Wed, 05 Oct 2016
|Message From the President|
Digital Pathology is coming – or is it already here?
I recently had the good fortune of attending the Digital Pathology Conference organized by Diagnostic Services Manitoba. This was a very well attended and first rate event. A number of national and international speakers were invited by our host, Dr. Gabor Fischer. He is obviously very influential, as the Manitoba Minister of Health popped by to deliver an introductory address! Not sure I have that much influence with Dr. Hoskins in Ontario!
Digital pathology technology appears to have reached maturity. A number of laboratories have now gone totally digital, two of which are in the Netherlands – in Hengelo and Utrecht. Is this something we need to embrace, or at least seriously consider? I think the answer is yes. The evidence is clear that this technology is at least as good as the light microscope, a point made emphasized by Dr. Andrew Evans from University Health Network in Toronto. Andrew is a world leader in this arena. I have had some experience using digital pathology on a remote basis. I rather like it. The field of view is broad, and allows me to see all tissue fragments (which I seem to worry about more then ever). The image quality is excellent, but does require tweaking in the histology lab to ensure the original sections are optimal for this purpose.
People question the return on investment. The dreaded ROI, as discussed by Dr. Paul J. van Diest (a very impressive academic Pathologist from the University Medical Center in Utrecht, Netherlands), contains a long list indeed. For hospital sites that are somewhat remote to the slide production facility, digital pathology has many advantages. Dr. Bernard Têtu from Laval University in Québec is a well known leader in digital pathology and has led the implementation of a wonderful system in Eastern Quebec. It should be noted that even if sites are less remote, vehicle traffic in some urban centers (e.g. Toronto) is such that timely transport of glass slides between sites can be problematic. Although Mr. Tory has been a rather effective mayor in Toronto, congestion is still brutal at times!
The idea of almost instantaneous consultation with colleagues is appealing. The group at Laboratorium Pathologie Oost-Nederland (LabPon) in Hengelo finds this tool to be very useful. The reporting portal shows which pathologist is currently signing out, allowing for a quick digital consult. They also have a number of staff living in Amsterdam, roughly 150 km west. At times pathologists actually sign out from home, one or two days a week. This is particularly advantageous to those with small children. In my opinion, we need to be sensitive to these work life balance issues.
However, we must be careful not to turn this approach into a commodity. Connection to clinical services and patients is key to our success as consultants. Some of us may consider embedding ourselves into clinical units providing a specific service - breast cancer clinics come to mind. At St. Michael’s Hospital in Toronto, the breast cancer clinic has radiologists reporting in situ, and why not think about the same arrangement for pathology services?
Importantly, many of us work in small groups supporting clinical services in more remote areas. After all, this is a big country. I really think we need to re-consider warehousing pathologists in large central labs away from the clinical services that really need us. Digital pathology would be a great way for pathologists such as Dr. Kelly MacDonald, one of our passionate proponents of community pathology practice, to get immediate support on difficult cases, or even for us to consult with him. With world leaders like Drs. Andrew Evans and Bernard Têtu, I would like to see the CAP-ACP take a further leadership position assisting those pathology groups who see the advantages of this “already here” technology.
Questions and feedback are welcome: firstname.lastname@example.org
I look forward to seeing all of you in PEI!
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|CAP-ACP Communication and Advocacy|
Dr. Williams was recently appointed a forensic pathologist at one of the largest forensic science facilities in North America, the Centre of Forensic Sciences in Ontario.
It was Dr. Michael Pollanen, Ontario’s chief forensic pathologist, who first pointed out that Dr. Williams was the first indigenous person in Canada to hold this position.
Congratulations Dr. Williams!
Canadian Journal of Pathology
Issues 8-2 and 8-3 are in design and will be issued end of October and end of November respectively.
We hope that you enjoy these two issues as much as we have enjoyed working with the new publisher.
