Department of Pathology ANNUAL REPORT 2009 - University of ...

6. Division Head Report
6a(i). Report from Medical Leader of Surgical Pathology
Dr. C.M. McLachlin
The division of Surgical Pathology is lead by Dr. Meg McLachlin who also acts as the
Deputy Chief of Pathology. The Department includes 25 surgical pathologists including 3
neuropathologists. As well there are two oral pathologists that are affiliated through the
University Department. For the first time in many years the Department is fully staffed with no
pathologist vacancies. The human resources plan for Department includes the addition of 4 more
surgical pathologists. Discussions are underway with hospital administration and the Ministry of
Health and Long Term Care to fund one of these positions for January 1, 2010 and a candidate
has been identified.
The Department of Pathology endeavors to provide a balanced approach to service, education
and quality. In recent years the Department has completed a transition to a subspecialty
approach for the surgical pathology services with dedicated teams of pathologists providing
focused expertise. It has been a challenge to ensure adequate team coverage especially for
subspecialties with lower surgical volumes. However in the last year 2 new recruits have filled
the remaining gaps. Our educational model has evolved in order to provide residency training in
line with this sub-specialized approach. Residents from both pathology and other services now
spend blocks of time with dedicated teams focusing on specific areas of surgical pathology.
The Department has focused considerable effort in reviewing and enhancing our quality
initiatives. Synoptic reporting for the majority of cancer sites is now standard and our Department
has consistently exceeded the Cancer Care Ontario requirements for cancer pathology
reporting. Under the leadership of Dr. H Ettler, a new professional committee focusing on quality
in interpretive pathology has been charged with reviewing and standardizing our procedures in
order to optimize diagnostic quality. Our quality procedures for immunopathology are in line with
national initiatives and we serve as a regional resource to our community partners.
The division of Surgical Pathology has several challenges and opportunities to meet in the
coming years. The increasing complexity of surgical pathology material and the greater
expectations for additional testing will require a measured approach to the inclusion of molecular
techniques. Our Department already has sufficient expertise; however providing resources for
new testing remains a challenge. Additional challenges will include regional initiatives, increasing
workload and expanding subspecialty expertise.
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