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Outside the Lab Training and education, Profession

Stop the Press!

Last month, JAMA published a paper that created waves. The study – “Diagnostic concordance among pathologists interpreting breast biopsy specimens,”(1) – cites its primary objective as quantifying “the magnitude of diagnostic disagreement among pathologists compared with a consensus panel.” If you get the sneaking suspicion that the outcome was unlikely to be positive, you’re not wrong; disagreement was reported in around 25 percent of cases.Unsurprisingly, discordance was highest in those cases deemed as “borderline” diagnoses of atypical hyperplasia and DCIS. Though the results are pretty damning on the face of it, the lack of commonality between the study methodology and real-life conditions was not given sufficient attention. For example, the pathologists who took part were unable to solicit a second opinion; not only is that commonly practiced, it’s expected.

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About the Author

Fedra Pavlou

After graduating with a pharmacology degree, I began my career in scientific publishing and communications. Now with more than 16 years of experience in this field, my career has seen me heading up editorial and writing teams at Datamonitor, Advanstar and KnowledgePoint360 group. My past experiences have taught me something very important – that you have to enjoy working with, and have respect for your colleagues. It’s this that drew me to Texere where I now work with old colleagues and new. Though we are a hugely diverse team, we share several things in common – a real desire to work hard to succeed, to be the best at what we do, never to settle for second best, and to have fun while we do it. I am now honored to serve as Editor of The Pathologist and Editorial Director of Texere Publishing.

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