This is Dr Yatin Talwar. Just a few days back i got a call from a very dear friend Dr Arun Kumar MD .
he wanted to enquire about scope of pathology per-se for pg aspirants.
Well to be frank ,I was first of all surprised to hear it from Dr Arun kumar sir , asking for scope as he is well versed with all fields of medicine and it felt as an honour to write something for this page which has helped so many students, especially during the tough time, we had during neet session this yr.
So my views about pathology and the future prospects are as follows, the ideas have been divided into various subheadings
1. Firstly this is one of the few fields of post graduation which is not gender specific and suits both males and females
2.less night duties and better personal and family life , which is the reason why surgeons and medicine people prefer pathologist as there spouse or better half
# better personal life means a lot to many people (in fact most ), after the gruelsome studies of postgraduation and the stiff market competition . and yes the saying is true that money cant buy everything especially happiness and time !!!
imagine having night duties all your life, I, wont go into much details as i leave the rest to imagination of the readers about the falacies.
in short i`ll again say a saying that ``life is not to be spend in icu`s or ot or wards ",
Professional adequacy and job profile
1. I would say as i always say in my classes also , why i preferred pathology was
a) independency to work from one owns peace of mind
b) coming from a doctors family with its fourth generation doing there MBBS , i have seen lots of medico legal cases , and people even going in depression once practice hits a bottom rock after some medico legal cases. With medico legal cases on rise and Indian people following the us trend of suing medicos ,this profession is changing its direction
imagine doing 20 lap choles and losing all the money in one spoiled case :)
c) another big issue is settlement. with medicine people and surgery going into superspeciality and fellowships ,even gyneco/obs are pursuing fellowships in infertility.do u think is it wise to put another 10 years in higher studies ?? see we are humans not tortoise of life span of 300 years .(average human life span is still 70 yrs :/) see guys u have already wasted 1/3rd of your life studying , do u plan to spend another 5-10 years more in it... when will you get settled in mid 40`s ???
d) future scope
see with diagnosis having a primary role in management and with stricter protocols being followed,the field has immense opportunities today be
i ) icu management and sepsis control
ii ) be it cardiac pathology (the famous concepts of hibernating myocardium and reperfusion injury are actually brain child of a pathologist)
iii) be it medical oncology
with tumour markers and cluster differentiation taking a central role in diagnosis today , even immunopathology and oncopathology have become a sought after branch
iv ) still those of older school and conventions , the bread and butter is the routine investigations which even a rmp or bahs or a bams needs , & please bring it to your kind notice a laughing fact that a gmp or anyother person of other field cant interfere in your work ( just like a BHMS ,BAMS or BUMS treating a patient of cough cold fever or diarrohea or even reddness in eyes (thus eating away market of another speciality ....a serious fact said in a joking way)
v ) importance of pathology can be judged from sayings / quotes of some very famous personalities of our feilds:
Jean Nicolas Corvisart says (Professor of Medicine, College de France, Paris)
"The physician who fails to combine pathological physiology with his anatomy will never be anything more than a more or less adroit, diligent and patient prosecutor."
from The Great Doctors—A Biographical History of Medicine
p. 1, Henry E. Sigerist. Dover Publications, New York
H. L. Mencken
"Pathology would remain a lovely science, even if there were no therapeutics, just as seismology is a lovely science, though no one knows how to stop earthquakes."
A Mencken Chrestomathy Ch. XXX
As a professional well established in the field and doing my residency programme in cardio path , here is what i would to say finally for pathology for future aspiring medicos:
Careers in this field are extremely broad, with a number of different training programs available for people who are interested in pathology. It have very good scope in India. One can work in Multi Specialist Hospitals in India. or can open his own clinic. Pathologists typically work in research and laboratory settings and rarely ever with patients. Pathologists receive specimens and samples from physicians during surgery or examination and use the many tools of pathology to analyze samples for diagnosis of disease. Pathologists may spend time teaching medical students, as pathology is a core course of medical training. Pathologists may also perform autopsies, although autopsies are usually performed by forensic doctors.
