Death

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Pathology Myths
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Facts and figures
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25,000 staff
Facts and figures
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25,000 staff 2.5 billion
Facts and figures
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25,000 staff 2.5 billion 4 NHS budget
Facts and figures
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Perceptions of pathology

• Patient surveys
• MORI Poll
• Focus groups
• Questionnaire for pathologists

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Pathology is all about dead bodies
Pathology Myth 1
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Focus group comments

• Its the morbid side. How lovely!
• Im a doctor and I dont want to deal with
  people so Ill deal with dead people.
• Its quite lonely. Youre left in the morgue
  with dead bodies.

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MORI Poll 2005
percentage
death
diagnosis
blood
crime
disease
genetics
cancer
infection
What does a pathologist do?
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Pathology facts
Forensic pathology 1
Other specialties 77
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Pathology is just one specialty
Pathology Myth 2
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Histopathology
18 different specialties
Neuropathology
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Histopathology
Oral Pathology
Cytopathology
Dermatopathology
Forensic Pathology
Paediatric Pathology
Neuropathology
18 different specialties
Neuropathology
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Transfusion Medicine
Haematology
Histopathology
Oral Pathology
Cytopathology
Dermatopathology
Forensic Pathology
Paediatric Pathology
Neuropathology
18 different specialties
Neuropathology
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Transfusion Medicine
Haematology
Histopathology
Oral Pathology
Medical Microbiology
Cytopathology
Dermatopathology
Virology
Forensic Pathology
Paediatric Pathology
Neuropathology
18 different specialties
Neuropathology
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Transfusion Medicine
Haematology
Histopathology
Clinical Biochemistry
Oral Pathology
Medical Microbiology
Cytopathology
Dermatopathology
Virology
Toxicology
Forensic Pathology
Paediatric Pathology
Neuropathology
18 different specialties
Neuropathology
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Histocompatibility Immunogenetics
Genetics
Transfusion Medicine
Haematology
Histopathology
Clinical Biochemistry
Oral Pathology
Medical Microbiology
Immunology
Cytopathology
Dermatopathology
Virology
Toxicology
Forensic Pathology
Paediatric Pathology
Neuropathology
18 different specialties
Neuropathology
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Histocompatibility Immunogenetics
Genetics
Transfusion Medicine
Haematology
Histopathology
Clinical Biochemistry
Oral Pathology
Medical Microbiology
Clinical Embryology
Immunology
Cytopathology
Dermatopathology
Virology
Toxicology
Forensic Pathology
Paediatric Pathology
Neuropathology
18 different specialties
Neuropathology
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Histocompatibility Immunogenetics
Genetics
Veterinary Pathology
Transfusion Medicine
Haematology
Histopathology
Clinical Biochemistry
Oral Pathology
Medical Microbiology
Clinical Embryology
Immunology
Cytopathology
Dermatopathology
Virology
Toxicology
Forensic Pathology
Paediatric Pathology
Neuropathology
18 different specialties
Neuropathology
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Pathologists dont take care of patients
Pathology Myth 3
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Focus group comments

• Its more of a science. They dont want to deal
  with people, they want to deal with causes.
• You have your consultant there. You never
  actually see the pathologist.
• It would be nice if pathologists were involved
  in patient care but Ive never seen one.

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Pathology facts

• Many pathologists work with patients in clinics
  or on the wards
• Even lab-based pathologists usually spend some
  time with patients, for example explaining test
  results
• The vast majority of all pathologists work is
  done for the benefit of living patients

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Pathologists work alone in labs doing tedious
repetitive jobs
Pathology Myth 4
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Focus group comments

• Its a boring job. All youre doing is testing
  stuff in a lab all day.
• Its just putting things in a machine and
  reading the results, you dont have to think
  about it
• You do the same thing all day, every day

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Pathology facts

• Pathologists are members of multi-disciplinary
  teams and work with others to care for patients
• Pathologists rarely work in isolation
• Pathology is varied and interesting with many of
  the more repetitive jobs now done by machines

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Pathologists dont diagnose cancer
Pathology Myth 5
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Pathology facts

• Almost all cancers are diagnosed by pathologists
• Diagnoses may be made by testing blood, urine or
  other fluids or from a biopsy
• Pathologists tell other doctors what type of
  cancer youve got and how far it has spread so
  they know what treatment to offer

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You have to be a doctor to work in pathology
Pathology Myth 6
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Pathology facts

• The majority of people who work in pathology are
  not doctors
• There are opportunities for scientists as well as
  support staff
• There are nearly 20,000 scientists working in the
  specialty

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• Medical school
• Foundation training
• Pathology training
• Research
• Minimum 12 years

Pathologist training
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• Science degree
• Postgraduate degree
• Basic training
• Specialist training
• Minimum 10 years

Clinical Scientist training
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• Science degree
• Basic training
• Or
• Straight from A levels
• Learn and earn
• Continuing education
• Minimum 5 years

Biomedical Scientist training
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• Cytoscreener
• Lab assistant
• Administration
• IT
• Trials co-ordinator

Other opportunities
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Medical students dont need to learn pathology
Pathology Myth 7
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Pathology facts

• Many medical schools no longer have a separate
  undergraduate pathology course
• 70 of diagnoses in the NHS involve pathology
• Medical student essay prize

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SURGERY
MEDICINE
GYNAECOLOGY
PAEDIATRICS
GENERAL PRACTICE
PATHOLOGY
EMERGENCY MEDICINE
ORTHOPAEDICS
DERMATOLOGY
RHEUMATOLOGY
PLASTIC SURGERY
ENT
UROLOGY
ONCOLOGY
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Pathology facts

• 500 million biochemistry tests
• 130 million haematology tests
• 50 million microbiology tests
• 13 million histology slides
• 4 million cytology slides
• 14 tests for every person in the country each
  year

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Focus group comments

• Its interesting how they find out what diseases
  are and work out a cure.
• Its clever and varied, you unravel the puzzle.
• It made pathologists seem more interesting.
• The path report is essential to any diagnosis or
  treatment.
• Pathology is using science to be helpful and
  useful.

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• IVF
• Pregnancy test
• Antenatal tests
• Heel prick test

Pathology for life
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• Vaccinations
• Antibiotics
• Allergies
• Leukaemia

Pathology for life
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• Lumps and bumps
• Appendicitis
• STIs
• Blood transfusion

Pathology for life
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• Cervical smears
• Breast screening
• Moles
• Anaemia

Pathology for life
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• Prostate cancer
• Bowel cancer screening
• Infections
• Blood tests

Pathology for life
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• Surgery
• Chemotherapy
• Organ function
• Autopsy

Pathology for life
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Pathology facts

• Pathologists work for the benefit of the living
• There are 18 different pathology specialties
• Many pathologists work with patients
• Pathologists are team players
• Pathology is an interesting and exciting career
• Pathologists diagnose cancer
• You dont have to be a doctor to work in
  pathology
• Pathology is a popular specialty
• A knowledge of pathology is essential for all
  doctors

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www.nationalpathologyweek.org