Friday, February 28, 2014

28 February 2014: Thanks to these image contributors

Thanks to the following image contributors to these topics:

Wafaey Fahmy Badawy Mohamed, MD: Thyroid - Follicular carcinoma

Angel Fernandez-Flores, MD, PhD:
Skin Nonmelanocytic tumor - Sebaceous hyperplasia

Semir Vranic, MD: Bone - Ewing sarcoma

28 February 2014: How to Be a Lab Director

Dr. Philip Dauterman has kindly given us permission to post his book, How to Be a Lab Director, on our Laboratory Administration page.  You can download the PDF file  (13.5 MB, 146 pages) for no charge on that page or by clicking here.  You can also buy the book for a modest price through by clicking here.  He appreciates any comments at

28 February 2014: The Health Insurance Marketplace and What The Health Exchange Plans Mean for Your Practice

We have posted a new article on our Management page:

The Health Insurance Marketplace and What The Health Exchange Plans Mean for Your Practice, by Ann Lambrix and Mick Raich, Vachette Practice Management / Stark Medical Auditing, posted 28 February 2014
The new Insurance Exchange is up and running, and many practices are wondering how this will affect their bottom line. There are several issues to review when thinking about these Exchanges. In the past, many practices have remained out-of-network with carriers that have lower reimbursement rates due to the ability to obtain higher out-of-network payments. Unfortunately, this will not be the case with the Exchange Plans. Rest of article

28 February 2014: 4000 + Done + USCAP

Thanks to Baylor College of Medicine (who posted ad #4000) and the 3999 other advertisers since started in August 2001.  For many years, pathologists were very skeptical about our website - how could it possibly be free?  By now, most pathologists recognize that it is, in fact, a free no registration website, paid for by advertising of pathology related jobs, conferences and fellowships.  We also have advertising on our Home page, Management page, Buyer's Guide, Case of the Week and other emails.  We also have an affiliate relationship with Amazon, meaning that they pay us ~ 5% of the purchase price of anything bought on, if you enter Amazon through our website (by clicking on a link or banner).  We also promote books of various publishers, and receive money when visitors click on Google ads.  We do NOT allow popup ads, or other obnoxious ads.  The free website model has worked very well for us, and we plan to continue.

We have (finally) converted all 6700+ topics on our website to topic format, with completion of the Eye chapter.  The next big task is converting to a template based system that will also adapt to tablets and smart phones.  This is (still) under development, but we hope to get it started soon.

Look for us at USCAP, booth #324.  We have a new survey, seeking to know your favorite pathology related books.  We will publish the results after the conference.  We are thinking of having an optional Membership in  This will help us with our expansion plans.  Members will get a discount on advertising, and their names will be posted on the website.  Perhaps there can be some other benefits.  What do you think?

Wednesday, February 26, 2014

26 February 2014: Authors needed

We are looking for authors for these existing chapters: Clinical Chemistry and CNS nontumor, and for new chapters on Heart-nontumor, Informatics, Muscle Pathology, Quality Control (CP), Pediatric Pathology and Syndromes. Authors first provide us an outline of what they want to write, then start with a topic or two. You don't have to complete the entire chapter. If interested, contact Dr. Pernick at

Tuesday, February 25, 2014

25 February 2014: Promotions Email, Pathologist vs. Surgeon

Before the USCAP and CAP/ASCP conferences, we usually send an email listing various promotions that may be helpful to Pathologists.  Click here for the latest promotions email.

Surgery vs. Pathology video:

Monday, February 24, 2014

24 February 2014: New Board Review questions

We have added new Board Review questions for January and February 2014, courtesy of BoardVitals, which are accessible via our CME page.  They relate to translocations / cytogenetics and clinical pathology.

Saturday, February 22, 2014

22 February 2014: New / updated Stains and CD Markers

We have updated these CD Markers: CD20 and CD21, and added these new stains: MAST2 (rearranged in 2% of invasive breast carcinomas), MED12 (mutated in most uterine leiomyomas), PHF1 (rearranged in most ossifying fibromyxoid tumors), SOX10 (expressed by melanocytes / cells of neural crest origin, breast myoepithelial cells)

Friday, February 21, 2014

21 February 2014: More conferences, more traffic

We continue to add conferences to our Conferences page.  Conferences are now listed by date, date posted, subspecialty and location.  To see the most recently posted conferences, click on the highlighted link:

Click here for recently posted conferences.

