Expectations and essentials for the community practice of pathology
Expectations and essentials for the community practice of pathology
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DOI：
10.1016/j.humpath.2006.01.035
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发表时间：
2006-08-01
期刊：
影响因子：
3.3
通讯作者：
Horowitz, Richard E.
中科院分区：
文献类型：
--
作者：
Horowitz, Richard E.
在过去10年的3次调查中，社区医院的病理学家被问及他们在雇用病理学家时想要、需要什么或寻找什么，更具体地说，新培养的病理学家应该具备哪些技能和知识才能在社区病理学实践中取得成功。最近的一次调查是在2005年春天进行的，它引用了手术病理诊断、冰冻切片诊断、解剖和细针抽吸作为解剖病理学的基本要素。对于临床大体、细胞学、病理学，临床医学知识和利用实验室解决临床问题的测试策略是至关重要的。在最近的调查中，新的期望是分子病理学知识和质量保证程序的经验。新入职的病理学家总体上符合社区医院工作场所的期望，但也存在一些不足：他们对肉眼病理学或尸检病理学不精通，速度慢，许多人缺乏成为有效咨询师的临床知识和经验。然而，决定病理学实践成功的主要因素是沟通和人际关系的技能，这仍然是初出茅庐的病理学家的主要不足。(C)2006 Elsevier Inc.保留所有权利。
In 3 surveys during the past 10 years, community hospital pathologists were asked what they want, need, or look for when employing a pathologist and, more specifically, what skills and knowledge a newly minted pathologist should have to be successful in the community practice of pathology. The most recent survey, done in spring of 2005, cited surgical pathology diagnosis, frozen section diagnosis, dissection, and fine-needle aspiration as essentials in anatomic pathology. For clinical gross, cytology, pathology, knowledge of clinical medicine and test strategies that use the laboratory for clinical problem solving was paramount. New expectations in the latest survey were knowledge of molecular pathology and experience in quality assurance procedures. New pathologists generally meet the expectations of the community hospital workplace; however, there were some deficiencies: they were not proficient in gross pathology or autopsy pathology, they were slow, and many lack the clinical knowledge and experience to be effective consultants. The principal attribute that determines success in the practice of pathology, however, is skill in communication and interpersonal relations, and this remains the major deficiency of the fledgling pathologist. (c) 2006 Elsevier Inc. All rights reserved.