Survey to Determine Current and Accurate Canada-Wide Laboratory Human Resource, Workload and Practice Patterns
We believe that this information would be helpful for your laboratory, all Canadian laboratories and the CAP-ACP to understand resources and practice patterns in similar laboratories across Canada, and enable advocacy for resources at a local, provincial and national levels. It will also be a great resource for human resources planning locally, provincially and nationally.
We will be most obliged, if you would please respond to this survey and return to the Chair of the committee, Raymond Maung (email@example.com) by November 30, 2016. Please forward to other individual(s) in your organization as you see appropriate.
The time needed to complete the survey will depend on the size and complexity of your organization. For most laboratories it should take 15-20 minutes and for large complex institutions, a combined time of about one hour of several individuals.
We will share the collated anonymized data and analyzed information with all participants. Each participant will know which anonymized result represents their laboratory and be able to compare with their relevant counterparts by type of institution, province and nationally. We will as resources permit, answer specific question(s) if requested. If there is a good response rate and results appear helpful for our profession, we will submit an anonymized summary for publication.
Thank you in advance for your help.
The practice of pathology has undergone rapid changes in the use of ancillary technology in the diagnosis of disease states. Whereas the disciplines of anatomic pathology, medical biochemistry, laboratory haematology and medical microbiology remain distinct in the way training programs and clinical practice are organized, there is a convergence of technologies which are increasingly based on immunologic and molecular tools. Diagnostic platforms, translational and basic research tools in each of these disciplines are converging.
The CAP-ACP Executive extend sincere appreciation to Dr. David Berman, who haschaired the section for many years; offering excellent continuing professional development, through a line-up of engaging and informative speakers, during many annual scientific meetings.
Leadership In Education Award - Deadline: Jan 1, 2017
Leadership in Patient Safety and Quality Assurance Award - Deadline: Jan 1, 2017
Junior Scientists Award - Deadline: Feb 1, 2017
Lloyd A. Kennedy Pathologists' Assistant Award - Deadline: Feb 1, 2017
The Pathologists’ Assistant Award was established in 2007 and is provided by the Canadian Association of Pathologists and renamed The Lloyd A. Kennedy Pathologists’ Assistant Award and funded by the Department of Pathology and Molecular Medicine at Queen’s University and Kingston General Hospital from 2010 onwards.
This award is given to a Pathologists’ Assistant in good standing, in recognition of his/her outstanding contributions to continuing professional development in the area of medical laboratory practice.
The nominee must be a CAP-ACP PA Section member in good standing, and shall have demonstrated significant contributions to continuing professional development of medical laboratory personnel through one of the following:
Membership Renewal 2017
The annual dues for Ordinary Members ($300), Corresponding Associates ($50), Corporate Associates ($50), Pathologist Assistant Associates ($100), and Ph.D. Associates ($100) per year remain unchanged. Did you know that the last increase for member dues was in 2005? These membership dues form the core our organization’s financial support and are used to pay for our administration/secretariat, the annual scientific meeting, the resident review course and other educational activities, the CAP-ACP website, and the Canadian Journal of Pathology.
We do count on and appreciate your support, every year, so that we can maintain our vision, mission and goals. Thank you for your renewed support to the CAP-ACP; the voice of pathology and laboratory medicine in Canada, advancing the interests of laboratory physicians across the country.
Online Member Profile
Follow me, Victor Tron, CAP-ACP President on my Twitter account @CAPACPPresident. (1014 Tweets with 674 Followers). Follow our Residents @CAPACPResidents for tweets on what they are doing for advocacy and awareness!
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The Annual Meeting will be held June 10-13, 2017 at the Delta Hotel and PEI Convention Centre, and will feature a multi-disciplinary scientific program, renowned guest speakers, an extensive trade show and a great social program. The Annual General Meeting for CAP-ACP will also be held during this conference.
The new annual meeting planning committee will soon be announced. We have received numerous applications from CAP-ACP members and the selection process is underway. Thanks everyone for supporting our effort to restructure the annual meeting and offer a state-of-the-art educational program to our members
This conference is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of the Royal College of Physicians and Surgeons of Canada. This activity was approved by the Canadian Association of Pathologists.
