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The dermatopathologist-patient consultation program: A pilot study on patient perspectives and interest
Jonathan Lai1, Nina M D'Amiano1, Jaroslaw Jedrych2
1Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Journal of Cutaneous Pathology
|April 4, 2024
Summary
Patients show significant interest in consulting directly with dermatopathologists to discuss skin cancer diagnoses and view tissue samples. This highlights a need for improved patient-pathologist communication and understanding in dermatopathology.
Area of Science:
- Dermatology
- Pathology
- Patient Communication
Background:
- Dermatopathologists play a key role in diagnosing skin lesions, but patient understanding of their role is limited due to infrequent direct interaction.
- Patient-pathologist consultation programs are emerging, allowing patients to discuss results and view tissue samples with a pathologist.
- Limited research exists on patient interest in dermatopathology consultations, with only one prior study on patient perspectives of general pathologist consultations.
Purpose of the Study:
- To investigate patient interest in dermatopathologist-patient consultation programs.
- To explore patient motivations for engaging in such consultations.
- To assess patient interest in discussing diagnoses and examining tissue with a dermatopathologist.
Main Methods:
- An anonymous survey was utilized to gather data.
- The survey was distributed through online support groups catering to individuals with diverse dermatologic diagnoses.
Main Results:
- A high level of patient interest was observed for dermatopathologist-patient consultations.
- 81.3% of patients expressed moderate to high interest in discussing their diagnosis with a dermatopathologist.
- 79.2% of patients expressed moderate to high interest in examining their tissue microscopically with a dermatopathologist.
Conclusions:
- Patients with both cancerous and non-cancerous dermatologic conditions exhibit strong interest in consultation programs with dermatopathologists.
- Existing pathologist consultation program infrastructure can be leveraged to pilot new dermatopathologist-patient programs.
- Future initiatives should focus on assessing physician interest and overcoming logistical barriers for program implementation.

