in the netherlands - aitic · pdf filein the netherlands training program of ... and lower gi...
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In the Netherlands
Training program of Pathologist’s assistants
Dorit Rennspiess, Maastricht UMC+, Pathologie
Pathologists’ assistant
• USA since 1969
• Canada
• England
• The Netherlands 2009 (~87 Pathologist‘s assistants since 2009 trained)
• USA
- Master studie ( Degree: Master of Science in Pathology)
- 2 years- costs : 44.000 – 90.000 $
Pathologists’ assistant (Pathasser)
• Netherlands
- post Bachelor additional qualification- duration 1,5 years- dual training (university, Pathology)- costs ca. 6000 €
Pathologist's assistant (Pathasser)
General tasks of Pathologists‘ assistants
• responsible for the gross examination and dissection of anatomic pathology
specimens
• Optimizing and development of standard grossing protocols
• Teaching/ training pathologists assistants, pathology residents
• Processing of native material
• Collaboration on research projects
Training• Requirements
-bachelor degree in science (comparable to)
-min. 2y of working as a technician (in a pathology lab)
• Dual System : Theory: 1day/month, UniversityPractical experience: Under supervision by a pathologist (own lab)
• Subdivided into 3 modulesModule 1: non oncological specimens + written examModule 2: oncological specimens + written examModule 3: Project (Management project in Pathology) Written report + presentation
TrainingModule 1: non oncological speciments (6 month): Appendix, gallbladder, skin (inflammatory, melanoma and non melanoma skin cancer) , upper and lower GI tract, Gynecology, urogenital tract
Anatomy, Histology, clinic, grossing protocols
Module 2 :oncological speciments (6 month)All specimens of module 1
Histology, clinic, TNM- Classification, Carcinogenisis, grossing protocols
Example
Appendix- length, diameter- fat (Mesoappendix)- texture, intact- surface (serosa)
Lumen- feces - (stone) fecolith- mucus, pus-filled- tumor (carcinoid, adenocarcinoma,..)
Do we really need Pathologists’ assistants ?
Pro/Contra Pathologists’ assistant
78,2% The use of the pathologists’ assistants in my program helpsoptimize resident workload
82,3 % allows residents to spend more time on complex specimens
6,0% I would attempt to obtain training in a program that does not utilize pathologists’ assistants
Pro Pathologists’ assistantResident: - takes a lot of work off
- can spend more time on complex specimens- more time for microscopy- knows the whole process
Pathologist - grossing is faster- continuous parameter in grossing room- takes a lot of work off- somebody who knows both sides - very good description.- knows her limits
TA - faster, steady, explains - continuous, standardized daily routine
Legal position
- Training program- Grossing protocols- Supervision
Basic conditions
• Standardized grossing protocols
• Standardized Training program
• Under supervision by Pathologists
• Protocolling competence of a Pathologists’ assistant
• Pathologist is and stays always responsable !!
Grazie per la vostra attenzione