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Clinical pathology

Clinical pathology is a medical specialty that is concerned with the diagnosis of disease based on the laboratory analysis of bodily fluids, such as blood, urine, and tissue homogenates or extracts using the tools of chemistry, microbiology, hematology and molecular pathology. This specialty requires a medical residency.

Clinical pathologists often direct all of the special divisions of the laboratory, which may include the blood bank, clinical chemistry and biology, toxicology, hematology, immunology and serology, and microbiology. Clinical pathology also involves maintenance of laboratory information systems, research, and quality control.

According to the American Association of Medical Colleges, “The practice of pathology is most often conducted in community hospitals or in academic medical centers, where patient care, diagnostic services, and research go hand in hand. Creation of new knowledge is the lifeblood of pathology and many academic pathologists devote significant time in their career to research.”

The world’s largest professional membership organization for clinical pathologists and laboratory professionals, the American Society for Clinical Pathology (ASCP), says, “Pathologists are problem-solvers, fascinated by the process of disease and eager to unlock medical mysteries, like AIDS and diabetes, using the tools of laboratory medicine and its sophisticated instruments and methods. Pathologists make it possible to apply scientific advances to improve the accuracy and efficiency of medical diagnosis and treatment.”

Becoming a pathologist entails one of the lengthiest education and training tracks of all physicians. Requirements include four years of undergraduate study, plus four years of medical school, plus a minimum of four to five years of post-graduate training in pathology residency. The annual salary for clinical pathologists ranges from $183,000 to $360,000.

The American Board of Pathology certifies clinical pathologists, and recognizes the following secondary specialties of clinical pathology:

  • Chemical pathology, also called clinical chemistry
  • Hematopathology
  • Blood banking / transfusion medicine
  • Clinical microbiology
  • Cytogenetics
  • Molecular genetics pathology

Tools of clinical pathology include macroscopic examination, microscopes, microscopical examination, analyzers, centrifuges and cultures.

The ASCP has more than 100,000 members worldwide, and “provides excellence in education, certification and advocacy on behalf of patients, pathologists and laboratory professionals across the globe.”

“April 26, 2004 Intelligence: Late Breaking Lab News”

Pathology gets another plug! CBS television recognized National Medical Laboratory Week with public service announcements (PSAs) featuring CSI: Crime Scene Investigation star William Peterson. The story behind the story is that Peterson asked CBS to cover production costs and broadcast time …

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“April 5, 2004 Intelligence: Late Breaking Lab News”

There’s a new national lab company ready to compete. This week American Esoterix Laboratories, Inc. (AEL) announced it was open and ready for business. Based in Brentwood, Tennessee, it has already completed two lab acquisitions (ThromboCare Laboratories and …

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Anatomic Path Trends Portend Deep Changes

CEO SUMMARY: Our biannual review of trends shaping the anatomic pathology profession reveals that a wide range of influences are active. The nation’s healthcare system is undergoing fundamental changes in how it views the quality of health services and how it will favor top-performing p…

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2003’s Big Lab Stories Reflect Health Trends

CEO SUMMARY: At a minimum, 2003 proved to be a year of relative stability for the laboratory industry, as demonstrated by THE DARK REPORT’S “Ten Biggest Lab Stories of 2003.” The year was free of industry-wide crises and scan- dals. That allowed most laboratory administrators and pa…

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Who’s Buying Labs? Activity Shifts Down

CEO SUMMARY: As the number of independent clinical laboratories dwindles, most remaining owners seem content to continue building their business—at least until a buyer makes them an offer “they can’t refuse.” Acquisitions of pathology group practices were also few in number during…

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Market Demand for Pathologists Shifts Toward Specialization

CEO SUMMARY: Unlike the slack employment market for pathologists seen during the 1990s, there is strong demand for pathologists in this decade. Private pathology group practices now face competition for the best pathology talent. That’s because public lab companies are regularly in the …

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No Disruptive Technology In Lab Industry’s Future

CEO SUMMARY: As new diagnostic technologies move through the development pipeline and into widespread clinical use, the scientific knowledge and skill sets needed by laboratory staff and management will change. The emphasis in laboratory medicine will evolve to include more molecular tech…

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Looking at Fast-Growth And Slow-Growth Areas In Diagnostic Testing

CEO SUMMARY: This exclusive intelligence briefing predicts how specific new technologies may drive changes in the laboratory-testing marketplace during the next five years. The key message is that change is expected to be incremental, not disruptive—given the technology known to be in d…

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“August 18, 2003 Intelligence: Late Breaking Lab News”

Recently Laboratory Corporation of America recruited and rehired three DIANON sales reps who had left the company following its acquisition by LabCorp earlier this year. On its second quarter conference call, LabCorp officials, under criticism for numerous departures of DIANON sales …

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AACC and CAP Meetings Generate Useful Insights

IT WAS A BUSY TIME LAST WEEK on the lab industry meeting circuit. THE DARK REPORT made the rounds and uncovered some valuable intelligence for lab directors and pathologists. First on the meeting tour was Philadelphia, site of the American Association of Clinical Chemistry (AACC) a…

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