIST 2002 40/60
66 APC EXPECTATIONS OF THE WORKPLACE 2005
41/54 76
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AP SKILLS IN PRIOR SURVEYS ESSENTIAL SURGICAL
PATHOLOGY Dx FROZEN SECTION Dx GROSS
DISSECTION NON-GYN CYTOLOGY USEFUL AUTOPSY
PATHOLOGY GYN CYTOLOGY FNA,
IMMUNOCYTOCHEM NOT IMPT ELECTRON MICROSCOPY,
RESEARCH IN 2005 AGREE 66 DISAGREE
10 NO ANSWER 24
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AP COMMENTS (39) NEW ESSENTIAL GYN
CYTOLOGY FNA, IMMUNOCHEMISTRY DEFICIENCIES GR
OSS SURGICAL PATHOLOGY DESCRIPTION,
DISSECTION AND SAMPLING INTERFACE
WITH SURGEONS AUTOPSY PATHOLOGY NEW NEED AP
QUALITY ASSURANCE WORKLOAD AND
TAT CONTRARIANS DONT NEED GROSS, HAVE
PAs DONT DO AUTOPSIES
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CP SKILLS IN PRIOR SURVEYS ESSENTIAL CLINICAL
KNOWLEDGE EXPERIENCE USEFUL TEST
INTERPRETATION CLINICAL CONSULTATION BENCH
SKILLS IN BLOOD BANK NOT IMPT REST OF CLINICAL
PATHOLOGY IN 2005 AGREE 34 PARTIALLY
20 DISAGREE 41 NO ANSWER 5
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CP COMMENTS (28) NEW ESSENTIAL CLINICAL
CONSULTATION SKILLS TEST INTERPRETATION TE
STING STRATEGIES ADMINISTRATIVE
OVERSIGHT TRANSFUSION MEDICINE COAGULATION
DEFICIENCIES CLINICAL KNOWLEDGE IN
HEMATOLOGY AND INFECTIOUS DISEASE NEW
NEED INSPECTION STRATEGIES CONTRARIAN LETS
GET RID OF CP AND JUST PRACTICE PATHOLOGY (1)
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SUB-SPECIALTIES IN PRIOR SURVEYS
ESSENTIAL NONE USEFUL DERMATOPATHOLOGY C
YTOPATHOLOGY HEMATOLOGY TRANSFUSION
MEDICINE NOT IMPT PEDIATRIC
PATHOLOGY FORENSIC PATHOLOGY CHEMICAL
PATHOLOGY MEDICAL MICROBIOLOGY IN
2005 AGREE 46 PARTIALLY 32
DISAGREE 20 NO ANSWER 2
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SPECIALIZATION COMMENTS (27) NEW
ESSENTIAL SURGICAL PATHOLOGY FELLOWSHIP D
ERMATOPATHOLOGY CYTOPATHOLOGY
DEFICIENCIES INABILITY TO COVER INABILITY
TO COMPETE NEW NEED GI PATHOLOGY CONTRARIAN D
ERM PATH IS NOT IMPORTANT (1) CYTOLOGY
TRAINING IS OVERDONE (1)
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MOLECULAR PATHOLOGY 1996 IMMUNOCHEMISTRY WAS
CONSIDERED USEFUL OTHER TECHNIQUES WERE NOT
IMPORTANT 2002 IMMUNOCHEMISTRY WAS
ESSENTIAL FLOW CYTOMETRY WAS USEFUL OTHER
TECHNIQUES WERE NOT IMPORTANT 2005 COMMUNITY
HOSPITALS ARE NOW DOING IMMUNOCYTOCHEMISTRY 88
TUMOR MARKERS 59 FLOW CYTOMETRY 54 PCR
37 FISH 37 IN SITU
HYBRIDIZATION 27 CYTOGENETICS 22 TISSUE
MICROARRAYS 15
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MOLECULAR PATHOLOGY COMMENTS (20) KNOWLEDGE OF
ALL THESE TECHNIQUES IS ESSENTIAL FOR
INTERPRETATION TO CLINICIANS TO DEMONSTRATE
THAT WE ARE NOT IGNORANT BECAUSE INTERPRETATIONS
ARE BILLABLE PERFORMANCE OF THESE TECHNIQUES IS
ESSENTIAL FOR TUMOR DIAGNOSIS AND PEDIATRIC
PATHOLOGY WE DEPEND ON YOUNG PATHOLOGISTS TO
BRING THESE TECHNIQUES WITH THEM FROM THE
