/r/pathology

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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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Patients, please see your doctor.

Sales reps, please contact people in your territory. If you're a surfer, it goes in /r/surfing. If you're in the lab, it belongs here!

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/r/pathology

20,162 Subscribers

9

Personal slide collection

What is your lab’s process for ordering recuts for your own personal teaching collection? Is it free for you to order recuts? Or does it come out of your business expenses? I’m at an academic institution, and was recently told by admin that I should be having the cost of the recut come out my business account. I agree that the patient should not be charged; but as a teaching hospital I find it odd that I have to pay for a recut

14 Comments
2024/12/15
16:22 UTC

0

Haematology after pathology

It’s possible to enter neet ss haematology after md pathology..any pathologist doing haematology.. I want to take clinicals but I can’t afford to loose another year so this time I am going to take patho .how much difficulty wil be there if we want take haematology after pathology?

6 Comments
2024/12/15
13:56 UTC

1

What placement/travel agencies are useful for finding histotech, biorepository, genetics technician, etc jobs in the US?

And do any of these agencies consider people with no experience but have the requisite bachelors of science requirements? Thanks.

0 Comments
2024/12/14
22:41 UTC

8

Thoughts on Midwest AP/CP Programs?

I’ve been fortunate to interview at some great programs in the midwest and enjoyed my interview experiences at all of them. From my perspective, I think that I’ll get quality training at any of these places. That said, I’d still appreciate reading other people’s thoughts on the training quality, reputation, and work life balance of these programs.

Programs in no particular order: Mayo, UWisconsin, UChicago, Northwestern, Michigan, Cleveland, UPMC.

Some things that are important to me include exposure to subspecialties like thoracic & BST and surg path/hemepath training. I’d also appreciate opinions on the CP training at these institutions.

Thank you!

2 Comments
2024/12/14
20:17 UTC

0

Are high tier academic schools good for Private Practice?

***typo: not schools...hospitals/residency

For someone who would like to do Private Practice after fellowship, which residency institutions are best, low tier community vs high tier academic?

Volume-wise, I've seen lots of low tier community have high volume vs. high tier academic sometimes having lower or equal volume.

So what's the difference?
Suppose something like MGH/Columbia/Mayo/CCF/etc/etc/etc vs. Low tier.
Does the high tier academic really help with private practice?

1 Comment
2024/12/14
17:28 UTC

1

How to host a slide so that others can view without signing in

Hi all. i'm trying to create a survey. In the survey I want people to be able click the link which opens the digital slide. They then can look at their leisure and complete the survey. Does anyone have any ideas?

1 Comment
2024/12/13
20:57 UTC

0

Drug test for shadowing at a hospital

So I’ve been a daily smoker for about 4 years now. I mostly smoke carts and 2-4 joints a week. I’m getting ready to shadow at a medical center as I’m aspiring to be a pathologist assistant, and they’re giving me a 5 panel drug test. Is there anyone who’s a smoker that tested positive for thc and was still able to shadow? Do they really care about thc being present or are they more so looking for the harder drugs? I don’t want what I do in my at home life to affect me getting my foot in the door and it took me about 6 months to find this one shadowing opportunity. I’m in NYC btw if that helps lol.

12 Comments
2024/12/13
19:59 UTC

8

How bad is it to switch fellowships?

I start fellowship this July. Just found out that my partner matched across the country. I was just wondering how bad would it be to try and switch, or if anyone here has any experience with it. I know there’s no guarantee the program I’m looking at would take me, but I’m just curious.

Thank you!

15 Comments
2024/12/13
18:21 UTC

13

AP/CP scores are out

.

12 Comments
2024/12/12
17:33 UTC

1

Advice for undergrad

Hi I am an undergrad student who has just started a biomedical degree. I’ve found pathology interesting and don’t know much about what I want to do exactly within the field. (Which is fine I know nothing in general at this point in my degree.) This might be a stupid starting question, but my degree requires either physics or physiology, so which would be more beneficial? How would you recommend going about internships? Is waiting until the Summer before I graduate too late? I feel lost because Google gives me conflicting and/or generic answers and I have no professors that share my interests. Is it normal to feel so unsure? I just don’t know good resources to rely on.

