David Hoak

I am a community based pathologist board certified in AP, CP and cytopathology and have been a laboratory medical director for most of my career. I practice general pathology with subspecialty interest in urologic, gynecologic, and breast pathology. I am also interested in practice management, informatics, and digital pathology. I am now the Medical Director of Gestalt Diagnostics, a digital pathology workflow company.

University of Pathology Informatics

At the end of 2018, I completed the University of Pathology Informatics Certificate of Completion program.  This is an online CME/SAM/CE educational program developed jointly by the Association of Pathology Informatics and the American Society of Clinical Pathology.  The certificate requires completion of 20 courses for over 25 hours of CME/SAM/CE and the completion of …

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Pixelation is Great for Art but Bad for Diagnosis

Paul Signac was an impressionist who along with George Seurat developed the pointillism style of painting.  Signac applied paint in colorful “tiles” or mosaics to create his beautiful and evocative paintings.  Notre Dame de la Garde was the church that sailors would see as they sailed into Marseilles. Whole slide images are made up of …

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Companies Developing Pathology AI

Pathology companies that are developing artificial intelligence algorithms on whole slide images from patient biopsies are popping up everywhere and all the time.  These companies state that they want to improve healthcare by improving pathology diagnoses.  Since the number of pathologists throughout the world is insufficient and the number of pathology biopsies and resections is …

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Another Five in Path AI

In my last blog post, I profiled five companies developing Artificial Intelligence in anatomic pathology. In this blog, I profile five more that the pathology community should continue to watch for innovation. Ibex Medical Analytics is based in Tel Aviv, Israel.  Its co-founders, Joseph (Yossi) Mossel, CEO and Chaim Linhart PhD are computer scientists.  The …

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CAP and NSH Announce a Histology and WSI QC Program

In the December 2018 issue of CAP Today, the College of American Pathologists and the National Society for Histology announced the 2019 release of a new quality improvement program called Whole Slide Image Quality Improvement Program. The program evaluates the quality of H&E sections cut and stained in a lab and the WSI scanned from that slide …

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Hey, Doc can I ask you about my biopsy? Pathologist to patient consultation with digital pathology

I am sure that every pathologist has during their career talked directly with a patient on that patient’s pathology report and slides. Most pathologists have found the experience rewarding. I have had two kinds of patient consultations.  Occasionally, patients would call me up and we would discuss their pathology on the phone. However, a rare …

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Balancing Workload with Digital Pathology

It is hard for pathologists to get the right balance of work. On any given day, there is too much work, too little work, late arriving work, or unevenly distributed work. These issues in workload can be extremely frustrating and lead to long working hours and an imbalance in a pathologist’s professional and personal life. …

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Uberpathology Already Exists But It’s for Veterinary Pathologists

In my previous blog, I described a potential business model in which pathologists, as independent contractors working in their homes, receive digital pathology (whole slide images, WSI) consultations.  While the FDA has waited years to conclude that whole slide images are “non-inferior” to microscopic slides, veterinary pathologists have been interpreting WSI for 10 years.  Vet …

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