Pathology: The Evolution of a Specialty in American Medicine

  title={Pathology: The Evolution of a Specialty in American Medicine},
  author={W. Rothstein},
  journal={Medical Care},
The historical evolution of pathology as a full-time specialty in medicine is viewed as a response of pathologists to changes in the level and pattern of demand for their services. The development and decline of morphologic pathology, changes in academic pathology and the evolution of clinical pathology from a medical specialty to an industry with an extensive division of labor are all examined in this perspective. It is shown that pathology as a medical specialty is most successful within a… Expand
The goals of resident training in laboratory medicine in combined anatomic pathology/clinical pathology programs: an overview.
The goal of clinical pathology training is to develop a clinical consultant who can apply laboratory-derived, population-based clinical data and laboratory-based therapeutics, along with a firm knowledge of the underlying biotechnology from which these are derived, to the benefit of individual patients. Expand
The Politics Underlying the Provision of and Changes in Pathology and Laboratory Services in the United States During the Roaring Twenties.
The Roaring Twenties was the time when the practice of pathology and laboratory medicine evolved into what the authors recognize today. Expand
Beyond full jurisdiction: pathology and inter-professional relations in precision medicine
The rise of precision medicine represents a challenge for pathology, which must now more closely link research and diagnostic and collaborate on new bases with other specialties. Our paper is basedExpand
The Surgical Pathology of Cancer: A Historical Review
The extant older literature was reviewed from a number of interesting angles, including how the surgical specimens were not only obtained but also examined and it was shown that cancer nomenclature matured with time. Expand
Laboratory medicine in the 21st Century.
  • M. Burke
  • Medicine
  • American journal of clinical pathology
  • 2000
Changes in the provision of health care are likely to have profound effects on the practice of laboratory medicine—effects that will be determined by the competing demands of cost containment, assurance of quality, and financial support of education and research. Expand
Health professions: the origin of species.
  • D. Hofoss
  • Sociology, Medicine
  • Social science & medicine
  • 1986
This report argues that the sociology of the professions is largely concerned with phenomena secondary to the process of specialization, and explains the behaviour of occupational groups, once they have been established. Expand
Patología forense latinoamericana: alcances y necesidades
The article reviews the concepts involved and discusses the scope and requirements needed to qualify experts, in the understanding that globalizing criteria should establish new paradigms and define the specific roles of the specialty. Expand
Pathology and Laboratory Medicine Support for the American Expeditionary Forces by the US Army Medical Corps During World War I.
The scope of pathology and laboratory medicine services in World War I and the value these services brought to the war effort are described and the British and German approaches are contrasted. Expand
Dynamics of Professional Control: Internal Coalitions and Crossprofessional Boundaries
  • S. Halpern
  • Sociology
  • American Journal of Sociology
  • 1992
Professions experience varying degrees of success in establishing jurisdictional control over neighboring occupations. This article uses comparative historical techniques to explore why some AmericanExpand
Speaking for the Dead: Forensic Pathologists and Criminal Justice in the United States
This essay explores the efforts of forensic pathologists in the United States to establish the intellectual and social territory of their specialty, both inside and outside of medicine, and toExpand


The natural history of specialism in medicine.
  • I. Galdston
  • Medicine
  • Journal of the American Medical Association
  • 1959
Modern medicine and specialism are historically coextensive and all but synonymous. It is understandable, therefore, that the future of medicine is commonly envisaged in the patterns of the immediateExpand
Pathologists: servants or colleagues?
  • R. Baserga
  • Medicine
  • The New England journal of medicine
  • 1973
A former chairman of a department of pathology, with no desire for seeking another chair, is considered the proper authority on the future of pathology and on prospective candidates for a chairmanship, presumably for the same reasons as a retired courtesan is considered an authority in matters of love. Expand
The birth and death of specialties.
  • I. Galdston
  • Medicine
  • Journal of the American Medical Association
  • 1958
Within two generations, medicine as a science and medical care will undergo a revolutionary change brought about not by the economic, legislative, or social manipulations of well-meaning men but by the maturation of those knowledges and intelligences embraced in physiological, and in ecologic, medicine. Expand
American Medicine and the Public Interest
The reissue of Rosemary Stevens's groundbreaking book on the growth of medical specialties offers a new opportunity to consider the state of the American health care system. Updated with an extensiveExpand
Pathology: A Study of Social Movements within a Profession
disciplines the necessity of coping with rapidly changing conditions in their work life, changes which are dramatic even within one generation. A middleaged pathologist interviewed for this studyExpand
From Professional Monopoly to Corporate Oligopoly: The Clinical Laboratory Industry in Transition
Until the mid-1960s the nonhospital clinical laboratory industry was dominated by pathologists, but that power was eroded by laboratories operated by technologists and bioanalysts and was finally overcome by the entry of large corporations into the industry. Expand
The article presents a report from the President of the Academy of Management, delivered at the 1961 Annual Meeting of the Academy of Management.
Is pathology a viable discipline?
  • A. Stein
  • Biology, Medicine
  • Human pathology
  • 1975
Should laboratory medicine become a separate medical specialty?
The identity crisis of pathology.
  • H. Popper
  • Medicine
  • The Mount Sinai journal of medicine, New York
  • 1974