Efficiency in the Grossing Room

Over the weekend, while I was timing at my daughter’s swim meet, I was reminded of a pathologist’s assistant (PA) I knew, who owned a stopwatch. This person used to stand behind pathology residents and PAs, timing how long they took to gross specimens, to ensure they were working fast enough.

This anecdote highlights the ongoing emphasis on efficiency and accuracy in surgical pathology. While these two goals are essential, the dynamics of the gross room can vary tremendously between institutions, something many pathologists may not fully appreciate, especially when their primary concern is often the bottom line.

When collecting data or averages for specimen grossing times, there are many variables that can significantly influence the outcomes. For example, the experience level and training quality of the PA can make a major difference – there is a big gap between a seasoned PA and one with just two years of experience. Additionally, the definition of when grossing time starts and stops can vary: is it when dictation begins, when the blade first touches tissue, when all cassette lids are closed, or when cassettes are scanned and placed in formalin? Read More.