microscopics

[gungho]

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just curious how many people routinely provide microscopic descriptions in their reports vs. just if there's a particular problem or issue with microscopic reference in a comment vs. never giving a microscopic.
most attendings at my residency didn't routinely provide microscopics and at my fellowship (well-known institution) microscopics virtually never provided while here at my job my partner does microscopics on everything.

 

[Gene_]

I generally see microscopics done in two situations: particular specimens(e.g. liver, kidney) and unusual cases.

 

[Autopsy Sweet]

just curious how many people routinely provide microscopic descriptions in their reports vs. just if there's a particular problem or issue with microscopic reference in a comment vs. never giving a microscopic.
most attendings at my residency didn't routinely provide microscopics and at my fellowship (well-known institution) microscopics virtually never provided while here at my job my partner does microscopics on everything.

We do microscopics on all cases at my residency.

 

[yaah]

It's kind of a vestige of the past at many places. We don't do it, although people do, as was said above, on complicated cases or on some kidney liver or derms.

 

[caffeinegirl]

It's very common in dermpath (both academic and private practice), probably because the dermatologists have been trained in dermpath during residency, and understand the terms in the micro description.

 

[green mantis]

I didn't do microscopics in residency or SP fellowship. If something needed one, it usually wound up in the comment section.

I think part of the reason for not doing a microscopic is because the clinicians don't read it, kind of like they don't read the gross. However, the comment goes in the same section as the final diagnosis.

I'm glad it's not a billing issue. 😛


----- Antony

 

[2121115]

We do microscopics on all cases at my residency.

How do you have time for that? The only way I could imagine that is if they were all pre-programed macros in the dictation system. If residents were required to dictate micros for all surgpath cases we would never get done previewing in time to sign out.

 

[dermpathdoc]

How do you have time for that? The only way I could imagine that is if they were all pre-programed macros in the dictation system. If residents were required to dictate micros for all surgpath cases we would never get done previewing in time to sign out.

Dermatopathology cases when done for dermatologist.They like to check that diagnosis and micro match, if not they want and explanation why which is usually covered in the comments section. If doing a case for FP or IM I generally don't because they don't know what it means.
As to whether you have enough time?? well after 20 years of practice you can whip out the micros and the diagnosis faster than the canned dx.
The canned dx is only used for common stuff..