Subject and method of studying the specialty "Clinical Pathology".
The subject of the study should be a intravital pathological anatomy, the method - modern methodological approaches to the analysis of biopsy (light, electron microscopy, immunohistochemistry, molecular biology), and clinical analysis.
Features of work of the pathologist
The competence of the physician-pathologist includes issues of the analysis of sectional material, analysis of lethal outcomes (clinical and anatomical comparison on the various stages of the disease, identify the immediate cause of death, the structure and the logic of the diagnosis, comparison of clinical intravital and of pathoanatomical postmortem diagnoses) - in the broad sense of pathoanatomical examination on the autopsy material (and biopsy) to assess the quality of diagnosis and adequate of therapy, with particular emphasis on the timeliness and adequacy of the examination of the patient.
Pathologic examination may be primary, repeated, additional (with the use of special methods), comission (consisting of several pathologists), integrated (with participation of other medical representatives), ie, the hospital prosector should possess a wide range of knowledge in the related disciplines, issues of social medicine and management. Finally, it should be zealot of nosological purity in medicine, uphold the principles of of nosological identify, not to allow spoofing a specific disease by the syndrome.
List of functional responsibilities a pathologist steadily expanding due to biopsy diagnostic. And this is connected with the growing volume of interventional techniques research in medicine.
And for the qualified conclusion, for pathologist is not sufficient to know only the structural features of the verifiable pathology. He should know about the features of differential diagnosis, clinical manifestations of the disease, to represent the possible consequences of unjustified categorical own judgment to assess the possible errors of the clinician, which may follow per a similar conclusion on biopsy material, provide details of the therapy and its consequences.
The pathologist in the investigation of biopsy material has increasingly become participant not only diagnostic and medical process, but and of quality control of medical care. The amount of of expertise needed for the interpretation results of the biopsy, is constantly increasing.
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