UNIVERSITY IN FIVE YEARS IT WILL BE SIMPLE AND
CHEAP ENOUGH CONTRARIAN STILL IN THE FUTURE
(2)
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NON-PATHOLOGY SKILLS IN PRIOR SURVEYS ESSENTIAL
INTERPERSONAL SKILLS COMMUNICATION
SKILLS COMPUTER INTERNET USEFUL MANAGEMENT
CODING/BILLING TEACHING NOT
IMPT RESEARCH IN 2005 ALL AGREED (100)
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NON-PATHOLOGY COMMENTS (76) COMMUNICATION WE
EXPECT COMMUNICATION SKILLS WRITTEN ENGLISH
(SPELLING AND STYLE) SPOKEN ENGLISH BEST
DIAGNOSIS OF NO VALUE IF NOT COMMUNICATED THE
NUMBER ONE MEASURE OF SUCCESS INTER-PERSONAL WE
EXPECT INTERPERSONAL SKILLS AFFABILITY
AVAILABILITY EMOTIONAL INTELLIGENCEINTEGRITYM
OTIVATION, SELF STARTERS
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COMMENTS RE THE PATHOLOGY GROUP EACH MEMBER
REPRESENTS THE ENTIRE GROUP COOPERATION, NO
LONE RANGER COMMENTS RE THE MEDICAL
STAFF PROACTIVELY ENGAGE CLINICIANS NEED TO
UNDERSTAND CLINICIANS PROBLEMS NEED TO KNOW HOW
TO DO CONSULTATIONS BECOME INVOLVED COMMENTS
RE HOSPITAL ADMINISTRATION ESTABLISH PERSONAL
RELATIONSHIP BE AN ADVOCATE FOR THE
GROUP BECOME INVOLVED BECOME INDISPENSABLE CONT
RARIANS MY EXPECTATIONS ARE LOW
IT IS VERY DISCOURAGING!
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ANATOMIC PATHOLOGY EXPECTATIONS ESSENTIAL SURGI
CAL PATHOLOGY DIAGNOSIS FROZEN SECTION
DIAGNOSIS GROSS DISSECTION NON-GYN
CYTOLOGY GYN CYTOLOGY (NEW) FNA (NEW) AP
QUALITY ASSURANCE (NEW) DEFICIENCIES INTERFACE
WITH SURGEONS GROSS PATHOLOGY AUTOPSY
PATHOLOGY WORKLOAD AND TAT
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CLINICAL PATHOLOGY EXPECTATIONS ESSENTIAL CLINI
CAL KNOWLEDGE TRANSFUSION MEDICINE COAGULATI
ON (NEW) ADMINISTRATIVE OVERSIGHT
(NEW) INSPECTION STRATEGIES (NEW) DEFICIENCIES
CLINICAL KNOWLEDGE SUB-SPECIALIZATION
EXPECTATIONS PREFERRED SURGICAL PATH
FELLOWSHIP (NEW) DERMATOPATHOLOGY CYTOPATHOL
OGY TRANSFUSION MEDICINE GI PATHOLOGY (NEW)
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MOLECULAR PATHOLOGY EXPECTATIONS ESSENTIAL IMMU
NOCYTOCHEMISTRY INTERPRETIVE ABILITY OF ALL
(NEW) NON-PATHOLOGY EXPECTATION ESSENTIAL COMM
UNICATION SKILLS INTERPERSONAL
SKILLS ABILITY TO INTERFACE WITH PATHOLOGY
PARTNERS LABORATORY STAFF MEDICAL STAFF
HOSPITAL ADMINISTRATION THE COMMUNITY DEFICIENC
IES ALL OF THE ABOVE
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I AM GRATEFUL TO THE MANY COMMUNITY HOSPITAL
PATHOLOGISTS WHO RESPONDED TO THE SURVEY AND
ADDED SO MANY PERTINENT COMMENTS STEVE TOM
KAREN KEN KEVIN RANDY RICHARD PATRICK
STEPHEN ERIC RICHARD GENE ANDY JIM BECKY
GORDON BRUCE DAVID MAC MARY FRED TOM
BOB SUSAN CARL JARED PAUL MARGARET JAY
MARGARET WAYNE TOM MARK TOM
DAVID DONALD PAUL JOHN TOM SUSAN
DAVID PETE RICHARD BOB PAULA PAT
JOSE DENNIS TOM THEY ARE THE TRUE
AUTHORS OF THIS REPORT!