In message <[log in to unmask]>,
Cudd Peter, Pathology Workload Project Officer, Path Lab
<[log in to unmask]> writes
>> I have been watching the discussions on Biochemistry workload with
>interest. I have been appointed on a six month contract to investigate the use
>of Pathology services (i.e. Biochemistry, Haematology, Immunology and
>Microbiology, Histopathology is excluded from my investigations) at
>Rotherham DGH. I recognise and agree with many of the factors that have
>been raised as issues/influences on increasing Biochemistry workload. In
>Rotherham analysis over the last three years clearly shows that increased
>demand is out-stripping the increase in patient throughput. Another factor that
>I don't believe has been mentioned is that on average the patients today in
>hospital are more severly ill and may well require more investigations.
>>
>> My experience in Rotherham suggests that a significant factor is that there is
>a mutual communication/education gap that exists between Pathology and the
>'customer' wards/units/departments. It seems the main reasons for this are :
>lack of time/resource; traditional practises; and in some cases, an
>unwillingness to fully co-operate/collaborate with changes.
In my experience a significant factor today is the demise of practical
teaching of practical clinical chemistry i.e. appropriate use of tests
in clinical practice. A lot of current courses utilising problem
orientated learning utilise clinical staff to teach what they remember
from medical school rather than pathology professionals in current
practice which seems like a good recipe for confusion !
Trevor
--
Trevor Gray
Dept. of Clinical Chemistry,
Northern General Hospital,
Sheffield S5 7AU
0114 271 4309
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