Growth of pathology feild is 15 to 20% per year also as per nabl accredition (not to mention small labs) 40 to 50 thousand lab centers are present in india .but experienced pathologist are rare to find ,when compared to the demand. Best research and lab centers in india are those of RANBAXY , BIOCON ,METROPLOIS ,NICOLAS AND PIRAMAL,THYROCARE , ANAND LABS . ADANI ,Dr. Lal path lab & Offcourse RELICARE. .Average salary for a 2 -3 yr experienced pathologist runs around 2-3 lakhs basic..rise depends upon your expertise and your job profile.
Also posting a source please go through it
According to Cygnus estimates, the Indian diagnostic and pathological labs test services market was valued at Rs66.87 billion in FY2008. Indian diagnostics and pathological labs, based on the working level, are classified into high-end labs, accounting for 38% of the market share, manual labs (28%) and second-level regional labs (34%). By therapeutic segment, the major share is held by biochemistry (38%), followed by immunology (23%), haematology (15.8%), critical care, urine routine, others, microbiology and coagulation. Seventy seven per cent of the market is contributed by biochemistry and clinical pathology, which includes immunology and haematology. According to the estimates, the Indian diagnostics and labs test services, in view of its growth potential, is expected to reach Rs159.89 billion by FY2013, reflecting a CAGR of 18.9% during FY09-FY13. Applications of molecular diagnostic testing will revolutionise clinical practices with major implications, opportunities and challenges for the labs.
As per the directives of the Honourable Supreme Court in its judgment dated,25.9.87, in writ petition No. 348-352 of 1985, all the State Governments, Medical Institutions and Universities are required to amend their rules and regulations to introduce a uniform residency scheme by 1993
“A uniform practice has to be evolved so that the discipline would be introduced. We accordingly allow the present arrangement to continue for a period of five yearsI.e. upto 1992 inclusive. For admission beginning from 1993 there would be only onepattern. All Universities and institutions shall take timely steps to bring about such amendments as may be necessary to bring statutes, regulations, and rules obtaining in their respective institutions in accord with this direction before the end of 1991 so that there may be no scope for raising of any dispute in regard to the matter.The uniform pattern has to be implemented for 1993. It is proper that one uniform system is brought into vogue throughout the co…
SERVICES IN the northern region’s premier health institute — PGIMER — were hit Monday as more than 1,200 resident doctors went on a flash strike after one of them was assaulted by a patient’s attendant. The patient, a 72-year-old woman from Ludhiana, died during treatment late Sunday evening. The strike affected thousands of patients who came to PGIMER OPDs from various states including Punjab, Haryana, Himachal Pradesh, Jammu and Kashmir. The situation looks set to continue as talks between hospital administration and doctors on Monday failed to end the strike. PGIMER has threatened to act against the doctors if they do not return to work on Tuesday. The hospital authorities announced that OPD registration would close at 9 am on Tuesday in view of the ongoing strike. On a normal day, OPD registration continues until 11 am. It was probably for the first time in the history of PGIMER that its main entrance gates were shut for more than two hours late Sunday night and patients were sent bac…
Who should draw the blood sample of a patient: the doctor or the nurse? There seems to be a tug of war between doctors and nurses over this with the administration failing to clarify the issue.
Resident doctors have, in fact, gone ahead and declared they would stop doing it from August 26.
"No resident will draw blood samples of patients or generate barcodes as it is the duty of the nursing staff. It is for the administration to make sure that the nursing staff adhere to their duties and that patient care as well as resident training are not compromised," AIIMS RDA wrote to the director on Tuesday.
RDA general secretary Dr Harjit Singh Bhatti said resident doctors now have to generate barcodes too.
"We end up spending most of our time in the morning drawing and sending samples alone. There is little time left to look at in-patients and addressing their grievances and we have to rush to OPD," he said.
In the US and other developed nations, Dr Singh added, hospitals …