/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

18,124 Subscribers

1

I have an upcoming interview and wanted some advice!

I have an upcoming interview for a Surgical Pathology Technician position at a local hospital. I hold a degree in Mortuary Science (Associates of Science) and completed a five-month residency at a local medical center, where I focused on autopsied cadavers to enhance my knowledge of anatomy and surgical techniques for embalming. Currently, I am pursuing a degree in Biochemistry.

I have a good understanding of the job responsibilities, which include identifying and processing samples, entering specimen and test orders into the computer system, performing technical tasks, recognizing and resolving issues, ensuring regulatory compliance, contributing to a positive experience for patients and providers, and other assigned duties.

I would appreciate any advice for the interview and the job itself. While I don't have extensive experience working with specimens and microscopes, I am eager to learn and advance in my career! Thank you!

0 Comments
2024/06/24
16:39 UTC

2

3rd year med student, just found out I won't be able to do a path rotation this year. What to do?

I'm interested in path and was supposed to have a path elective but it fell through. Is this a big deal in the grand scheme of things or is it fine to just do them in 4th year? I'm mostly disappointed because I haven't had any exposure to path yet and this was an opportunity to really see if I enjoy the work. Would it be a good idea to try to shadow on my own time instead? I'm lost lol.

1 Comment
2024/06/24
16:39 UTC

0

AIPathology

Which subspecialties do you think are less likely to be replaced by AI?

1 Comment
2024/06/24
15:34 UTC

0

Where to Subspecialize in Clinical Pathology ?

Good day! Currently a clinical pathologist.. and ive been wondering where to subspecialize..im interested in parasitology and microbiology.. however what ive found so far is transfusion medicine and hemepath.. clinical chemistry and genetics would be nice as well hehe

0 Comments
2024/06/24
11:04 UTC

1

Canadian Pathology Residency Life

Hello, I am an anatomical pathology resident in a training program overseas and am considering doing the nac and mccqe1 (already registered) to apply for the 2025 cycle. This is for family related reasons, and I was hoping that AP residents across various Canadian sites (most interested in Ontario as thats where I am from) would be able to shed some light on the lifestyle in a Canadian program.

Currently minus the family aspect there are more cons than pros in me applying i.e pay cut during training, extending my training by 1.5 years, and possibly needing to do a fellowship post training to get a job (Ive read that fellowships are almost required to get a job?). Currently working 40 hours per weeks and throughout my training here overtime shouldnt be too significant (Maybe max 45 hours in a week unless something goes horribly wrong). Ive heard that American residents can sometimes end up doing 80 hour weeks? Is this the same for Canadian residents? How many days do residents spend on grossing vs signout in a week? How are the exams? What is the job distribution like after finishing training, are all the jobs in the public hospitals or are there private labs as well?

Please feel free to add any information that you think would be useful to know.

2 Comments
2024/06/24
03:10 UTC

1

Microplastics and histology?

I was wondering if there was any developments about assessing for microplastics in tissue? I don't know what significance micrplastics have in the body, but with increasing talks about its potential risks, I wanted to know if there's a stain or something to light them up in tissue?

4 Comments
2024/06/23
16:57 UTC

10

I have an amblyopic eye, do you think this will affect my work when I become a pathologist? I have some experience using the microscope and I only use my dominant(healthy) eye and I have had no issues. But…..

I have heard people say they have problem with “dissection under the scope” Would that be something that is part of Pathology residency training?

I’d love to hear from Pathologists with amblyopia!

Thanks in advance!

10 Comments
2024/06/23
10:17 UTC

79

I was just told "I'm sorry you have to go through medical school to become a pathologist."

I promise this is the last post I'll make about yet another clueless MS4 classmate generalizing about pathology!! But I am so amused; he said that radiologists need to go through medical school because they need to know anatomy, but pathologists do not because all they do is look at cells. Then he said that he feels sorry that I have to go through medical school and clerkships for all that, and that there really should be a faster/easier way to become a pathologist. 😂

35 Comments
2024/06/23
06:14 UTC

18

What percent of each year of your residency experience would you say was "training relevant to you" vs "cheap labor?"

This question was raised on r/residency today...a lot of interesting responses, but Pathology responses hard to come by.

