Expert consultation services...

Discussion in 'Pathology' started by cmz, Apr 20, 2017 at 2:30 PM.

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  1. cmz

    cmz Pathology Wannabe 10+ Year Member

    845
    31
    Sep 6, 2001
    Texas
    Physician
    Can a PCP or subspecialist request a second opinion on any pathology case at their home institution without the approval of their home pathology group? My view is that the PCP/SS patient is under their direct care and supervision and if they want to request material from their home lab to be sent to an "expert" they are within their right to do so. After all, pathologists are just consultants anyway. The only reason I ask is because I do not want to step on anyone's toes...
     
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  3. univlad

    univlad Member 10+ Year Member

    174
    11
    Jul 14, 2002
    Yes. Though it would be courteous to discuss the case with signing pathologist.
     
  4. coroner

    coroner Peace Sells...but who's buying? 7+ Year Member

    425
    98
    Aug 3, 2007
    22 Acacia Avenue
    Physician
    Absolutely, the clinician can make that decision independent of pathologists. And technically, the second opinion cannot be done without the home pathology group's indirect approval. They (home path group) has to sign a form to release the slides to another facility (second opinion place) documenting slides were sent. So by default, the home path group is providing approval.

    My colleagues and I would never disapprove this and I've never heard of any path group doing otherwise. It'd create bad blood between with clinicians by refusing to do so. And legally, the patient can demand an outside consult regardless of the home path group's approval or not.
     
    Last edited: Apr 20, 2017 at 8:30 PM
  5. dhpath

    dhpath 2+ Year Member

    26
    1
    Jan 5, 2013
    I would rather encourage the clinicians to get a second opinion. After few months/few cases they will develop confidence on the in house pathology. Also, you are not going to pay for it. Most of the insurance will pay for a second opinion.
     
  6. mikesheree

    mikesheree 7+ Year Member

    837
    48
    Feb 27, 2010
    You also have to review what is being sent out to assure it is the diagnostic/representative material.
     
  7. medgator

    medgator Senior Member 10+ Year Member

    2,463
    150
    Sep 20, 2004
    Physician
    Yes. Sometimes the patient wants a second opinion and part of the protocol at larger cancer center is to review the path at their institution when they are being seen by that center's clinicians
     

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