5 Comments
2024/12/11
19:54 UTC

6

Pathology Positions in Brisbane, Australia

We are a dedicated histology lab in Brisbane, Australia. Our team is growing, and we are looking to bring on board both part time and locum pathologists.

Qualifications:

  • Board-certified pathologist
  • Specialization or interest in histology specially skin histology

Why Join Us?:

  • State-of-the-art facilities
  • Supportive and collaborative work environment
  • Competitive salary and benefits.

Please dm me if you are interested. Thanks everyone.

12 Comments
2024/12/11
06:20 UTC

8

Best neuroanatomy atlas

I want to brush up on my neuroanatomy, which is the best atlas to use?

3 Comments
2024/12/11
03:31 UTC

1

Pathology Tech Aide Salary (ATL preferably)

Is there anyone who can give me a ball park estimate of what pathology tech aides make per year or hourly? Any region is fine but specifically Northside hospital in Atlanta.

2 Comments
2024/12/09
17:31 UTC

10

Autopsies frighten me but I like pathology.

How can I increase my career I am a histotech right now working in a GI lab I love path but I want to work my way up a ladder to work a bigger paid job maybe even look into being a pathologist. My only fear holding me back is having to preform an autopsy. I am not comfortable with it and I want to stay on the side of pathology that doesn’t include autopsies. I am fine with grossing but autopsies are a no go for me. What’s yalls advice?

17 Comments
2024/12/09
15:53 UTC

0

Career paths in pathology

What are some career paths in pathology and histology I can pursue with a bachelors in biology and a ASCP HTL certification

1 Comment
2024/12/09
12:36 UTC

9

pT colon with covered perforation at tumor site?

Something I've always struggeled with: how do you pT a colon carcinoma (in this particular case descending colon) with a perforation at the tumor site, that's adhered to the abdominal wall with formation of an abscess with no direct tumor extension in the abdominal wall? I mean, technically perforation through the peritoneal surface has taken place at some point. Do you call it pT4a or pT3 (there is histological extension of tumor in fatty tissue of the bowel, bot not of the abdominal wall). We use synoptic reports and if I choose perforation "yes at tumor site" it automatically makes it a pT4a. But I can't say there's no perforation because there is. Only it's been walled off.

6 Comments
2024/12/09
10:25 UTC

1

Is doing womens health and GI fellowship crappy idea.

8 Comments
2024/12/08
22:08 UTC

5

IHC is looking like something i can't get my head around

hello guys, i'm kinda helpless each time i've to order any IHC stains ? i feel like i have no idea where to start from.

it's already my 2nd year in pathology residency and i barely know the basis in very few pathologies, so whenever i've something new and the diagnosis can be a lot of things, i never know what to do, even when i seek help, i never know what the next step is when i recieve the stains...

in my institution we don't get to order anything in the 1st year so i'm very new to all of this and it seems " impossible " for me now to get my head around all of it

somedays i try to read books and i get overwhelmed because i don't really memorize the stuff i read and i ask myself when will i find the time to read several +300 pages books only about IHC while i've articles and other books to read !

please, any help, any advice is very welcomed

16 Comments
2024/12/08
20:47 UTC

0

Academic institutions that does J1 waiver for pathology.

Could you guys provide the names of specific academic institutions that sponsor J-1 waivers for pathology positions? It’s often said that such opportunities exist, but detailed information seems hard to find unless you know someone personally. Had asked this question previously and someone suggested Univeristy of Arkansas, Missisipi. Was wondering if there were more places that might do this? Thanks.