For your response, please specify AP only, CP only, AP/CP, or AP/NP.

15 Comments
2024/06/21
22:42 UTC

12

What are the odds that I could get a job in a specific city?

I can’t see myself doing anything other than pathology, with the slightest exception of med lab science. However, my entire family, and my fiancé’s entire family are in Spokane WA. My grandparents home, which was my childhood home, may get passed down to me, and I would love to raise my kids there.

How realistic is it that after residency I could get a job in Spokane? For those unfamiliar with Spokane, it’s the second biggest city in Washington state, but still pretty far from being something like Seattle.

I appreciate any insight!

10 Comments
2024/06/21
21:24 UTC

0

Can a trained pathologist have an idea how someone died by looking at photographs of the body two hours after death.

Are there clues a pathologist would have by looking at a body after it has died since about two hours. Clues such as the persons face. Their expression, redness around throat or chest. Would a pathologist be able to tell or have cruiser power person died just from looking at detailed photographs of the body.

5 Comments
2024/06/21
21:22 UTC

3

Advice in applying

Hello,

I am a US IMG who has had a bit of a hard experience through medical school. I did great on my basic knowledge years, and even managed to get dean's list and positions in tutoring. Through my clinical years I struggled finding balance between all that I had to do in a day (8-12 hour shifts 5-6 days a week, finding time to study, and finding time to take care of ADLs). As a result, I am fully aware that I am not the best applicant. I had a case report lined up, but all parties interested in it dropped out and left me without my chance to publish.

Now I am marrying the love of my life in October and she is in medical school as well. I sincerely do love medicine and she does as well. So we're both planning on doing couple's match. We were gonna do it this application cycle, but she got delayed in her graduation. In order to not risk being separated by matching in different locations, I think I will delay my residency match.

Before the decision of having to delay match, I was planning on applying IM/FM. The truth is that I need a job for my sake and that of my future family. I still love several aspects of these fields, but I would have preferred pathology in all honesty. I prayed that if I got IM, I would be able to subspecialize in fields that have a closer connection to the lab (Heme/Onc or ID). Now that I find myself having to delay, I am wondering if there is something I can do with this extra year to make it more likely for me to get into a program and not have to abandon my dream of becoming a pathologist. I've been looking into post-sophomore fellowships, but would like to know if there's any other options in case I can't manage to get a spot in one. Sorry for the long post, and thank you for reading it. Any advice/response is appreciated!

5 Comments
2024/06/21
14:34 UTC

3

Hello how do you guys memorise all the genetic features of various diseases. And is it important to memorise the genetic features for the boards and also for practice ?

4 Comments
2024/06/21
08:48 UTC

0

Failed Pathology 4 Times, Need Urgent Help to Pass Retake!

Hello everyone,

This probably sounds desperate, but I figured I need to change something because what I’m doing now isn’t working at all.

So, here’s the thing: I’m a med student, and I got held back due to pathology. It was the only subject I failed multiple times, so I had to redo the year. The funny bit? I’ve been studying all the time for this exam, and we just had it a few days ago. Believe it or not, I failed again. I feel so stupid and embarrassed to fail after studying for months and still not passing. Now, there’s a retake, but given my track record, I’m scared I’ll fail again. I’m so scared.

My retake will be in a few months, and I have to pass—it's now or never. But my confidence is really low. I just need advice—anything to help me study better and do things differently. I’ve also looked into getting a pathology tutor but I’m not sure where to find one, so if you have any ideas or know someone, please let me know.

For context, my old study methods involved using Osmosis and Robbins Pathology book, or summaries. Honestly, I was jumping around a lot. I also find it hard to remember the morphology and some pathognomonic features since I mix them up a lot. Is there any tips or tricks?

Please, I know this is a lot and might sound dumb, but I don’t know where to go from here and I need to change something to pass.

6 Comments
2024/06/21
06:38 UTC

17

Deciding on Private Practice

I am a new PGY3 and have started looking at career options. Pretty set on private practice but want to get some insight on what the day to day looks like, since all I've seen is academics. What kind of intuition are you at, how many pathologists in your group, what are your volumes like (how many trays, cancer resection cases, large benign cases, biopsies, etc), when do you get your slides for the day, what do your hours look like, what's your call schedule, etc.? What responsibilities/opportunities beyond sign-out do you have? All insight appreciated!

