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The communicative action is governed sponsibility for the actions resulting from them. Such actions and operations should be sured by an intersubjective recognition that is based on planned before they are undertaken. Rules to grade or diagnosis as an instance of problem solving, our model stage tumors, report standardization, and ethical issues, provides a guide to elaborating an action plan to resolve for example, are entirely founded on formulated consen a problematic case. Failure to follow proven technical diagnosis might be problematic, and he or she may have rules or correct strategies may result in lack of success. Learned rules of purposive, rational action provide us In contrast, the expert pathologist might operate through with a menu of skills, and all actors must make this choice shortcuts, in a continuous interplay between multiple do by themselves. Violating prevailing social norms may trig mains, and arrive at a definitive diagnosis, apparently not ger sanctions only externally connected to the rules, in going through a sequence of operational steps. As these Arch Pathol Lab Med—Vol 133, January 2009 How Does a Pathologist Make a Diagnosis? However, even the Consider: What is the consequence of your diagnosis to expert may face a problematic case and arrive at an in the management of the case? This plan should include consideration 5 Consider: Should you seek a consultation with another of the 4 domains described earlier in this article. Ques pathologist, request a new sample, order special stains tions raised by the case should be answered, and if new or immunohistochemical studies, or some other clinical questions arise from these answers, a new cycle of plan investigation to confirm the findings? Evaluation of the Diagnostic Action Plan the implicit knowledge in pathology, comprising many of the tasks involved in diagnosis, involves an interaction Feedback on the outcome of the patient is of paramount among different domains. This know-how in pathology importance in evaluating the diagnostic plan of action. As Foucar9 has stated, ‘‘The diagnostic improvement fails if it aids in the solution of the case, even if a diagnostic label lacks truthful feedback about the success or failure of a cannot be applied. The present model has the purpose of making the resident in pathology, as an apprentice, has his or explicit these multiple facets of pathologic diagnosis. As her diagnosis checked by the mentor, and the process they are explicated, the diagnostic process can be dis leading to the diagnostic conclusion, more than the diag cussed and analyzed by the persons involved. A generic nostic conclusion itself, should be evaluated with the pre diagnostic action plan is presented below.

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