Consultation - Revision history

Mikael Häggström: /* When to ask */ If uncertain

2023-12-20T21:03:08Z

When to ask: If uncertain

← Older revision		Revision as of 17:03, 20 December 2023
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	*'''Low accessibility''' in obtaining the specimen at hand, such as through deep surgery or imaging-based biopsy.<ref group=note>Low '''accessibility''' is associated with both a higher risk of '''malignancy''' (enough to motivate extensive methods for obtaining the specimen) and '''irreversibility''' (as it would be difficult to retake a specimen in case the first one does not result in an adequate diagnosis).</ref>		*'''Low accessibility''' in obtaining the specimen at hand, such as through deep surgery or imaging-based biopsy.<ref group=note>Low '''accessibility''' is associated with both a higher risk of '''malignancy''' (enough to motivate extensive methods for obtaining the specimen) and '''irreversibility''' (as it would be difficult to retake a specimen in case the first one does not result in an adequate diagnosis).</ref>

	For microscopic '''[[evaluation]]''', as a pathology trainee, preferably write reports for cases you are involved in as if you were to sign it out, and follow up on how it was actually signed out. After becoming a pathologist, the following are general factors for consulting others:		For microscopic '''[[evaluation]]''', as a pathology trainee that always has somebody else signing out your cases, preferably still write reports for cases you are involved in as if you were to sign it out, and follow up on how it was actually signed out, and note any differences. After becoming a pathologist, the following are general factors for consulting others:
	*'''Unfamiliarity''' with the specimen type at hand.		*'''Unfamiliarity''' with the specimen type at hand.
	*'''Borderline''' findings whenever there may be a significant difference in treatment, prognosis or other management.
	*'''Discordant''' findings that do not sufficiently fit your diagnosis.		*'''Discordant''' findings that do not sufficiently fit your diagnosis.
			*'''Borderline''' findings whenever there may be a significant difference in treatment, prognosis or other management. Conversely, when you are uncertain whether you need to consult someone else, look up the clinical consequences for the patient for your main differentials. Substantial differences in the consequences increases the indication for consulting others.

	==What do ask for==		==What do ask for==

Mikael Häggström: /* When to ask */ +Evaluation

2022-12-22T13:21:41Z

When to ask: +Evaluation

← Older revision		Revision as of 09:21, 22 December 2022
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	{{Comprehensiveness}}		{{Comprehensiveness}}
	==When to ask==		==When to ask==
	For grossing, general factors for asking for assistance include:		For '''[[grossing]]''', general factors for asking for assistance include:
	*'''Unfamiliarity''' with the specimen type at hand.		*'''Unfamiliarity''' with the specimen type at hand.
	*'''Malignancy''' risk of the case.		*'''Malignancy''' risk of the case.
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	:*'''Low redundancy''' of tissue at hand, such as very small pieces of relevant tissue.		:*'''Low redundancy''' of tissue at hand, such as very small pieces of relevant tissue.
	*'''Low accessibility''' in obtaining the specimen at hand, such as through deep surgery or imaging-based biopsy.<ref group=note>Low '''accessibility''' is associated with both a higher risk of '''malignancy''' (enough to motivate extensive methods for obtaining the specimen) and '''irreversibility''' (as it would be difficult to retake a specimen in case the first one does not result in an adequate diagnosis).</ref>		*'''Low accessibility''' in obtaining the specimen at hand, such as through deep surgery or imaging-based biopsy.<ref group=note>Low '''accessibility''' is associated with both a higher risk of '''malignancy''' (enough to motivate extensive methods for obtaining the specimen) and '''irreversibility''' (as it would be difficult to retake a specimen in case the first one does not result in an adequate diagnosis).</ref>

			For microscopic '''[[evaluation]]''', as a pathology trainee, preferably write reports for cases you are involved in as if you were to sign it out, and follow up on how it was actually signed out. After becoming a pathologist, the following are general factors for consulting others:
			*'''Unfamiliarity''' with the specimen type at hand.
			*'''Borderline''' findings whenever there may be a significant difference in treatment, prognosis or other management.
			*'''Discordant''' findings that do not sufficiently fit your diagnosis.