Recently added conferences are in the US (Chicago, Texas and Virginia), Canada (Vancouver) and Italy (Florence).

Are your favorite conferences advertising at  If not, please suggest that they do so.  The cost is modest, but the rewards are great.

On February 19, we reached a new record of 23,252 visits.

Thursday, February 20, 2014

20 February 2014: Revised date, pens vs. sharpies

When was a topic last updated?  The revised date, the first date listed, is the last date we made ANY change to that topic.  It might be a typo, or the addition of an image, or fixing a bad link.  The second date, the last major update, is when we last did a thorough review of the topic.

For the CAP and ASCP conferences, we are thinking of switching the giveaways from pens to Sharpies.  Do you have any preference?   If so, please comment.

Wednesday, February 19, 2014

19 February 2014: Micro Expert needed

We need a micro expert to review Case of the Week #298 and this extra image from the same case, and indicate the diagnosis.  If cryptococcus, what are the circumferential "buds" in the extra image?

We broke another record on Tuesday, February 18, 2014, with 22,517 visits - thanks for your support!

We are finishing converting the Eye chapter to topic format, which is the final chapter in the "old" format.  We are also looking for several reviewers for this very long chapter.  If interested, please send us your CV and what section you want to work on.  Third/fourth year residents or fellows can be reviewers if working under a staff "expert".

Friday, February 14, 2014

14 February 2014: Thank you!

Thanks to the following contributors to the annual drive of The Detroit College Promise, the charity we sponsor that provides scholarships to Detroit Public School students:

Photodyne Technologies, Inc.
Chrystal Adams
Dr. Hisham Alkhalidi
Dr. Larry Bernstein
Dr. Stan Eilers
Dr. Michael Eng
Dr. Lorien Forrest
Dr. Mohiedean Ghofrani
Dr. Atoussa Goldar-Najafi
Dr. Paul Goodman
Dr. Alex Green
Dr. Ihab Hosny
Dr. Sharada Hulbanni
Dr. David Kelly
Dr. Martin Lipschultz
Dr. David Lucas
Dr. Nat Pernick
Dr. Joseph Sailors
Dr. Jeffrey Schrager
Dr. Veena Shah
Dr. Chungja Shim
Dr. Masood Siddiqui
Dr. Richard Smith
Dr. Elizabeth Sykes
Dr. Noel Thompson
Dr. Stephen Vernon
Dr. Roseann Wu
Dr. Joan Woodward

The Detroit College Promise is a 501(c)(3) tax exempt non-profit. Contributions are tax deductible as allowed by law.   

To date, we have raised $4,800 from the Pathology community, just $2,700 short of meeting our $7,500 campaign goal.  To donate, please click here, or visit

Thanks for your support!

Thursday, February 13, 2014

13 February 2014: New Surveys Button, another record

The Home Page has a new Surveys button on the left hand side linking to a list of surveys for different types of pathology related businesses that you may be interested in learning about.  Right now, we have surveys of Computer Systems - AP/LIS and Laboratories (for specimens and second opinions)

We will be adding more company surveys, and more types of surveys, over the coming months.  For more information about how your company can be included, please contact Sara Halladay-Klakulak at 248/646-0325 or

Yesterday, February 12, 2014, we broke another record for traffic, with 21,951 visits.  We have started to add images to the Kidney-nontumor chapter from Nephropath.  See, for example, the Amyloidosis topic.

Wednesday, February 12, 2014

12 February 2014: Another record broken

Yesterday we had 21,725 visits, another record (the prior high was 21,475 on October 9, 2013).

We are finishing up converting the last topics to topic format in the Eye and Chromosome chapters.

We are starting the process of adding these images:

- Submitted by contributors by email
- Posted to our Flickr page
- AFIP Third Fascicle
- Webpathology
- Contributed by Dr. Mark Wick
- From other Flickr pages

We'll let you know as images are added.

Tuesday, February 11, 2014

11 February 2014: CNS tumor chapter in topic format, Authors needed

11 February 2014:  The CNS Tumor chapter, one of our most popular chapters, is now in topic format.  We will be adding an index soon.  We have now put all 80 chapters in topic format except for the Eye and Chromosomes-Translocations chapters, which should be completed by the USCAP conference.

