anapath 121117 kathy.ppt [mode de compatibilité] · pour les prestations d’anatomie pathologique...
TRANSCRIPT
…Ethics…Science
…Money
Pathologists facing…
ForthPath 2012 November 17 ● Jean Creplet
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Multiple caps
To be known: declaration!
One head
Thanks to all whohave made the mine…
Credibility
Onafhankelijkheid zit tussen de oren (Luc De Bruyckere)
Interests of J Cr
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Science: basic 1
• Observation
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Science: basic 2
• Reflection
• Analysis
• Hypothesis
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Science: basic 3
• Check
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Science: basic 3 at increasing scales
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Science: basic 3 at increasing scales
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Science: basic 3 at increasing scales
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Science: basic 4
• Prediction
Herceptin
Erbitux
Biomarkers...EGFR, KRAS,
HER2
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Pathologists as a group
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Ethics at large
• How we treat others, how they treat us, and how we see them treating each other…
• What has value, what really matters…
• The meaning of life, which makes life worth living, how to live properly…
≈Wittgenstein
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Ethics: human relations...
Value
I, myself andthe others
Sense of life
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Ethics: feelings, judgements, questions...
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Shared feelings, judgements, questions...
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Feelings, judgements, questions... shared values
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Shared values at increasing scales
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Shared values Law ReligionIdeologyArt PassionsMedical ethics...
Culture,mentality
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Human relations professionals
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Money: barter, swap
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Money: freedom of choice
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Money: at increasing scales
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Money: at increasing scales
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Money: gold standard of value?
• Georg Simmel over geld en cultuur in onze tijd
• Wat doen wij met ons geld? Wat doet geld met ons?
• Een neutraal antwoord in Georg Simmel Philosophie des Geldes
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Life in 3 colours
Money
Science
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Koninklijk besluit betreffende de erkenningvan de laboratoria voor pathologische anatomie
Arrêté royal relatif à l’agrément des laboratoires d’anatomie pathologique
• Art. 2. Voor de verstrekkingen inzake pathologische anatomie is de verzekeringstegemoetkomingafhankelijk van de voorwaarde dat die verstrekkingen worden verricht in laboratoria voor pathologische anatomie die erkend zijn door de Minister.Om als laboratorium voor pathologische anatomie te worden erkend en erkend te blijven moet worden voldaan aan de bepalingen van dit besluit.
• Art. 2. Pour les prestations d’anatomie pathologique l’intervention de l’assurance est subordonnée à la condition que ces prestations soient exécutées dans des laboratoires en anatomie pathologique qui sont agréés par le Ministre.Pour être agréé comme laboratoire d’anatomie pathologique et le rester, il y a lieu de satisfaire aux dispositions du présent arrêté.
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The battle for accreditation
• ISO 9001: documentation (traceability...)
• ISO 15189: acts (standardisation, gold standards)
• Institute of Public Health – ISP/WIV
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BVAS/ABSYM
Groups of specialists
Geneticists
Biologists
Pathologists
BELAC
ForthPath
VBS/GBS
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Current society
Professional chimneys
BELAC
Geneticists
PathologistsBiologists
VBS/GBS
BVAS/ABSYM
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The silos mindset I ama purescientist I don’t work
for profit
Profit ismy job
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Back to reality
4 year agoa strategicdecision
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Back to reality
4 year agoa strategicdecision
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Current society
Professional chimneys, groups
BELAC
PathologistsBiologists
VBS/GBS
BVAS/ABSYM
Geneticists
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College of American Pathologists
• CAP does accreditation of laboratories under deemed authority by CMS (Medicare, Medicaid). It also offers an accreditation service to help laboratories earn accreditation under ISO 15189 Medical Laboratories.
• In November 2008, Piedmont Medical Laboratory of Winchester, Virginia became the first laboratory in the United States to be officially accredited under ISO 15189.
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Idea #1
• Specialization has reached – its objectives
– its limits
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Idea #2
• Welcome in the society of– Experts and
– Lay persons
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Idea #3
• As individual and as group impossible to avoid an organization oriented on the three targets and sources of the human thought:– Science and technique
– Ethics at the individual and group level (varying with the scale of the group)
– Money, as universal and pragmatic measure of value.
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Thank you all for your attention...Debate is open!