	==What do ask for==		==What do ask for==

Mikael Häggström: /* What do ask for */ Redundant

2022-12-22T12:57:17Z

What do ask for: Redundant

← Older revision		Revision as of 08:57, 22 December 2022
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	*Keep the slides in '''order''' (including recuts and stains).		*Keep the slides in '''order''' (including recuts and stains).

	~~What you generally want to know are:~~		{{Comprehensive-begin}}Remember if the office '''door''' is open, and how much, and generally leave it the same way on the way out.{{Comprehensive-end}}
	*{{Comprehensive-begin}}~~Note~~ if the office '''door ~~open~~''', and how much, and generally leave it the same way on the way out.{{Comprehensive-end}}
	*The pathology '''issues''' at hand.
	*If you are given information for writing a pathology report, what will you do '''after''' writing it in the system? Save, sign or notify them otherwise?

	==Getting in touch with clinicians==		==Getting in touch with clinicians==

Mikael Häggström: /* What do ask for */ Order

2022-12-09T16:16:24Z

What do ask for: Order

← Older revision		Revision as of 12:16, 9 December 2022
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	==What do ask for==		==What do ask for==
	When consulting a senior, generally read up on the medical '''history''' and{{Moderate-begin}}/or{{Moderate-end}} operative report of the patient. Also, try to '''diagnose''' each case as much as possible before asking, so that you will practice your skills and further improve them based on how they differ from what a senior would do. If taking a slide tray with you~~, don~~'t forget ~~the~~ slide on your microscope.		When consulting a senior, generally read up on the medical '''history''' and{{Moderate-begin}}/or{{Moderate-end}} operative report of the patient. Also, try to '''diagnose''' each case as much as possible before asking, so that you will practice your skills and further improve them based on how they differ from what a senior would do.

			If taking a slide '''tray''' with you:
			*Don't forget any slide still '''on your microscope'''.
			*Keep the slides in '''order''' (including recuts and stains).

	What you generally want to know are:		What you generally want to know are:

Mikael Häggström:

2022-12-02T23:16:49Z

← Older revision		Revision as of 19:16, 2 December 2022
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	{{Top		<noinclude>{{Top
	\|author1=[[User:Mikael Häggström\|Mikael Häggström]]		\|author1=[[User:Mikael Häggström\|Mikael Häggström]]
	\|author2=		\|author2=
	}}		}}
	Save '''phone numbers''' to pertinent seniors so that you can contact them in urgent situations.		<noinclude/>Save '''phone numbers''' to pertinent seniors so that you can contact them in urgent situations.
	{{Comprehensiveness}}		{{Comprehensiveness}}
	==When to ask==		==When to ask==

Mikael Häggström: /* Getting in touch with clinicians */ ask if

2022-09-13T11:52:04Z

Getting in touch with clinicians: ask if

← Older revision		Revision as of 07:52, 13 September 2022
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	In less emergent situations, you may also try the following:		In less emergent situations, you may also try the following:
	*Consider '''texting''' the person rather than call (and use case/patient number rather than identifiable information, unless you are using an appropriately encrypted system).		*Consider '''texting''' the person rather than call (and use case/patient number rather than identifiable information, unless you are using an appropriately encrypted system).
	*For inpatients, find out from for example medical records where the patient is located, call the hospital switch to connect you with that location, also including any '''nurse or other caregiver'''. They may be able to answer any questions. Otherwise, ask that person for the phone number to the referring doctor, or other person in charge of the patient. Ask to repeat their names when needed, and get direct phone numbers of any potentially useful people that you encounter in the process.		*For inpatients, find out from for example medical records where the patient is located, call the hospital switch to connect you with that location, also including any '''nurse or other caregiver'''. They may be able to answer any questions. Otherwise, ask that person for the phone number to the referring doctor, or other person in charge of the patient. Ask to repeat their names when needed, and ask if you can get direct phone numbers of any potentially useful people that you encounter in the process.
	The optimal time to get in touch with hospitalists is generally around '''2pm to 3pm''' (when they are usually done with the more emergent tasks of the day but haven't yet left the hospital).		The optimal time to get in touch with hospitalists is generally around '''2pm to 3pm''' (when they are usually done with the more emergent tasks of the day but haven't yet left the hospital).
	<noinclude>		<noinclude>

