I'm sure this will work out well

[Alteran]

Pathology hospitalists in place at UMich - CAP TODAY

I'll sum up the article, as I understand it:

Pathology has become so hyperspecialized by the intentional designs of pathology academic departments, that junior faculty who are experts in their niche are completely useless as general surgical pathologists and by proxy in frozen sections. So rather than go back to practical basics which is the standard we've all been held to in private practice, the solution is to create a subspeciality of AP where all you do is read frozen sections. Behold, the AP hospitalist.

Did I read this correctly or am I just seeing this through my usual cynical lens?

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[SunBakedTrash]

Guess that makes me an AP hospitalist. Better add that to my CV.

 

[deleted314957]

Un-f*****g believable!

“There is almost a general sense of a lack of competence to serve the needs of general surgical pathology”.

Who the hell is supposed to work in community hospitals like mine? This has all come about because of the medical/govt nannies who just will not let a SENIOR resident assume independent responsibility. If, as an academic teacher, you cannot do this, you have failed.

In the business world, someone is always trained/being trained to immediately step into your shoes.

Webb, you’re by yourself. How do you manage all that “ general surgical pathology?”

It is confirmed. We now have a generation of “pathology snowflakes”.

 

[WEBB PINKERTON]

AP hospitalists. Sounds like a stupid idea. Who the hell would want to waste a day doing a bunch of time sucks like frozens and ROSE while they live it up at the mothership?

Umm why not telepathology instead?

Glad I work where the action is. Screw being offsite.

 

[cmz]

This is bonkers. Does this mean I can go to hospital administration and ask them to pay my group an extra $1500/day for the privilege of having a "Pathologist Hospitalist"?

 

[wholeheartedly]

replace govt w/academia

 

[Guest8]

Yeah I don't think this is actually happening anywhere. Sounds like a lot of hot air about nothing, or a clickbait scaremongering article. Realistically you can just put a camera on your frozen section scope and show the case to a specialist if you're not comfortable making the call yourself. I doubt there is anyone out there that is a so-called "pathologist hospitalist".

 

[deleted314957]

Yeah I don't think this is actually happening anywhere. Sounds like a lot of hot air about nothing, or a clickbait scaremongering article. Realistically you can just put a camera on your frozen section scope and show the case to a specialist if you're not comfortable making the call yourself. I doubt there is anyone out there that is a so-called "pathologist hospitalist".

Maybe it’s gotten so bad the “specialists” get thrown off by the “freeze artifact” because they never see it .

 

[WEBB PINKERTON]

Sounds like crap a PA or whomever could do to me. Don't need to leave a man behind. Send images to the mothership.

 

[ScubaV]

Lol, I try to be balanced, but I can't see this as anything but ridiculous. Do these "hospitalists" get paid like the rest of the staff? Do they sign out regular cases or only frozens / ROSE? Do they even get an office?

Guaranteed whatever the subspecialists say to their faces, and however happy they are at not doing frozens they think "Not my problem, send in the frozen b**ch" while they recline and wait for the fellow to bring them cases.

Clever move by leadership though. If everyone's skills atrophy except in their one niche area, then they're trapped and can only move to another system that also accommodates their niche.

 

[WEBB PINKERTON]

AP hospitalist waiting to be called for ROSE or a frozen.

 

[PATHDOCNYCNJ]

Lol, I try to be balanced, but I can't see this as anything but ridiculous. Do these "hospitalists" get paid like the rest of the staff? Do they sign out regular cases or only frozens / ROSE? Do they even get an office?

Guaranteed whatever the subspecialists say to their faces, and however happy they are at not doing frozens they think "Not my problem, send in the frozen b**ch" while they recline and wait for the fellow to bring them cases.

Clever move by leadership though. If everyone's skills atrophy except in their one niche area, then they're trapped and can only move to another system that also accommodates their niche.

When the major academic medical center did a hostile takeover of my community hospital, they fired all the community hospital pathologists because we had no “subspecialty sign out experience.” As a resident at a major academic medical center pathology residency, I learned best how to be a PA and secretary. The untold hours I spent dividing up slides and making appointments with the sub specialists were mind numbing. Even if you had only 1 slide to show, you had to bring it to the ENT pathologist so you can transcribe her diagnosis.