1. Show your patient the area of concern (lesion)

Explain who will be coming for the consult

• What is an Oral Pathologist
• We may take clinical photos
• We may do special tests - ie cytology
• We may refer/confer with other specialties - OMFS, Endo, Perio, Radiology

2. Ask your overseeing instructor (dentist) : If this is your patient in private practice.."Exactly, what would you do for him/her? " & "What would you tell your patient?"

• (If they are unable to provide you with this information, we invite them to attend the consult as well)

3. Call the Department of Pathology 4-8904

You must provide the following to the person who
takes your call :

• Your full name
• Name of Clinical Staff you are working with
• Your year ie DS III, DH IV , grad perio (Dental Student/ Hygiene Student / Grad Student)
• Where we can find you - chair # & clinic
• Patient's name
• Patient's chart number
• Some idea of urgency of consult

4. If a pathologist is available, one or more of us will come to clinic ASAP. Keep working until we get there.

• Office staff will give you some idea of availability.

5. On our arrival, we will expect:

A. Introduction to the patient (preferably sitting the patient up)

• Dr. Kratochvil (Kratovil)
• Dr. Yih (Yee)
• Dr. Stewart (Stew ert)

B. Brief synopsis of the patient's medical circumstances.

• Please remember the crowded nature of the clinic and patient confidentiality.

C. Description of the lesion

• Write this down as a chart entry on day sheet (pink). We will make our notes following yours or on the interdepartmental consult page (yellow)
  • clinical: location, size, shape, color, morphology
  • radiograph:
    • above plus
      • r'lucent/r'opaque/mixed
      • association with normal structures

D. A summary of what your instructor would do if this was their patient in private practice

E. Differential Diagnosis !! ­ Your (& instructors) best "guess"

What you and/or the clinical staff think the lesion might be, and what approach the overseeing clinician would take in her/his private practice