[Histonet] Who can perform Histology Duties

[Marshall Terry Dr, Consultant Histopathologist]

 "Proper training can allow Histotech's to report normal, ....."

There was a bizarre discussion on the histopathology discussion group
recently, around reporting tissue as "normal".
An amazing number of pathologists never used the word, but preferred
some sort of mealy mouthed evasion. 
Within normal limits, no definite lesion seen ... That sort of thing.
Indeed one very competent pathologist claimed he could not recognise
normal!

Terry

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Kemlo
Rogerson
Sent: 10 January 2008 16:08
To: Terri Braud; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Who can perform Histology Duties

Please save your flames.  The scenerio of a Non-Histotech embedding,
cutting, and staining my surgical tissue does not thrill me, but that
was not her question.  Maybe the reality of the answer is why many
Histology Labs have always been considered the evil red-headed
stepchildren of the Lab.
Terri

I think you are correct in that as long as someone is properly trained,
the training is revisited regularly and there is adequate supervision
and the professional groups are in agreement Non-BMS (Non-Histotech)
Staff can do many jobs in Histology and maybe Non Medical Staff (BMS)
can carry out some interpretation. I would have no issues with a
Non-Histotech (Non-BMS) doing as you say with proper supervision by a
HPC registered supervisor.

But where does it end? Do you need a medical degree to identify vas,
appendix or gall bladder? You need the training to know when you have
reached the limits of your knowledge and when to refer to someone better
able to report a disease and I concede that is probably a Medic. Proper
training can allow Histotech's to report normal, maybe non-normal
requires medical insight, what do you think? 

 
Kemlo Rogerson        
Pathology Manager
DD   01934 647057 or extension 3311
Mob 07749 754194; Pager 07659 597107;
Don't be afraid to take a big step when one is indicated. You can't
cross a chasm in two small jumps. --Buckminster Fuller 

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