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August 2019 Issue of The Pathologist

In this month’s issue, we investigate the case for a universal clerkship in pathology. Although it is directly relevant to over 90 percent of practicing physicians, pathology typically becomes an elective experience after the second year of medical school. Kamran Mirza and Austin McHenry explore how a mandatory pathology educational experience could improve recruitment and give non-pathologist physicians a better understanding of microscopic diagnostics. In addition, discover why kidney discard rates are at their highest ever in the US, read about the latest series of the WHO’s Blue Books, and learn how simultaneous multiplex IHC save laboratories time, money, and tissue. We also sit down with Ann Nelson, Infectious Disease Pathology Consultant at the Joint Pathology Center and Visiting Professor of Pathology at Duke University, Durham, USA.

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Articles featured in this issue

Diagnostics Histology

Case of the Month

This nine-year-old boy was diagnosed with pediatric chronic myeloid leukemia – but what’s the difference between adult and pediatric CML patients?

Outside the Lab Profession

Keeping Up

| Michael Schubert

Continuing professional development is a challenge – particularly as the speed of technological development increases and time becomes more precious

Diagnostics Microscopy and imaging

Taking Aim at a Moving Target

| Michael Schubert

A new imaging technique provides detailed views of tumor cells, allowing researchers to visualize the transition from precancerous to cancerous

Diagnostics Genetics and epigenetics

IEM Identification

| Jonathan James

Combining metabolomics and DNA sequencing could be the key to discovering new inborn errors of metabolism in children.

Outside the Lab Guidelines and recommendations

The Blue Books are Back!

| Luke Turner

The WHO’s Classification of Tumors series is entering its fifth edition – and many accessibility improvements make the latest Blue Books the best yet

Diagnostics Analytical science

A Golden Ratio for Gut Disorders

| Luke Turner

A new, noninvasive test for assessing gut function could diagnose inflammatory bowel disease using only a small blood and stool sample.

Outside the Lab Training and education

Yes, You Can Be a Pathologist!

| Rick Mitchell

A lack of exposure means many students don’t see pathology as a viable career – and Rick Mitchell thinks we must do more to put it on students’ radars

Outside the Lab Profession

The Enemies of Pathology

| Andrei-Mihai Borcan

A fourth-year medical student discusses the reasons peers and patients fail to appreciate pathology and laboratory medicine

Inside the Lab Software and hardware

Image Exchange – With Anyone

| Annie Pinfold

An image exchange portal for all gives patients and clinicians access to their digital records and can help coordinate and improve their medical care

Outside the Lab Profession

Improvement Through Engagement

| E. Blair Holladay

Pathologists and laboratory professionals have a responsibility to engage with patients and the public to raise awareness of their vital work

Outside the Lab Clinical care

The Case for a Universal Clerkship

| Austin McHenry and Kamran Mirza

To tackle the problems facing modern healthcare, every doctor needs a basic understanding of the laboratory.

Outside the Lab Clinical care

Taking the (Pre-Residency) Plunge

| Austin McHenry

A medical student’s perspective on the value of exposure to pathology.

Inside the Lab Regulation and standards

Wasting the Gift of Life?

| Sumit Mohan

Kidney discard rates are higher than ever – but the procurement biopsies that often rule out their use are unreliable and need to be standardized

Diagnostics Microscopy and imaging

Fiber Fantastic

| Jonathan James

Michael Tanner discusses new fiber-optic technology and how it can be applied to disease diagnosis in the lung and other organs.

Diagnostics Precision medicine

Time, Money, and Tissue

| Jason Ramos

Simultaneous multiplex immunohistochemistry can provide efficient testing of multiple targets when diagnosing and selecting treatment for cancer

Outside the Lab Training and education

Career Connections

| Avrum Gotlieb

Mentorships are vital resources to pathologists and laboratory medicine professionals seeking to grow and develop their careers

Outside the Lab Profession

Working for the Global Good

| Luke Turner

After dedicating over 30 years to improving healthcare in deprived countries, Ann Nelson reflects on her career and the importance of medical outreach

Other issues of 2019