Mikael Häggström: /* Getting in touch with clinicians */ hospital

2022-09-13T11:50:55Z

Getting in touch with clinicians: hospital

← Older revision		Revision as of 07:50, 13 September 2022
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	*Consider '''texting''' the person rather than call (and use case/patient number rather than identifiable information, unless you are using an appropriately encrypted system).		*Consider '''texting''' the person rather than call (and use case/patient number rather than identifiable information, unless you are using an appropriately encrypted system).
	*For inpatients, find out from for example medical records where the patient is located, call the hospital switch to connect you with that location, also including any '''nurse or other caregiver'''. They may be able to answer any questions. Otherwise, ask that person for the phone number to the referring doctor, or other person in charge of the patient. Ask to repeat their names when needed, and get direct phone numbers of any potentially useful people that you encounter in the process.		*For inpatients, find out from for example medical records where the patient is located, call the hospital switch to connect you with that location, also including any '''nurse or other caregiver'''. They may be able to answer any questions. Otherwise, ask that person for the phone number to the referring doctor, or other person in charge of the patient. Ask to repeat their names when needed, and get direct phone numbers of any potentially useful people that you encounter in the process.
	The optimal time to get in touch with hospitalists is generally around '''2pm to 3pm''' (when they are usually done with the more emergent tasks of the day but haven't yet left ~~for~~ the ~~day~~).		The optimal time to get in touch with hospitalists is generally around '''2pm to 3pm''' (when they are usually done with the more emergent tasks of the day but haven't yet left the hospital).
	<noinclude>		<noinclude>
	{{General notes}}		{{General notes}}
	{{Bottom}}		{{Bottom}}
	</noinclude>		</noinclude>

Mikael Häggström: /* When to ask */ Linked

2022-09-13T11:50:08Z

When to ask: Linked

← Older revision		Revision as of 07:50, 13 September 2022
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	*'''Malignancy''' risk of the case.		*'''Malignancy''' risk of the case.
	*'''Inability to retake''' sections in case the first ones are insufficient:		*'''Inability to retake''' sections in case the first ones are insufficient:
	:*A risk of '''irreversibility''' of any processing, such as inability to perform special tests by putting it in formalin.		:*A risk of '''irreversibility''' of any processing, such as inability to perform special tests by putting it in formalin. {{further\|Fixation}}
	:*'''Low redundancy''' of tissue at hand, such as very small pieces of relevant tissue.		:*'''Low redundancy''' of tissue at hand, such as very small pieces of relevant tissue.
	*'''Low accessibility''' in obtaining the specimen at hand, such as through deep surgery or imaging-based biopsy.<ref group=note>Low '''accessibility''' is associated with both a higher risk of '''malignancy''' (enough to motivate extensive methods for obtaining the specimen) and '''irreversibility''' (as it would be difficult to retake a specimen in case the first one does not result in an adequate diagnosis).</ref>		*'''Low accessibility''' in obtaining the specimen at hand, such as through deep surgery or imaging-based biopsy.<ref group=note>Low '''accessibility''' is associated with both a higher risk of '''malignancy''' (enough to motivate extensive methods for obtaining the specimen) and '''irreversibility''' (as it would be difficult to retake a specimen in case the first one does not result in an adequate diagnosis).</ref>

	==What do ask for==		==What do ask for==
	When consulting a senior, generally read up on the medical '''history''' and{{Moderate-begin}}/or{{Moderate-end}} operative report of the patient. Also, try to '''diagnose''' each case as much as possible before asking, so that you will practice your skills and further improve them based on how they differ from what a senior would do. If taking a slide tray with you, don't forget the slide on your microscope.		When consulting a senior, generally read up on the medical '''history''' and{{Moderate-begin}}/or{{Moderate-end}} operative report of the patient. Also, try to '''diagnose''' each case as much as possible before asking, so that you will practice your skills and further improve them based on how they differ from what a senior would do. If taking a slide tray with you, don't forget the slide on your microscope.

