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Inside the Lab Laboratory management, Profession, Training and education

Trust Is Earned

Off-hours test requests tend to pit the laboratory against the clinician, which often risks the strength of interdisciplinary cooperation. Collaboration between clinical pathologists/PhDs and clinicians forms the best health care team – and here, Gene R. Shaw discusses how to achieve exactly that…

Many pathology practices have a call schedule for clinical pathology that largely revolves around approving or denying esoteric test requests during off-hours. In academic settings, trainees are typically given a beeper (or, nowadays, a cell phone) and put on call to field these requests. Unfortunately, this tends to pit the laboratory against the requesting physician – clearly not an ideal situation for interdisciplinary cooperation. So how can this gatekeeper role be handled without either side risking its relationship with the other? And, in a broader sense, how can clinical pathologists and clinical PhDs effectively collaborate with colleagues who interact directly with patients to improve overall care?

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About the Author

Gene R. Shaw

Hematopathologist at the Marshfield Clinic, Marshfield, Wisconsin, USA.

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