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Interuniversity microscopic slide exchanges: a mechanism for peer review and continuing education in oral pathology
Author(s) -
Rodu B.,
Leon E. Romero,
Martinez G.
Publication year - 1986
Publication title -
journal of oral pathology and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.887
H-Index - 83
eISSN - 1600-0714
pISSN - 0904-2512
DOI - 10.1111/j.1600-0714.1986.tb00664.x
Subject(s) - medicine , clinical significance , oral and maxillofacial pathology , pathology , terminology , dentistry , philosophy , linguistics
One thousand seven hundred and three consecutive cases from a microscopic slide exchange with 10 institutions were evaluated for extent of agreement (or disagreement) defined as: A) complete agreement (85.8%). B) Disagreement ‐difference in diagnostic terminology, no significant pathologic or clinical implications (1.4%); C) disagreement ‐ difference in diagnosis with pathologic significance only (7.7%); C 1 disagreement ‐ difference in diagnosis with pathologic significance only, radiographic interpretation necessary (1.1%); D) disagreement ‐ major significance for prognosis and/or treatment (4.0%). Trends in disagreement were indentified in the following tissue/location categories: mesenchymal lesions, minor salivary gland tumors, odontogenic tumors, fibro‐osseous lesions, and benign epithelial lesions. These are discussed in relation to the oral pathology literature. All disagreements with significance for prognosis and/or patient treatment were evaluated retrospectively in an attempt to resolve the disparities. The implications for peer review, continuing education, and teaching programs are addressed.