Mikael Häggström: /* Getting in touch with clinicians */ Expanded

2022-09-13T11:49:01Z

Getting in touch with clinicians: Expanded

← Older revision		Revision as of 07:49, 13 September 2022
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	==Getting in touch with clinicians==		==Getting in touch with clinicians==
	Ask the referring doctor for clarification whenever needed for your diagnosis. In more emergent situations:		Ask the referring doctor for clarification or more information whenever needed for your diagnosis, or for delivery of diagnoses that likely require quick management. In more emergent situations:
	#Look at the '''referral''' for any number to call.		#Look at the '''referral''' for any number to call.
	#If intraoperative, call the '''operating room number'''.		#If intraoperative, call the '''operating room number'''.
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	In less emergent situations, you may also try the following:		In less emergent situations, you may also try the following:
	*Consider '''texting''' the person rather than call (and use case/patient number rather than identifiable information, unless you are using an appropriately encrypted system).		*Consider '''texting''' the person rather than call (and use case/patient number rather than identifiable information, unless you are using an appropriately encrypted system).
	*For inpatients, find out from for example medical records where the patient is located, call the hospital switch to connect you with that location, ~~even if with a~~ '''nurse or other caregiver''', ~~and~~ ask that person for the phone number to the referring doctor, or other person in charge of the patient.		*For inpatients, find out from for example medical records where the patient is located, call the hospital switch to connect you with that location, also including any '''nurse or other caregiver'''. They may be able to answer any questions. Otherwise, ask that person for the phone number to the referring doctor, or other person in charge of the patient. Ask to repeat their names when needed, and get direct phone numbers of any potentially useful people that you encounter in the process.
	The optimal time to get in touch with hospitalists is generally around '''2pm to 3pm''' (when they are usually done with the more emergent tasks of the day but haven't yet left for the day).		The optimal time to get in touch with hospitalists is generally around '''2pm to 3pm''' (when they are usually done with the more emergent tasks of the day but haven't yet left for the day).
	<noinclude>		<noinclude>
	{{General notes}}		{{General notes}}
	{{Bottom}}		{{Bottom}}
	</noinclude>		</noinclude>

Mikael Häggström: Note

2022-06-19T19:36:41Z

Note

← Older revision		Revision as of 15:36, 19 June 2022
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	:*A risk of '''irreversibility''' of any processing, such as inability to perform special tests by putting it in formalin.		:*A risk of '''irreversibility''' of any processing, such as inability to perform special tests by putting it in formalin.
	:*'''Low redundancy''' of tissue at hand, such as very small pieces of relevant tissue.		:*'''Low redundancy''' of tissue at hand, such as very small pieces of relevant tissue.
	*'''Low accessibility''' in obtaining the specimen at hand, such as through deep surgery or imaging-based biopsy.<ref group=~~notes~~>Low '''accessibility''' is associated with both a higher risk of '''malignancy''' (enough to motivate extensive methods for obtaining the specimen) and '''irreversibility''' (as it would be difficult to retake a specimen in case the first one does not result in an adequate diagnosis).</ref>		*'''Low accessibility''' in obtaining the specimen at hand, such as through deep surgery or imaging-based biopsy.<ref group=note>Low '''accessibility''' is associated with both a higher risk of '''malignancy''' (enough to motivate extensive methods for obtaining the specimen) and '''irreversibility''' (as it would be difficult to retake a specimen in case the first one does not result in an adequate diagnosis).</ref>

	==What do ask for==		==What do ask for==