Indian Journal of Pathology and Microbiology
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Year : 2021  |  Volume : 64  |  Issue : 1  |  Page : 225
Need to incorporate the teaching of “Business practice in Pathology” in the pathology residency programs

Department of Pathology, St George's University School of Medicine, Grenada, West Indies

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Date of Submission20-Feb-2020
Date of Decision27-Apr-2020
Date of Acceptance21-Jun-2020
Date of Web Publication8-Jan-2021

How to cite this article:
Bhusnurmath SR, Bhusnurmath BS. Need to incorporate the teaching of “Business practice in Pathology” in the pathology residency programs. Indian J Pathol Microbiol 2021;64:225

How to cite this URL:
Bhusnurmath SR, Bhusnurmath BS. Need to incorporate the teaching of “Business practice in Pathology” in the pathology residency programs. Indian J Pathol Microbiol [serial online] 2021 [cited 2022 Aug 16];64:225. Available from: https://www.ijpmonline.org/text.asp?2021/64/1/225/306497

Dear Editor,

We recently participated in the alumni meeting of the pathology department of Postgraduate Institute of Medical Education and Research, Chandigarh, India, in December 2019, where we had an opportunity to interact deeply with several of the pathologists who trained there and are working in India for several decades starting in the 60s. One of the common themes that we came across was that a fair number of them were in private practice setting either by themselves or under a corporate umbrella. They indicated that in spite a huge emphasis on surgical pathology in the residency program their practice consisted more of clinical pathology and clinical haematology. There was one set of tasks however in their professional career, for which they were totally unprepared when they received the MD degree in pathology. We have received similar feedback from pathologists across India over the last forty years we have been visiting for conducting workshops and CMEs in pathology. This aspect in teaching has not been emphasised in the literature, although it is felt to be important in practice.[1],[2],[3]

They were expected to be involved in the purchase of equipment, decision making about consumables, exploring the least expensive methods to provide good quality service that can generate greater profits. They also had to deal with sales and service representatives of various companies providing equipment and consumables and had to be involved in the designing of the laboratory. They had to cater to quality control, quality assurance required by accrediting agencies. They had to deal with business arrangements with the clinicians or hospitals who would be potential consumers for the lab services. They had to deal with governmental agencies involved in oversight of the pathology diagnostic services. They had to be ready for any negative press coverage for perceived or real malpractice. This created a lot of stress and anxiety in them and affected there functioning negatively at least in the initial years till they figured out some ways to succeed after multiple failures.

These discussions made us realize that there is an urgent need to incorporate elements of these principles in every postgraduate training program of pathology as a distinct module with specific learning objectives and assessment tools to make sure the graduates are ready for the challenges in real life. It could be spaced out over the three years of the training program and the final exit exam should incorporate its elements. Apex bodies like Indian Association of Pathology and Microbiology, Indian Council of Medical Research, Medical Council of India and the Indian College of Pathology should take a lead in this incorporation. There is a really large number of experts who have been in the field in India and abroad who learnt these the hard way, who would be willing to contribute to the development of this curriculum.

This letter is an attempt to emphasize this urgent need and seed an idea for the policy makers to start working in this direction.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

   References Top

Marshall R, Cartwright N, Mattick K. Teaching and learning pathology: A critical review of the English literature. Med Educ 2004;38:302-13.  Back to cited text no. 1
Fenderson BA. Strategies for teaching pathology to graduate students and allied health professionals. Hum Pathol 2005;36:146-53.  Back to cited text no. 2
Brimhall B, Wright L, McGregor L, Hernandez J. Critical leadership and management skills for pathology practice, Arch Path Lab Med 2007;131:1547-54.  Back to cited text no. 3

Correspondence Address:
Shivayogi R Bhusnurmath
Department of Pathology, St George's University School of Medicine, Grenada
West Indies
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJPM.IJPM_169_20

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