Private Practice Pathology, Breast Care, and Economics

When breast problems arise, most patients in this country are cared for in their hometown communities by physicians in private practice. Regardless of the setting, however, the goal of providing patients with the highest quality and most compassionate care must be foremost. In modern breast centers, a trio of physicians serve as the first team of consultants to assist primary care providers and their patients through the maze and uncertainties related to detection, diagnosis, and treatment of new breast abnormalities. This trio consists of the radiologist, surgeon, and pathologist. The critical and pivotal role of pathologists and their workload in breast disease is often underappreciated by administrators and under-reimbursed by payers. Despite these realities, the private practice of pathology can be rewarding and gratifying for those who commit to creating a work ethic based on best practices, meticulous attention to detail, and effective teamwork.