Within our current healthcare institutions, patients’ voices are often drowned out by the voices of providers, scientists, and industry. Andrea Downing’s life work is to fix this. As a BRCA1 cancer previvor and a patients’ rights activist, she was a spokesperson for one of the plaintiffs in the U.S. Supreme Court case that ultimately overturned gene patenting. Years later, while moderating an online patient support group, she discovered a major privacy vulnerability in Facebook, which led her into cybersecurity research. In this interview, she chronicles her journey and lays out her vision for patients as cocreators within medicine and medical science.

Amplifying the Voice of the Patient

To most laboratorians, quality control is all about rules, metrics, and thresholds. To Dr. Fred Strathmann, on the other hand, it’s about gaining understanding of the underlying processes. In this interview, he shares examples of ways to think more deeply about measurements in order to drive organizational improvement.

‘Think Different’ About Quality Control

ARUP Laboratories was recently recognized by Forbes Magazine as being among the country’s best workplaces for women. In this interview, ARUP’s president, Dr. Tracy George, explains how companies can create healthier models of work-life balance that support women (and men) in their personal and professional roles.

How to Create a More Welcoming Workplace for Women

The curricula of pathology and laboratory medicine training programs are heavily weighted toward technical and medical knowledge. In this interview, Dr. Wayne Chandler makes the case for more emphasis on leadership training, and he shares experiences from his 40-year clinical pathology career that illustrate the impact of people skills.

A Legacy of Leadership in Clinical Pathology

The VALID Act currently being debated in Congress would increase the regulatory burden on clinical laboratories. In this interview, Dr. David Grenache from TriCore Laboratories and the University of New Mexico, together with Dr. Vince Stine from the American Association for Clinical Chemistry, explain why VALID would slow down innovation while it raises costs, and why VALID appears to be designed to benefit a particular industry sector rather than patients.

A Sensible Approach to LDT Regulation

In 2022, laboratory professionals have more choices about whom to work for and whether to even continue working in laboratory medicine. In this discussion, Stephanie Whitehead, MBA, MPH, MLS(ASCP), executive director of pathology and laboratory services at University Health, San Antonio, describes what managers should be doing to recruit and retain exceptional staff.

Keys to Recruiting and Retention in a Tough Labor Market

Despite their explicit healthcare mission, clinical laboratories often fall short when it comes to employee mental health. Laboratory managers know how to troubleshoot an assay or write a procedure, but how many know how to support an employee with crippling anxiety or de-escalate an emotional crisis? In this discussion, Brysen Bocchino, CMHC, NCC, ARUP’s newly hired mental health clinician, describes an innovative model for recognizing and addressing mental health needs in the workplace.

An Organizational Strategy for Workplace Mental Health

How will lab testing be different a decade from now? Many answers are likely to be found in the numerous projects championed by the roughly 200 medical directors and scientists of the ARUP Institute for Clinical and Experimental Pathology. In this discussion, Dr. Adam Barker, chief scientific officer for ARUP Laboratories, explains how and why these R and D scientists are prioritizing the practical needs of patients and their providers.

A Look Into the Future of Lab Medicine

Improving physicians’ use of laboratory tests is not usually a problem of motivation. They’re already motivated to deliver high-quality care to their patients. More often, it’s about choice architecture, i.e., making sure that correct choices are easier to make than incorrect ones. In this discussion, Dr. Valerie Vaughn explains the science behind nudging and choice architecture. She also explains how her own research convinced her that improving the use of diagnostic tests is often the key to improving therapeutic outcomes.

Nudging Physicians Toward Better Use of Diagnostic Tests

The needs of transgender and nonbinary patients are compelling laboratories to reexamine historic practices in areas such as patient demographics, reference intervals, and terminology. In this discussion, Drs. Joely Straseski and Jenna Rychert express confidence in the laboratory community's ability to meet the needs of both patients and clinicians by embracing fundamental principles of biology and respect for individuals.

