Geographic variability in path practice/residency training

[H&E]

I have observed that all of the pathologists I have shadowed never see patients at all. This includes FNA's, bone-marrow biopsies and plasmaphoresis. These procedures are done by surgery, heme/onc, nephrology respectively. However, it seems in other areas of the country these procedures are done by pathology and that path residents spend considerable time doing them. My question is whether this is purely attributable to geographic variation in practice patterns? If any current residents could comment on the frequency with which they perform these or any other procedures vs. just receiving the samples after other specialists have obtained them. This could be an issue when finding a private practice position that requires a significant quantity of procedures if you have done the bare minimum in residency. Thanks.

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