PATHOLOGY The GOOD (COURSE) The BAD (MEDICAL SPECIALTY) The UGLY (JOB)

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Presentation transcript:

PATHOLOGY The GOOD (COURSE) The BAD (MEDICAL SPECIALTY) The UGLY (JOB)

The GOOD (COURSE) .PPT LAB Independent/Group LAB (Rock Lab)

*.PPTs GENERAL Pathology (Path 1) 10 Topics SYSTEMIC Pathology (Path 2) 19 Topics Traditional vs. “Integrated” curriculum

GENERAL PATHOLOGY Cell Adaptations Inflammation: Acute, Chronic, etc, Regeneration/Healing Hemodynamic Disorders Genetic Diseases Immune Diseases Neoplasms Infectious Diseases Environmental/Nutritional Diseases Childhood (Pediatric) Diseases

SYSTEMIC Pathology Blood Vessels Heart RBC WBC Lung ENT GI Liver Pancreas Kidney Lower UT/Male Female Breast Endocrine Skin Orthopedic Nerve/Muscle CNS Eye

The BIBLE of Pathology Big ROBBINS 8th Edition 1500 pages, 29 Chapters WHY ROBBINS? Most USMLE appropriate Oldest Best Everybody uses it

The Medical Specialty AP/CP Anatomic Pathology Clinical Pathology

AP Autopsies “Surgical” Pathology Cytology

CP Labs: Especially diagnostic labs related to health care, i.e., hospital labs, NOT tissue Chemistry Hematology Microbiology Blood Bank etc

RESIDENCY ~4 years for AP/CP board eligibility Add another year (two at most) for subspecialty eligibility, i.e., Blood Bank (IHBB/”Transfusion Medicine”), CHEM, CYTOLOGY, DERMATOPATHOLOGY, FORENSIC, HEMATOPATHOLOGY, MICROBIOLOGY, MOLECULAR/GENETIC, NEUROPATHOLOGY, PEDIATRIC “Organ Specific”, e.g., “breast” Board Certification vs. Grandfathering

BLOOD BANKING

CHEMISTRY

CYTOLOGY

DERMATOPATHOLOGY

FORENSIC

HEMATOPATHOLOGY/HEMATOLOGY

MICROBIOLOGY

MOLECULAR/GENETIC

NEUROPATHOLOGY

PEDIATRIC

ORGAN SPECIFIC

Three Kinds of People Go Into Pathology

1)Geeks 2)Nerds 3)Dorks

INTROVERTS?

ANSWER: People who do NOT need or do NOT even enjoy the delusion of constant patient adoration.

What does a pathologist do? AM PM

How does a Pathologist get paid? Salary Percentage Fee for Services (Separate Billing) Contracts

Who are pathologists’ ENEMIES? Other Pathologists “Partners” Other groups who compete for contracts Other physicians who want to read their own slides Malpractice attorneys, who feed on them Corporate Administrators, who feed on them “Regulation Agencies” whose livelihood depends on feeding on them

Reasons to go into pathology Scientifically stimulation Broad range of skills and knowledge Connected to all parts of medicine Good hours, not much demanding call Ability to work well into 70s+

Reasons NOT to go into pathology Connected to corporate hospital jackals Lack of patient contact Don’t get to play God Good money, but not lucrative