Ann Marie Nelson, MDAIDS and Infectious Disease Pathology

Joint Pathology Center, USA

High income country (HIC) research projects and programs in low income countries (LIC)◦Do not improve the basic health infrastructure of

the hospital/countries where they are located Pathology and Radiology Services Physicians in training do not learn how to use these

servics◦Nested or silo services do not train where training

occurs Medical schools Teaching hospitals

Who are they? ◦ Pathologists, Laboratory Scientists and Technical Staff,

Clinicians, Educators, Researchers, Administrators, Politicians, Donors, Vendors

◦Patients? Where are they?◦ Local, National, Regional, International (global)◦Medical Schools, Universities, Ministries, Foreign

Institutions and Governments What is their stake?◦ Patient Care, Teaching, Research, Public Health, $$

Set up meetings between pathologists/trainees and collaborators to determine potential projects

Help to design pathology component of projects Identify potential training/mentoring required

for implementation of projects◦ Visiting professors in pathology to rotate on monthly

basis over several years Subspecialty training Medical school and staff teaching Research development and mentoring

HepaticPathologyExpertise

Hopkins/Fogarty Training Grant

Space Improvement Equipment Upgrades

Reach Tibotec OSU NIH HIV Malignancy

Hand methods Antibodies◦ Relevant to pt care◦ Robust/reproducible

Regional resource◦ Diagnosis◦ Research◦ Training

UCSF NCI D43

Technical Training Standardization

Reach Tibotec Reach Tibotec

Specimen Quality Diagnostic Accuracy

Do Anatomic and Clinical Do Anatomic and Clinical Pathology have value in Pathology have value in improving the quality of improving the quality of

information derived from the information derived from the Verbal “Autopsy”? If so, Verbal “Autopsy”? If so,

where is our place at the table?where is our place at the table?

In order to engage stakeholders, pathology services must be:

AvailableAccurateAffordableRapidRelevantReliable

QuickTime™ and a decompressor

are needed to see this picture.