To the Samurai Pathologist,
I, in no way was attempting to 'lump you into a derogatory statement' about 
older pathologists.  According to your posts, you value the knowledge and 
experience of the techs you encounter.  I respect and applaud that. Wish we had 
more vocal ones like you.
Please forgive me if it sounded that way.  I am a big enough girl to apologize 
for an inadvertent insult.  Not my intention.  
Some older pathologists have only been in one or two labs in their careers and 
are reluctant to realize that times have changed and that techs have to be 
acknowledged and recognized for their work.


Sincerely,

Toysha N. Mayer, MBA, HT(ASCP)
tnma...@mdanderson.org
Instructor/Education Coordinator
Program in Histotechnology
School of Health Professions
MD Anderson Cancer Center
713-563.3481



Message: 9
Date: Thu, 12 Sep 2013 13:41:44 +0000
From: "Marcum, Pamela A" <pamar...@uams.edu>
Subject: RE: [Histonet] Re: Unregistered HT
To: "'Bob Richmond'" <rsrichm...@gmail.com>,
        "Histonet@lists.utsouthwestern.edu"
        <histonet@lists.utsouthwestern.edu>
Message-ID:
        <41d3a1af6fef0643bdc89e0516a6ea32d3158...@mail2node2.ad.uams.edu>
Content-Type: text/plain; charset="us-ascii"

Thank you Bob!  I remember when pathology residents had to spend some time in 
histology learning at least enough to know we were a team not enemies.  
Residents now barely get to see the Histology Lab so expecting them to see us 
as anything other than labor is a part of the issue.  Their world is changing 
and I am not sure how it will play out for AP as whole.  

Deming was very sure as you stated that worker feedback and more importantly 
input into the process of every area of manufacturing was the key to having a 
both a creative and happy workforce.  Deming wanted to encourage creativity for 
the workers so they were part of the whole process.  We are rarely asked for 
input in any area of the work arena due to the tiered system that has developed 
in all areas of employment today.  It is usually the squeaky wheel that get the 
grease or in this improvements in any area of the workplace and life.

Pam Marcum

-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bob Richmond
Sent: Thursday, September 12, 2013 8:22 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: Unregistered HT

Since somebody mentioned the Samurai Pathologist (who is now 74 years old and 
in his 50th year in pathology) -

I agree with most of what's been said here and I won't repeat it.

>From the pathologist's viewpoint - remember that most pathologists are 
>now
on salary (or soon will be) and don't have a dog in the fight about doing the 
job as cheaply as possible.

I think that a very large part of the problem is that most pathologists haven't 
a clue as to what goes on in the histology lab (that's why we cram cassettes 
full of fatty breast tissue), and that pathologists need to acquire this 
knowledge in residency, to the degree that they can teach and trouble-shoot or 
work with senior technologists who can. It's particularly important that 
pathologists learn to embed.

Edwards Deming was an economist who grew up in "operations research" during 
World War 2. After the War he tried to get the automotive industry to adopt his 
methods. The executives laughed at him (and still do in the business schools, I 
think), so he took his ideas to Japan, where they built the Japanese automative 
industry. Deming's major idea (if I understand him
correctly) was that workers need constant specific feedback about what they're 
doing.

I think that the establishment of effective feedback from pathologist to 
histotechnologist is the first step in solving the problem we've been talking 
about. And I think that means a pathologist sitting down with a 
histotechnologist and reviewing some of the day's slides every blessed day.

Bob Richmond
Samurai Pathologist
Maryville TN
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