[Histonet] Re: Dermpath ???

[Philip Oshel]

"I wouldn't have seen it if I hadn't believed it."

Phil

>  "With this important exception - in general it's not a good idea for
>clinicians to read slides on their own patients."
>
>Try telling that to the dermatologists who do their own.
>One claimed to earn twice as much as I earn, full time, from doing 2
>sessions a week.
>Nice work if you can get it.
>
>The whole point of dermatologists doing skin pathology, is that they
>just simply have a better idea of what they are doing. Remember, there
>are significantly more named diseases in the skin than everywhere else
>put together.
>
>I do however think they are in great danger of agreeing with themselves,
>if you see what I mean:-)
>
>Terry
>
>
>-----Original Message-----
>From: histonet-bounces <@t> lists.utsouthwestern.edu
>[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Robert
>Richmond
>Sent: 28 September 2007 15:53
>To: histonet <@t> lists.utsouthwestern.edu
>Subject: [Histonet] Re: Dermpath ???
>
>This thread has some issues that might be worth untangling.
>
>Dermatopathology is a subspecialty certification. Pathologists and
>dermatologists who have their respective basic board certifications are
>eligible to sit the exam for the dermatopathology certification.
>
>A pathologist with anatomic pathology boards is qualified to sign out
>dermatopathology cases. So is a dermatologist with dermatopathology
>boards. (I'm not familiar with the various issues concerning
>dermatologists without derm path certification.)
>
>It's a great deal easier to do dermatopathology for a dermatologist than
>it is to do it for a primary care practitioner who's on the loose with a
>biopsy punch. The dermatologist can give me a list of possible diagnoses
>which I then, if I'm completely at sea, I can crank through with a good
>derm path textbook such as Weedon. The GP who sends me a history of
>"rash" and can offer no more information when I call him - now that case
>needs a dermatopathologist to sign it out!
>
>Mohs surgeons read their own frozen sections as they work, and a
>pathologist is little help to them. Most Mohs surgeons unload anything
>else on a pathologist! A Mohs surgeon should be highly qualified to read
>his own frozen sections.
>
>With this important exception - in general it's not a good idea for
>clinicians to read slides on their own patients.
>
>Bob Richmond
>Samurai Pathologist
>Knoxville TN
>
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