Solo guys let's hear it...

[musom]

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I'm a solo guy and curious about confirmation/consultation protocols that other solos might have in place. At two prior places I trained, there was a QA policy that essentially said that all new cancer diagnoses must have two signatures on the report. So what to do when you're solo? Do a certain percentage go out for consultation/confirmation? Do you have an oversight/corporate peer review process?

I currently send many of these cases out for consultation (especially cytology and difficult derm) and utilize in-house IHC for assistance. Curious what common practice is?

 

[LADoc00]

I'm a solo guy and curious about confirmation/consultation protocols that other solos might have in place. At two prior places I trained, there was a QA policy that essentially said that all new cancer diagnoses must have two signatures on the report. So what to do when you're solo? Do a certain percentage go out for consultation/confirmation? Do you have an oversight/corporate peer review process?

I currently send many of these cases out for consultation (especially cytology and difficult derm) and utilize in-house IHC for assistance. Curious what common practice is?

easy, you send out cases regularly to a tertiary service like Neo or an academic center you are comfortable with.

The 2 signatures thing is completely unnecessary as in a decade long review for myself of roughly 60000 cases, I had zero altered diagnoses of moderate or higher clinical impact. I found much more value with directed 2nd party review from outside my own department. And currently, sending cases for academic consultation is free as it is billed to the patient's insurance. A 2nd pathologist to re-review cases is expensive....