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The future of pathology

The future of pathology. David B. Kaminsky, M.D., FIAC. defining/directing change. ASC EB was challenged to initiate a formal re-definition of scope of practice for cytotechnologists that would embrace new technologies and relationship to FNA and other facets of health care delivery.

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The future of pathology

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  1. The future of pathology • David B. Kaminsky, M.D., FIAC

  2. defining/directing change • ASC EB was challenged to initiate a formal re-definition of scope of practice for cytotechnologists that would embrace new technologies and relationship to FNA and other facets of health care delivery

  3. defining/directing change • The report exceeded anticipated responses by characterizing a global snapshot of where medicine is today, how it is changing, and what pathologists must do to retain a preeminent position in diagnosis and therapy.

  4. Traditional linear care delivery model (Patient-Clinician-Pathologist-Technologist) is breaking down as new relationships emerge. • The most important new relationship is pathologist with patient.

  5. As pathology becomes more interventional (ultrasound-guided biopsies by cytopathologists), new roles are defined at the patient interface. • Pathologists will be transformed from clinicians’ consultants to clinical providers.

  6. The future depends on evolution • What is the portrait of the evolved pathologist?

  7. the evolved pathologist • Transitions focus from laboratory to patient. • Establishes strong patient interface through interventional procedures (FNA), consultative services, direct patient education

  8. the evolved pathologist • Adapts new technologies to direct patient care (targeted therapies, prognostic indicators)

  9. the evolved pathologist • Embraces fusion of specialized disciplines

  10. the evolved pathologist • Intuitively shifts focus from the diagnostic sample to the complete patient (rounds on patients scheduled for frozen sections).

  11. the evolved pathologist • Enhances expertise in digital imaging/archiving, telemedicine

  12. the evolved pathologist • Advocates for image-guided FNA biopsies performed by interventional pathologists

  13. the evolved PATHOLGOGIST • Formats pathology reports to include patient education.

  14. The california society of pathologists • Support for the Future

  15. the best way to predict the future is to create it -Peter Drucker

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