We are looking for authors for the CNS nontumor chapter.  This will be a big chapter, including infections, developmental anomalies and dementing disorders.  We recommend that authors start with a section at a time.  If interested, contact us.

Thursday, February 6, 2014

6 February 2014: Changes to Case of the Week

To improve our quality control, we are requiring contributors to get the diagnosis confirmed by another pathologist before submitting the case.  Also, we welcome contributors from outside the US, but US Tax Law requires us to withhold 30% of the payment ($15 of $50) to send to the US government, so we will only send you $35.  We will also send you some tax forms in February of the next year, but you don't have to do anything with them.  It is possible, but apparently unlikely, for you to get a refund of this $15 withholding.  Although I am not a tax expert, my understanding is that you will only get this refund if you otherwise work for an American company and file US tax returns. 

Tuesday, February 4, 2014

4 Feb 2014: New Apharesis section, new Mystery cases

We are starting to post a new Apharesis section in the Transfusion Medicine chapter, written by Huy Phu Pham, M.D. and Garrett S. Booth, M.D., M.S.  

Our Home Page has a new Mystery Case on the right hand side.

January 2014 was our second best month for traffic, with 506,367 visits (click on the Website statistics button on the left side of the Home page or click here).

Monday, February 3, 2014

3 Feb 2014: Jobs Statistics for 2013 now posted

We have now posted the Pathologist Jobs Report for 2013, with analysis also for each quarter of 2013.  Some conclusions from the 2013 summary, which analyzed 268 ads:

- The ads were posted from 38 of 50 states, Washington, D.C. and 7 Canadian provinces.
- 50% of the ads were academic, 50% non-academic
- Almost all ads required AP board certification or eligibility
- 86% of ads required fellowship training or strong subspecialty experience. The most common subspecialties listed were Cytopathology, Surgical Pathology fellowship of some type (unspecified) and Hematopathology. 
- 43% of ads also listed one or more subspecialties in which fellowships / experience / interest would be "an asset" or otherwise helpful. The most common was research for academic positions, followed by molecular, breast, cytopathology, hematopathology, and a surgical pathology fellowship of some kind.

3 Feb 2014: New Stains, Book of the Month

We have posted information on two new Stains / biomarkers:  ARID1A  is part of a chromatin-remodeling complex which is inactivated in many malignancies, and may be a poor prognostic marker.   ATRX is a chromatin remodelling protein lost in high grade astrocytomas and pancreatic endocrine tumors.  Dr. Gina Johnson updated Androgen Receptor, as part of our A-Z update of stains.

On the left side of the Home Page, we are now posting 2 Books of the Month, which we believe will be of interest to pathologists.  Some of these books may also be paid advertisers.  To advertise your book, contact Sara Halladay-Klakulak at 248/646-0325 or

Sunday, February 2, 2014

2 February 2014: New Cytopathology competency assessments

We have now posted all 4 Cytopathology competency assessments written by Zubair W. Baloch, M.D., Ricardo R. Lastra, M.D. and Michelle R. Pramick, M.D.  They appear in our Cytopathology chapter, as well as Cervix-Cytology, Molecular, Salivary glands and Thyroid gland chapters.  The text is complete, but we will be adding more images and references, as available.

Saturday, February 1, 2014

1 February 2014: New Feature Page

Our Feature Page for February 2014 is Microscopes / Microscopy Products. It includes a short article, "Virtual Microscopy: At the Cutting Edge of Pathology", by Jaleh Mansouri, M.D.  It also includes information about our advertisers, Leica Microsystems and Optronics.  All feature pages have links to prior feature pages, which cover most products and services of interest to Pathologists.

1 February 2014: New Cervix-Cytology assessment

We have posted a new section in the Cervix-Cytology and Cytopathology chapters, Cytopathology Competency Assessment, written by Ricardo R. Lastra M.D. and Zubair W. Baloch, M.D., Ph.D.  This lists what Pathologists need to know to perform competently in this field, based on the 6 ACGME Competencies: Medical Knowledge, Practice Based Learnin, System based practice, Interpersonal and communication skills, Patient care and Professionalism.  This section contains many images and links, and more will be added over the next several months.

"Cornflakes"; contributed by Dr. Yao-Wen Liu, Taiwan