Hi,
I graduated from the Pathologist Assistant program at Wayne State University in Michigan and currently work as a PA at a large teaching hospital. I think I might be able to shed some light on some of the queries presented in this thread.
First, there are only 7 accredited Pathologists' Assistant programs in the US, all of which are taught at the Master's level with the exception of Wayne State University that is still at the Bachelor's level. From what I understand,
WSU is also in the process of converting their program to the graduate level.
It is not uncommon for allied health programs to be taught at the graduate level. Take, for instance, the field of physical therapy. Initially this program was offered at the Bachelor's level and now all PT programs are converting to Doctor of Physical Therapy programs. The same is true for Pharmacists. Physician Assistant programs are now mostly taught at the Master's level, too. Don't forget, doctor's still have a residency to do after medical school and so the education is not complete with 8 years.
In regards to autopsies--yes, we are able to do complete autopsies on our own without a pathologist directly present. We are able to serve in the capacity as autopsy assistant, prosector, or both. We are trained extensively in performing hosptial and forensic autopsies. At most hospitals, PA's normally serve as the prosector and dissect the organ block looking for a cause of death. At my previous position at the Detroit Medical Center, I served as prosector during autopsy and had an autopsy attendant working with me to eviscerate the organ block and clean up afterwards. Of course, this role could change depending where you are. At my current position, we have pathology residents that are required to do 50 autopsies each and so we do not have to do autopsies. I volunteered to fill in as the autopsy assistant when he is on vacation, though.
As far as grossing in concerned, we gross everything from simple biopsies to the most complex cases. We do this without direct supervision of a pathologist. As long as the pathologist is available by phone for consult if we need it, we are able to gross any case that comes in.
Frozen section coverage depends on where you are located. At my previous position, I prepped the specimen, took sections for microscopic evaulation in consult with the pathologist, froze and stained the sections. At my current position, the histotechs mainly cut the frozens but the residents have to do the prep work.
I disagree with PA's not being happy with their chosen career. The job can be stressfull, but overall I would say most of us are thrilled to be working in this field. Don't confuse on-the-job trained PA's without formal education or certification with PA's certified by the AAPA. I've seen more than once where histotechs are trained to gross simple specimens like biopsies, placentas, etc., but they are not doing the complicated stuff. If all I did day in and day out was gross biopsies, I don't think I'd enjoy my career much either.
Hope this helps! If you have any questions, feel free to e-mail me. I do not check this forum regularly.
Joseph Goff
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