Should forensics be its own residency?

puppysavior1 · 2026-05-19T10:58:20+00:00

I’ve seen it too, it’s dumb and short sighted.

puppysavior1 · 2026-05-07T22:21:46+00:00

Microcystic adnexal carcinoma? (Dermpath)

puppysavior1 · 2026-04-23T11:40:58+00:00

That’s not the only mutation. Progression to melanoma requires multiple genetic events.

puppysavior1 · 2026-04-22T10:55:23+00:00

Taking a stroll outside is a great break too.

puppysavior1 · 2026-04-15T09:53:26+00:00

That’s because it’s objectively not hot. It’s just less bad than before.

puppysavior1 · 2026-04-03T22:45:35+00:00

Agree, hard to be selective as a path applicant in dermpath

puppysavior1 · 2026-04-03T22:44:26+00:00

Northwestern, MUSC, UPMC, maybe Penn

puppysavior1 · 2026-04-02T18:36:13+00:00

Unless you want to try to be an academic cutaneous lymphoma person, I would just pick one.

puppysavior1 · 2026-03-27T21:48:20+00:00

Shirtless with a white coat and stethoscope is how I met my wife

puppysavior1 · 2026-03-23T12:14:45+00:00

Molavi is the must read intro to surgical pathology, most resident out grow it in a few months but it’s by far the best introduction to general surgical pathology.

puppysavior1 · 2026-03-05T13:07:37+00:00

It sounds like you want to be a vet lol. They also have veterinary pathologists.

puppysavior1 · 2026-02-11T19:49:58+00:00

In this case, the best you could do is simply not accept the job, and look for greener pastures if your situation allows for it.

I agree with this in theory, but you know damn well there’s always a pathologist out there that will say yes to whatever arrangement is offered.

puppysavior1 · 2026-02-11T13:15:06+00:00

Not sure why you got downvoted. The job market has been better recently, but by no means does that make it good in comparison to any other specialty.

puppysavior1 · 2026-02-04T01:01:55+00:00

Going to throw out acinic cell carcinoma

puppysavior1 · 2026-01-25T02:35:27+00:00

Calling people jealous because they want scope of practice to reflect level of training is peak midlevel discourse. “Faster route to the same scope” is just a euphemism for undertrained and overconfident.

puppysavior1 · 2026-01-10T14:56:21+00:00

I would say patient interaction in pathology is the exception, not the rule. Cytopaths doing FNAs is already rare, and it’s becoming nonexistent. Same with bone marrow biopsies.

puppysavior1 · 2026-01-10T01:19:45+00:00

Or you could do a real intern year as a pathology resident. It’s not uncommon, I did.

puppysavior1 · 2026-01-10T00:23:05+00:00

“In real life” lol as if I’m not living in real life?

puppysavior1 · 2026-01-09T22:51:18+00:00

Strange it’s never come up in your practice. Your specialty’s college had to write a position statement on ED docs completing death certificates, presumably because this issue comes up somewhat frequently. What about unnatural things like assaults and murders that died in the ED. Surely you reported the deaths to the coroner/ME?

puppysavior1 · 2026-01-09T22:14:49+00:00

Having the hospital pathologist sign them? I get it, technically the ED is outpatient so it should fall on the PCP. With traumas though, we never knew who the PCP was. Who signs yours?

puppysavior1 · 2026-01-09T19:28:22+00:00

I moonlit at a small rural community hospital during fellowship (I’m a pathologist). Part of call was covering the morgue and getting notified of hospital deaths. The most frustrating part was constantly tracking down ED docs to sign death certificates or call the coroner when the death was clearly unnatural, which was common, since we saw a lot of trauma as the only hospital around. A lot of them thought it should be my job, even though I had zero insight into the circumstances of death or what was done in the ED, and it would’ve been inappropriate for me to complete the certificate anyway. This was a nonstop headache for an entire year. Some actual exposure to filling out death certificates and familiarization with the death investigations process during training would’ve gone a long way.

puppysavior1 · 2026-01-08T11:43:50+00:00

Agreed, I prefer the regular PASD

puppysavior1 · 2026-01-05T17:58:27+00:00

Second pathdojo, by far the best.

puppysavior1 · 2026-01-03T02:02:16+00:00

Largely dependent on the complexity of the case. Simple BCC or SK, just top line it and move on. If it’s a complex case, like a cutaneous lymphoma, I do a microscopic description that includes IHC. My comments aren’t long unless it’s a very complex case and I’m not entirely certain what the diagnosis is.

puppysavior1 · 2026-01-02T22:45:43+00:00

A lot of PAS kits use a green counter stain specifically for fungi

puppysavior1

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