2 Comments
2024/12/08
19:07 UTC

35

I am thinking of quitting

I am a final year resident in pathology currently. I don't feel like I want to continue the residency anymore in this branch. I know it's a late call and the amount of money I have to pay back is huge for penalty. But I really want to take a break from everything. Can someone give me any good advice?

27 Comments
2024/12/08
06:58 UTC

6

Where can I find AP CP board pass rates for each Program?

I think this might help with picking programs but it doesn't seem available.

10 Comments
2024/12/08
02:18 UTC

0

Switching Into Pathology - Any Advice Would be Appreciated

Hi everyone, have a very difficult situation and was wondering for feedback from anyone. I'm currently a PGY-1 in psychiatry. However, have been having a really, really difficult time and very much wanting to switch to pathology.

I'm wondering what to do in my situation as I very much would like to apply this cycle but as it's already December I'm worried I'm behind the eight ball. I just reached out to a pathology resident at my institution and he is trying to help me with getting some observership experience. I have no previous pathology experience and have no current letters of recommendation so feel like it would be impossible to apply this cycle. Does anyone think if I do observership and obtain some letters by January I would be able to apply or to see if there are any unmatched positions?

I feel like other option would be to wait and apply next match cycle. However, would anyone have advice on what I should do with that? Would I continue in psychiatry throughout PGY-2 and go about applying like normal and tell my PD eventually while going through match process? Or would it be better to get a job as maybe a technician within a lab for a year while applying? (don't know how this would look to program directors).

Overall, I have a pretty strong application with a research LOR already and have a lot of research experience within surgical sub-specialities in med school but again no pathology experience. My interest in pathology stems from being able to make diagnoses as well as get away from the gray of psychiatry and my previous interest in surgery I feel lends nicely to surgical pathology sub-specialties.

Any advice with this dilemma would be much appreciated and I really thank you in advance!

24 Comments
2024/12/07
23:59 UTC

5

Does fellowship location matter?

Hello, I'm a PGY2 who is going to apply soon for fellowship (GI). Based in the NYC area, so there are a lot of institutions around (Columbia, Cornell, NYU, Memorial Sloan, Mt Sinai, etc). However, I know that there are great places like John Hopkins and Stanford that I may apply to. Does fellowship location matter for academics vs private practice vs being a good attending?

Also thinking of applying to molecular fellowship as well, and the same question applies.

Thank you everyone!

11 Comments
2024/12/07
13:36 UTC

3

Some elementary questions about AP only residency

  1. would I be eligible for an ACGME MGP fellowship as this is a CP fellowship? Both residencies do have molecular blocks for residents
  2. is there any path (pun intended) towards getting board certified in CP, like 1 year of CP training somewhere else, doing a CP related fellowship, etc?
  3. assuming the answer is no to the above is it a real deal breaker to be AP only with 1 or 2 AP fellowships (I would be totally fine with most AP fellowships except neuro, cyto, and forensics) for private practice or employed non-academic (corporate lab)?

Thank you

2 Comments
2024/12/07
13:13 UTC

4

Ranking help please

All these programs are great. I'm absolutely frozen. I want a program that isn't pushing towards PP or Academic (because idk what I want to specialize yet), is the highest "rank?tier?research?rep?" while nontoxic. Location doesn't matter. I just want the best education with the least toxicity (I think I value more casual/least toxic more than anything).

Here is the list in no order (to minimize bias):
I was wondering, how you all would arrange the ROL.

UVA, BIDMC, Montefiore, Mayo, Columbia, Yale, HUP, CCF, NYU

Thank you!

11 Comments
2024/12/07
07:02 UTC

21

What’s tissue is the most satisfying to cut into?

N

28 Comments
2024/12/07
01:09 UTC

3

Abroad experience for histopathology

Hi everyone! I'm a resident in pathology in Milan and I would like to do a period abroad in UK or Ireland to better learn the topics of gastro pathology, possibly also liver pathology. Do you have any suggestions of which hospitals to choose and how to contact them?

2 Comments
2024/12/06
19:03 UTC

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