Consultation: Difference between revisions
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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. | ||
*'''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== | ||