7 Comments
2024/06/20
12:15 UTC

8

Can you tell me the US equivalent of my specialty?

I am enrolled in an internship called "pathanatomy". My job is to receive corpses, autopsy corpses to determine/confirm the cause of death, take organ samples for histologic examination (also made by me), paperwork, prepare corpses and give them to relatives. That's all what I do. We don't receive corpses that died by accident - they go to the forensic bureau. We don't get tissue samples from living people - they go to the general lab.

As far as I can see from this subreddit, that's not what pathologists do in the United States. So this job is performed by a different specialty. Can you tell me which one? I'm interested in reading about overseas experiences.

13 Comments
2024/06/20
12:10 UTC

0

US IMG looking for Pathology Rotation in Chicago.

Hello!!! I’m a 4th year MS in Chicago,am looking for any pathologist who I can work with (elective rotation)here in Chicago. I have developed a strong interest in pathology throughout my medical education, and I am eager to gain more hands-on experience in this field.

It’s been so hard to get my school to schedule me with a doctor, or sometimes some hospitals don’t have in-house pathologist or don’t accept IMG’s sadly. I really love this field of medicine and always wanted to experience “A day in the life of a pathologist” I’m willing to rotate with any available doctors ASAP. I appreciate any advice or tips on how to get this journey started. THANK YOU!

1 Comment
2024/06/20
03:57 UTC

8

For those using digital pathology, how long is the 'learning curve' from microscopy?

Most literature around digital pathology focuses on its performance against glass, however how long has it taken you to become as proficient (e.g. not slower) than using a microscope?

6 Comments
2024/06/20
01:12 UTC

2

Subtype vs Differentiation

For invasive urothelial carcinoma what is difference between subtype and differentiation terms? Can these be used interchangebly?

5 Comments
2024/06/19
22:31 UTC

9

Advice for choosing residency in light of dermpath interest

Hi,

I'm a fourth-year med student applying AP/CP this fall. I love path as a whole, and I'm finding myself drawn to dermpath. I know that it's competitive and that my interests may change during residency, but I'd like to keep the dermpath door open.

I should be a competitive path applicant (USMD, Step 2 267, outstanding MSPE comments, honored all clerkships) and I was wondering what advice people have on choosing a residency in light of my potential interest in dermpath.

I know it's easier to match to a dermpath fellowship as an in-house applicant, so I'm prioritizing programs with attached dermpath fellowships. I'm also going to go through the programs and make sure they have a track record of accepting pathology-trained applicants and not just dermatology-trained applicants. I'll also be sure to ask about research during interviews because I know that's a huge part of dermpath applications.

Any other advice? Thanks!

12 Comments
2024/06/19
20:57 UTC

10

Use of AI like chat GPT in daily practice?

Does anyone use chat GPT for daily pathology work/ workflows? Some examples- literature search- for e.g paneth cell metaplasia in colon adenomas, proof reading pathology reports before signing out, summarizing clinical history succinctly and or even drafting comments ?

It’s a whole new universe to explore…

11 Comments
2024/06/19
16:02 UTC

3

For the Hematopathologists out here!

Could you please suggest good hematopath fellowships. I am open to anywhere in the country. I don't mind the hardwork once the environment is supportive. I don't want a place that will use me as workhorse without any meaningful learning.

4 Comments
2024/06/18
16:25 UTC

1

USMLE transcript for fellowship applications

Please for those that sent USMLE transcript with fellowship applications, how did you do it? Did you send to the transcript to the program directly from FSMB or you sent it yourself?

4 Comments
2024/06/18
16:20 UTC

42

People who did the bare minimum...

Those of you who did the bare minimum during residency (no research, abstracts, committees etc., basically those of you who went to work, did the work, and then went home and lived your life) how did that work out for you? Do you regret it? Do you feel confident enough at your job now? I'm not interested in doing anything that's not strictly the work required of me, and l like to use my free time to live my life and do other things. Is this the wrong approach?

19 Comments
2024/06/18
13:04 UTC

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