/r/pathology

Photograph via snooOG

This is a moderated forum for practicing pathologists, residents, clinical chemists, microbiologists, researchers, other clinical lab folks, and interested students. Journal club is always encouraged, but good cases, unknowns, and casual topics are great too. Whatever you want to submit. General questions about pathology and residency are welcome, but please see stickied threads or search first, questions have been asked and answered.

This is not:

  • /r/AskDocs: Do not ask about your pathology report

  • A place to ask homework questions

Unknowns The whole point of these unknowns is for people to learn and as a place to make mistakes in a harmless and supportive environment. If you're getting everything right first go, then why even bother with this subreddit? Just do your best and learn from your mistakes. No one is going to criticise you for that. -- /u/Dr_Jerkoff

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/r/pathology

17,273 Subscribers

2

can someone help me with this question. I'm just reviewing some questions for recap and got stuck on this one

8 Comments
2024/04/01
00:46 UTC

0

How to pass ASCP exam?

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3 Comments
2024/03/31
21:37 UTC

0

Does anyone have afip pathology PDF 5th edition for sale please contact

2 Comments
2024/03/31
21:29 UTC

4

Request for a sample Pathology LOR

Hello everyone, It would be really helpful if anyone could share a sample pathology LOR to apply for observerships. Thank you!

3 Comments
2024/03/31
16:48 UTC

3

New Toy

Hello I am curious if anyone has any positive or negative feedback on the GT450 slide scanner for digital pathology?

0 Comments
2024/03/31
04:21 UTC

24

Career Question

Are we all doing fellowships simply to be more marketable? Or is residency not fully preparing us for independent practice? If the latter is true, what are some practical actions I can take to be capable of independent practice when I complete residency?

Also, when we are attendings, are we expected to be absolutely independent? Or is the general idea that fresh attendings will frequently consult senior attendings?

Thanks.

50 Comments
2024/03/30
21:54 UTC

5

Graduating residents

Are graduating residents supposed to give a gift to the attendings, or PC? If so what are some suggestions?

8 Comments
2024/03/30
20:14 UTC

0

Epstien Barr Virus Reactivation. What will blood test show? Is it worth doing?

Hi all. After a bit of guidance. Im 50 and had EBV when i was 19.

Many years ago the antibodies showed up in a routine blood check…thats how i found out i had EBV because i was mostly asymptomatic when i was 19 ( but just a lot of tiredness i recall).

Now i feel like EBV has reactivated…and its been like this for a couple of months …tired and feeling off…very similar to what i felt those years ago..

Im not sure if its worth getting a blood test for ebv if i have already had it years ago…I mean what could a new blood test show? would there be more antibodies? i dont want to do a blood test for EBV if all its going to do is pick up the old antibodies

2 Comments
2024/03/30
05:24 UTC

7

Coding question

Just want to check that my understanding matches the hive mind's. One cpt code per specimen container except in very limited circumstances - for instance, multiple colon polyps in the same specimen container only get one 88305. Is anyone billing, for example, 3 TA's in one container as 3 88305s? (Assume there were 3 pieces of tissue in the container, all showed adenoma, and the clinician labeled the specimen as polyps x3.)

22 Comments
2024/03/30
00:46 UTC

1

Training with toluidine blue

Hey everyone, I wanted to know about the experiences of those who’ve trained with toluidine blue staining at institutions like Mayo Clinic. Specifically, I’m interested in understanding the transition to workplaces that do not use this stain. Was it challenging to adapt to a different workplace having trained with tol blue?

1 Comment
2024/03/29
22:40 UTC

0

Advice needed please!

I am an IMG recently got Canadian PR. I will apply in 2026 residency match. I will graduate from med school this month. And probably be done with step 1 and 2 by 2025 Jan. How do I fill the gap between residency application i.e. in September 2025? Should I enroll in some masters degree related to research in Canada? Will it be helpful for my application. I am interested in doing a masters but it might take 2 years and make me old graduate. But any views about how helpful it is in residency application? Otherwise how can I find research fellowships as a Canadian img.

4 Comments
2024/03/29
22:22 UTC

7

Take AP or CP board exam first?

Which exam to take first? Also how many days apart? Anyone taking them on back to back days? I cannot decide! I am just so sick of studying and want to get them over with.

14 Comments
2024/03/29
17:12 UTC

2

Pathology in Canada - McMaster?

I’ve heard negative rumours about McMaster pathology program in Canada. Can anyone elaborate?

0 Comments
2024/03/29
03:26 UTC

9

Private Practice Networking

I’m a second year AP/CP resident with a hemepath fellowship already secured. I am looking to stay in my current city (Midwest) due to family. My city has one major academic medical center and then 4 large private groups affiliated with large community hospitals. I am open to either staying at my academic center where I’m doing residency/fellowship; or going private. If academic I’d do heme and some service on a SP service a few times a month (like thoracic). If private I’d like to do a majority of general sign out in addition to heme.