How Transgender Medicine Is Changing Laboratory Practices for the Better

Many hospitals test newborn babies for exposure to drugs of abuse. Although this sounds fairly straightforward, in practice it has been difficult to standardize testing protocols, let alone keep up with substance use trends. Compared with other areas of laboratory medicine, drug testing is also associated with unique social and legal ramifications, specimen collection processes, and result reporting decisions. In this interview, Dr. Gwen McMillin describes current academic perspectives on these issues, and where she sees the field heading.

The Challenge of Newborn Drug Testing

Many physicians see board certification as a one-time hurdle along their career pathway. Dr. Gary Procop, incoming CEO of the American Board of Pathology, sees it instead as a longitudinal partnership “to help make great pathologists, and make great pathologists greater.” In this discussion he explains how ABPath and other specialty boards are using adult learning theory to make their programs more adaptive and relevant to real world clinical practice.

Vision for Responsive Certification in Pathology

It’s surprisingly common for individuals to harbor undiagnosed genetic conditions. For example, newborns with abnormally high bilirubin levels often reach adulthood without any discovery of the biologic cause. In this discussion, Dr. Archana Agarwal delves into the value of using focused genetic panels to end the diagnostic odysseys for about half of these patients while potentially avoiding risky and expensive diagnostic workups down the road.

Using Genetics to Solve Medical Cold Cases of Hemolytic Anemia

When most people think of laboratorians, they picture introverts following rigid processes to perform technical tasks. These stereotypes sell laboratory professionals short. True, laboratory testing does involve technical chemistry and biology tasks, and some scientists might be introverts, but our field is far broader than this picture suggests. In this two-part episode, Stephanie Whitehead from the University Health System San Antonio and Kathy Sakas from NW Laboratory (Part I), and Chris Bradley from Wisconsin Diagnostic Laboratories, along with Charles Daniels and Karen Corson from Adventist Health (Part II), shatter these stereotypes with their stories of ingenuity, creativity, and sheer grit.

Stories of Ingenuity, Creativity, and Grit (Part II)

Stories of Ingenuity, Creativity, and Grit (Part I)

Dennis Strenk, PA(ASCP)CM, has interviewed more than 70 people in pathology and laboratory medicine for his podcast, “People of Pathology.” We discuss the remarkable range of backgrounds, professional interests, and career paths he’s encountered, and why it’s never too late to pursue a laboratory career.

The People of Pathology

Global health is ultimately achieved by meeting the health needs of people in diverse real-world settings. Creative innovations developed to meet the needs of lower-resourced countries can often benefit wealthy countries as well. In this discussion, Dr. Karen Heichman, director of diagnostics for the Bill and Melinda Gates Foundation, explains the need for fast, inexpensive testing that is easy to perform in any location. She also discusses the value of bringing large corporations, government agencies, and nonprofits together to accomplish these breakthroughs and, in the Foundation’s words, “help all people live healthy, productive lives.”

Person-Centric Innovation to Improve Diagnostic Testing in Global Health

Andy Theurer recently became the seventh CEO in ARUP’s almost 40-year history. In this interview, he reflects on lessons learned from all six of his predecessors, shares why he’s been skipping to work almost every day for the more than 30 years he’s been with ARUP, and talks about how he hopes to guide the future of ARUP.

How Do You Continue Building a Great Company?

Dr. Sherrie Perkins never planned, nor aspired, to become CEO of a large clinical laboratory business. But after a long and successful career as an academic hematopathologist, she was tapped as the sixth chief executive in ARUP Laboratories’ nearly 40-year history. In this interview, she describes her journey from art student to pathologist, how every CEO leaves a distinctive mark on a company, and why diversity and inclusion are so important to ARUP’s future.

The Cultural Legacy of a CEO

Few guests on LabMind have been as attuned to broad technologic trends in pathology as Dr. Joseph Anderson. He has worked in multiple settings, including private practice, academia, and industry, and is currently engaged in with several early-stage pathology companies. Anderson also hosts a podcast in which he interviews leaders in the domain of digital pathology. In this interview, we discuss his insights into what’s required for successful innovation, and why he’s optimistic about pathology’s future.

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