microscope purchase or rental

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sapience8x

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If someone wanted to purchase or rent a microscope for use at home during residency, what would the specs be? any brand recomendations? they have used scopes now. Is it possible to remove slides from the medical center for this reason?
 
If someone wanted to purchase or rent a microscope for use at home during residency, what would the specs be? any brand recomendations? they have used scopes now. Is it possible to remove slides from the medical center for this reason?

i've never heard of people taking slides from the medical center. However, I have heard that some places allow free cuts for the resident for their educational collection. Also, if there are microscopes for your use at the residency, why would you buy one?
 
I've got a Nikon Eclipse e200 at home that I rarely used as a PA but presume it will get a TON of use during residency. I don't think institutions would be keen on letting their slide collections wander off the premises, but like Villin said, if you can get recuts on interesting cases, you can always start building your own slide sets.

As far as why you'd want to own one, it just gives you the convenience of being able to do histo work at home should you choose to do so...😉

http://www.nikonusa.com/template.php?cat=5&grp=42&productNr=E200
 
I am building a new lab, in addition Im planning to set my townhouse as a home office with a sign out desk near my fireplace and flat panel LCD TV (within reach of my cigar humidor and electronic wine cabinets).

In the lab, I will have an Olympus scope with a BX45TF frame, all flourite objective: 2x, 4x, 10x, 20x, 40x and 100x oil AND the DP-71 digital camera. The advantage of the new DP-71 camera is the embedded IP address, which once set up will act as a real time video conferencing with the ability to do telepathology.

At home, I plan to have a Nikon E400 with a digital camera hooked up to a suped up Alienware ALX desktop system complete with the wireless connection to my LIS so I can perform remote sign outs.

Now, the risk you run here is for the most part residency programs may not let you leave with slides. They run a liability in doing so, but the liability is technically no more than sending cases out for consult because the blocks *technically* are the real patient specimens (the slides are merely cuts of the prime material).

But I have known programs that allow slides to taken out of the lab by residents, especially if you had an apartment owned by the hospital or medical school or was very close. If you have a pressing reason to take your slides home like childcare or what not, it probably would be okay to ask, but I wouldnt just start taking the cases home at night on the sly.

Other aspects: people have told me technically you need CLIA approval to sign out material from home. I dispute that. Teleradiology as well as nuclear medicine scans are being signed out not only from home but from PDAs like Blackberries with no problem. CLIA approval from my understanding would only be needed if you were storing specimens OR processing specimens at your home. I was living in LA when I read a report with an address of a home that was 3 blocks down the road from me, where apparently a local prominent pathologist was receiving consult cases.
 
Bear in mind that many hospitals would fire you if you took slides home (recuts it wouldn't matter, obviously). I have heard of residents getting pretty severe disciplinary action for this. Perhaps once one gets into practice there can be exceptions made, and as said above maybe there are programs that would allow this. My question is why? If you are a resident do you really want to be doing this at home? Do you really need to look at your recuts at home?
 
Bear in mind that many hospitals would fire you if you took slides home (recuts it wouldn't matter, obviously). I have heard of residents getting pretty severe disciplinary action for this. Perhaps once one gets into practice there can be exceptions made, and as said above maybe there are programs that would allow this. My question is why? If you are a resident do you really want to be doing this at home? Do you really need to look at your recuts at home?

ladoc said it well when he said a reason might be childcare. I have heard of people going home, putting their kids to bed and then coming back to preview. it woudl be so much easier to finish previewing at home in the evening.
 
I loaned a great big Nikon as a chief resident. Turned out that they didn't want it back. However, it's essentially been a great big dust collector since it entered my home. Don't think it'll be really helpful, especially not for residents, as:
1. Most hospitals don't want to see slides being taken home, as noted above.
2. If you're doing it for training purposes, it's really better to look in a book (or on CD-ROM's/the internet).
3. If you're doing it for diagnostic purposes, you're doing both yourself and the patient a grave disservice. Especially as a resident, you'd want to be able to quickly confer any slide with a fellow or attending. So unless your significant other is such a person, I really can't see the point in taking slides home.
4. Work/life separation. If you're a resident (or future resident), you'd spend a significant amount of your time in front of a scope - at work. I doubt it'll be beneficial also to take a scope with you in bed, on the kitchen table or in your home office.

While I can see the argument about "special circumstances", such as childcare issues, the points above are really equally valid in such a situation, so I'd still rate it a no-go.
 
In my limited experience in a program that had a multi-hospital setting, residents were allowed to take slides to the other hospitals in order to show cases and/or get confirmation. This usually involved the slides staying overnight away from the originating institution. We were also allowed to get teaching recuts on anything that we wanted (after the case had been worked up and signed out).
 
yeah i want to buy a microscope as well....maybe we could find some sort of a used microscope dealer, like a used car dealership...where you can take them out for "test drives"!

can't spend alot of money right now though...so maybe later 😳
 
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