Consultation: Difference between revisions

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{{Top

<noinclude>{{Top

|author1=[[User:Mikael Häggström|Mikael Häggström]]

|author2=

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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.

==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.

*'''Malignancy''' risk of the case.

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:*'''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>

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.

*'''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==

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:~~

{{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==

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-{{Top
+<noinclude>{{Top
 |author1=[[User:Mikael Häggström|Mikael Häggström]]
 |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}}
 ==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.
 *'''Malignancy''' risk of the case.
@@ Line 13: / Line 13: @@
 :*'''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>
+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.
+*'''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==
-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:
+{{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==

Consultation: Difference between revisions

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