Communication of uncertainty of pathological diagnosis can significantly impact the interpretation of pathology reports and therefore affect patient care.
Despite this, the topic has not been studied extensively to-date. We have undertaken a survey of pathologists’ attitudes to reporting uncertainty in their reports. Building on the results of the survey, the seminar will examine the following questions: 1) whether uncertainty should be reported; 2) the reasons for reporting uncertainty; 3) how it should be reported; 4) the mechanisms used to report it; 5) the confidence pathologists have that the physicians understood the implied uncertainty; 6) if there should be a standardized system of reporting diagnostic uncertainty; and 7) what could such standardized
systems look like.
Current literature on this topic will be summarized.
Objectives:
At the end of this session participants will be able to:
- Relate the importance of conveying the uncertainty of the diagnosis in the pathology reports
- Assess the methods pathologists currently use to convey uncertainty
- Describe the pitfalls of the current methods of communicating uncertainty in pathology reports