Winnipeg Free Press - PRINT EDITION

Pathologist sees work put under scrutiny

A Winnipeg pathologist whose work is under review by Diagnostic Services Manitoba will -- at the very least -- be required to upgrade his training.

Dr. Amin Kabani, the DSM's chief medical officer, made the comment Friday as his organization released interim results from its review of 3,000 tests the pathologist was involved with dating back to last October.

The pathologist, who has not been identified, has been on administrative leave since June 3.

Kabani said in one case, a patient is receiving expedited testing and assessment as a result of the review. So far, there have been no cases in which a patient's prognosis has been changed because of it.

However, a committee is assessing another 38 cases involving the pathologist in which a "pathological discrepancy" was discovered. In each of these cases, the patients and their physicians have been notified.

As of Friday, 1,545 of the approximately 3,000 cases the pathologist dealt with had been audited, with 182 cases being flagged for additional review. In some instances, the error was as simple as a wrong date of birth being entered.

The entire review process should be completed by the end of August.

Kabani said he will sit down with the pathologist -- described as a mid-career recruit from the United States with "reputable references and work experience" -- in the coming weeks to discuss his options.

"He may not have a future with us," Kabani said.

The review of the pathologist's work was sparked by a routine audit by the College of Physicians and Surgeons of Manitoba, as well the DSM's internal quality control procedures.

DSM, a not-for-profit corporation, was created in 2002. It handles all of Manitoba's public laboratory and rural diagnostic imaging services. Its 77 labs perform about 14.5 million diagnostic tests each year, including for various types of cancer.

DSM said Friday only work from the one pathologist is being reviewed.

Patients with questions or concerns about their tests results and whether the review affects them can call toll-free 1-866-633-1787.

larry.kusch@freepress.mb.ca

Republished from the Winnipeg Free Press print edition July 30, 2011 A7

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