Through an agreement between the Royal College of Physicians and Surgeons of Canada and the American Medical Association, physicians may convert Royal College MOC credits to AMA PRA Category 1 Credits™. Information on the process to convert Royal College MOC credit to AMA credit can be found at www.ama-assn.org/go/internationalcme.
For more information about the schedule of events, the conference hotel, and to purchase your ticket, please visit the “Conference” page of our website.
Future Annual Meeting - 2018 Quebec City, QC July 7-10, Hilton Quebec
This four day practical review course for Residents; in preparation for the Royal College of Physicians and Surgeons of Canada certification examinations in Anatomic Pathology, General Pathology, and Hematological Pathology.
Register Now to save $100 on the Early Bird Registration Fee!
The CAP-ACP is pleased to offer its Resident and PA members a discounted license to ExpertPath.
ExpertPath, written by renowned pathologists in each specialty, provides comprehensive decision support you can rely on, including:
Click here for more information - Note that you must be a CAP-ACP member, and signed in to the members' area to access the registration link. Cost is $65 CAD - Subscriptions offered through the CAP-ACP are in limited supply. Allow a 72-hour delay to activate your subscription.
*Note that there will be a delay as registrations will be forwarded to ExpertPath on a weekly basis. ExpertPath will then email you directly with your login credentials.
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Format of the Comprehensive Objective Examination in Anatomical Pathology
The comprehensive objective examination in Anatomical Pathology includes a written component, a practical component and an oral component. The examination assesses the candidate’s competence to function as a consultant anatomical pathologist across the CanMEDS domains of Medical Expert, Communicator, Collaborator, Leader, Health Advocate, Scholar and Professional.
To access the 2017 format of the Comprehensive Objective Examination in Anatomical Pathology document click here: Information by Specialty – Anatomical Pathology.
Create events like displays in collection centres, hospital foyers, universities or libraries; speak to special interest groups on topics like Genetic Testing, What happens to your pee, poo, pus and plasma. Organize a laboratory visit for students with interactive sessions eg on POCT, hand washing techniques, examine Blood Film, multi header reviews. Hold an event for staff in your workplace, give appreciation awards.
Worth celebrating? Absolutely, the testing and reporting cycle is world class and the health outcomes of each and every one of us are dependent on the quality of the results; take the opportunity to let people know. Please visit www.rcpa.edu.au for more information.
The Ontario Molecular Pathology Research Network (OMPRN) has launched two funding opportunities made available to Ontario-based pathologists through their new Cancer Pathology Translational Research Grants (CPTRG).
The OMPRN is a province-wide network of pathologists collaborating to carry out high-quality cancer research with a clear potential for clinical utility. The OMPRN Steering Committee has developed objectives under the three broad themes of (i) Awareness & Outreach, (ii) Education, and (iii) Pathology-led Research.
The CPTRG Streams address the latter objective by supporting projects in which the primary drivers are pathologists and the primary focus is on pathology cancer research. These grants will build the capacity of Ontario pathologists to undertake transdisciplinary research projects that advance the field of cancer diagnostic, prognostic or predictive testing and provide learning opportunities for pathology residents or early-career pathologists. Two grant funding streams are available to support projects that promote research excellence and transdisciplinary collaboration, and encourage membership in a pathology research community:
For more information and how to apply please see the Request for Applications (RFA) and supporting documents.
Deadline for applications: October 31, 2016.
Questions should be directed to David LeBrun, MD, FRCPC, Leader, Ontario Molecular Pathology Research Network.
The Banff Pathology Course is a collaborative effort of the Canadian Association of Pathologists (CAP-ACP), Department of Laboratory Medicine and Pathology, University of Alberta and the Department of Pathology and Laboratory Medicine, University of Calgary to provide a continuing medical education activity for practicing pathologists and residents in training.
For more information visit the course website.
Participate in a study about Tumour Screening Programs in Canada
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