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In-house expertise

July 2001
Karen Titus

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At the Johns Hopkins Medical Institutions, where the surgical pathologists meet daily, "It’s left up to the discretion of the individual pathologist to bring to the conference cases where they have a question or want a second opinion," says Dr. Jonathan Epstein.

That system works in large part because of the department’s openness to showing cases. "We recognize we have a lot of experts within our systems, and that it is foolish, if we have questions on a case, not to avail ourselves of that expertise. So we tend to show a lot of cases. And if it’s a case none of us can resolve, then we’ll get an outside opinion."