When should I start reaching out to the private groups to start talking about a possible job? A mentor told me that if I want to stay in the area I should reach out to the private groups as early as possible. But I don’t know how receptive groups would be to discussing a job for someone only in their 2nd year. The groups have a history of taking people from my program. And I’ve worked very hard to prove myself as a reliable hard worker to all the faculty; many of them say I have a solid diagnostic eye that is at the level of a senior resident. So I know if a group asks any of my attendings about me; they would hear a glowing/positive recommendation.

There is a local path meeting in a few months that I’m going to go to. Two of my attendings (who know me well) will be introducing me to some of the pathologists in these groups. How would you approach these conversations?

Lastly, if I did get into discussions with a group about a possible job for when I graduate; could I use that as leverage to try and discuss a job with my own institution? Has anyone ever heard of an academic institution making an offer to a resident so far in advance. All of our recent fellows who were hired as faculty; only go the job offer ~6 months in advance.

I am not intending for this to sound arrogant. I just wanted to provide context about what I bring to the table based on how my home institution values me.

5 Comments
2024/03/29
01:02 UTC

3

Addressing Step 1 failure in personal statement?

I failed my first attempt at Step 1. Since Step 1 is P/F is this something I still need to address in my personal statement? Or just be prepared to address on interviews?

4 Comments
2024/03/28
15:08 UTC

16

Need advice on what mask to wear in gross room

A little bit of background information we had an incident in our grossing lab where it turns out the vent we were using in the gross room had not actually been on a for a good two months. Meaning we had been breathing in formalin, decal solution, PPS, and other chemicals with no vent for that long and my co-worker and I got checked for formaldehyde poisoning after showing symptoms. After that we really want to make sure we are wearing the best mask or respirator fit for the grossing room

Now to the point. For anyone working in the grossing room what mask do you wear? Or do you have any extra equipment like respirators to make sure you’re not breathing in too many chemicals? Currently we only wear the typical mask bc the recorder can not hear the dictions with an N95 mask. I wear the N95 mask when dealing with the decals and dumping the old specimen formalin into containers with a bit of Clorox in them to prevent inhaling the chlorine gas but I still get headaches while wearing them and feel they are not very fit.

Are there any mask fit for the gross room?

27 Comments
2024/03/28
13:55 UTC

6 Comments
2024/03/28
00:06 UTC

0

Immunohistochemical staining

Hello,

I recently had a deep muscle, subcutaneous fat and and skin biopsy of my thigh done to evaluate for autoimmune/ connective tissue disease; specifically dermatomyositis and scleroderma.

My question is if they initially only did an H & E stain if they can do Immunohistochemical staining later for further evaluation.

Thank you!

8 Comments
2024/03/27
17:12 UTC

5

Considering Pathology as a Career Choice

Hello all! Please excuse any formatting issues (i’m on my phone). In short, I’m considering going into pathology, specifically I’m interested in learning more about immunopathology but I’m not so sure that I could or would be a good fit in this field.

I’m highly interested in diagnostics and have plans to study to become a diagnostic medical sonographer but I do have some challenges when it comes to math. I’m naturally good at science but it’s pretty likely that I have dyscalculia. I wanted to get the opinions of those in this field before i jump right into it.

Also, what is it like to be in pathology? What is a day in the life like? Do you have any regrets or any advice for those considering this field?

Thank you!! Have a great day! :)

2 Comments
2024/03/27
11:30 UTC

6

How hard is it to distinguish benign from malignant in microscope?

Also, how often is it to make a false negative and in what circumstances?

30 Comments
2024/03/27
04:26 UTC

23

What scenarios should you never do a frozen section and when should you always do one?

  • Med student who just got pimped on this during surgery
29 Comments
2024/03/26
23:26 UTC

24

What is going on with pathology department at Beaumont Hospital?

(Or Corewell-East now) Surgery residents who rotate with me have been complaining for a while about how terrible the department has become. Turnaround times of 3 weeks, pathologists quitting, hard to staff. I always thought this place was great but seems like it has really gone down hill. Heard today that they fired their chair.

21 Comments
2024/03/26
23:21 UTC

5

Advice about networking

Hi All,

I applied to pathology this cycle and did not match and a consistent advice that I have received is to connect and network. One way to do this would be to attend conferences, so my question is what are some of the main ones I could attend? And how do I invite myself to these? I know the USCAP conference is happening now, and it's too late to go there, but what are coming up in the next few months?

Advice from the Pathology Gods would be appreciated :)

Thanks in advance.

6 Comments
2024/03/26
20:42 UTC

2

IMG

How do I find the most IMG friendly path residency programs?

8 Comments
2024/03/26
19:04 UTC

1

How to study neuropathology for the boards?

All my resources predate the new WHO reclassification in 21. What are the best resources?

1 Comment
2024/03/26
18:40 UTC

5

Locums Pay

I plan to do locums/ moonlighting work on the side after fellowship (if the job I land isn’t as high volume as I’d like). What’s a good pay I should be looking for? By the hour or case? My fellowship will be in dermpath, but would be willing to do general path locums work too.

4 Comments
2024/03/26
18:35 UTC

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