S
steveirisham
Would anyone know of a resource (websites) to learn about the job market for pathologists?
Originally posted by Voxel:
•One last thing, I am not sure about the impact of path-related technology on the efficiency of the pathologist as this may change demand. Someone will have to educate us on that.•••
1. Spectroscopic in situ evaluation of tissue for neoplastic cells may replace the need for intra-operative frozen section margin analysis. Will this be a radiology or pathology tool? Could this be used to decrease the need for biopsies particularly in conjunction with endoscopic US in say colon cancer screening? (This is admittedly developmental so add 10-15 years before it is seen in practice)
2. Laser Capture Microdissection: This is real-time to near future in impact. Also it will probably initially remain a pathology tool due to the need for microscopic morphology. The principle: the ability to isolate a single cell of interest for genetic analysis. What will happen to pathologists if most tumor cells can be matched via search engine with the currently expanding catalogue of genetic mutations associated with neoplasm? The need for expertise in morphology will diminish, particularly if spectroscopy can be used to identify which cells are mitotically active. Any unidentifiable cells can be sent (via telepathology, of course
) to a reference lab which can decide if the cells are indeed neoplastic and if so their genetic make-up can be added to the database. If this mechanism becomes automated, it is yet another machine for the clinical pathologist to manage. Furthermore what will this very real technology do to the field of cytopathology? anatomic pathology?
3. Pet Scan: Used to identify tumor hotspots, particularly making headway in lung and melanoma, DECREASING the need for open biopsy in known tumor cases (i.e. metastatic disease = no surgery)
4. MOHS surgery for basal cell carcinoma: surgeons do their OWN frozen sections to determine if margins are free WITHOUT aid of a pathologist. (current procedure)
Okay, so here's my problem and I would like an informed soul to answer... in what areas is pathology creating new markets? Clearly the autopsy belongs to the pathologist, but we are not even fighting to preserve that (based on the low numbers of hospital autopsies.) Is molecular/genetics truly the wave of the pathology future, and so where does the microscope fit in?
So Voxel, while I agree with your assessment that you can't believe everything you read, I am somewhat skeptical about the direction pathology as a field is taking. Comments/thoughts? (Trust me, I am actively seeking reassurance!)
Originally posted by GreatPumpkin:
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And, certain subspecialties within path can make unholy amounts of money. •••
What are these subspecialties, and what would you consider an "unholy" amount of money?
Originally posted by Magree:
•Hi:
I think GP was referring to some cyto and derm path specialists who seem to make a bundle. I haven't seen any thing listed but have "heard/tell" of some good salary offerings in places like the mid-west or Las Vegas.
Personally, I found all the listings above to be pretty depressing. I had expected things to look better by now.
M-•••
Yep, derm and cyto are the hottest ones. Derm esp. What is unholy amounts of money to me, $400+.
As for your depression on the job listings. There are 75 positions currently listed on the CAP website. And, like I said before practically none of the jobs are ever advertised, especially on the internet. And, no you can't see the jobs on the CAP website without being a member of the CAP, so you will just have to take my word for it.
Originally posted by ligand:
•Wow! Didn't think this topic would ever come up on this forum, I've been meaning to ask about job opportunities for some time now. I am very much interested in pathology, it seems that great residencies are always open, but the jobs just are not there. Most people I ask about pathology say that I shouldn't go for it. The truth is, I really see this field being for me. What types of jobs are there? Private corperations or hospitals? Are there opportunities for fellowships out there? Forensic pathology, and Medical Microbiology seem like fields I would like to pursue. Would I be better off going for Infectious Diseases?•••
Ok I am getting sick of it. No use arguing with all of the internal med, surgeons, etc telling you there are no jobs in path. I am sure they must know. I think I will start saying it too, that way there will be more jobs for me. Or I can be in the unemployment line with all the other pathologists.
As for your questions. Yes to all, except maybe the last that one is up to you.
Forensics fellowships are easy to get into. Micro as well but that field is getting hotter so who knows in the future.
Also, do a search on the job question. There have been multiple threads on this over the last few years.