[The "Conseil national professionnel d'anatomie et cytologie pathologiques" (CNPath): At the service of the profession]. / Le Conseil national professionnel d'anatomie et cytologie pathologiques (CNPath) : une structure au service de la profession.

The « conseils nationaux professionnels ¼ (CNP) are professional boards existing since 2010. Their missions, organization and functioning have been defined by the decree 2019-17 of January 9, 2019. CNPs represent all the members of a medical specialty (or health profession). CNPs must include all the learned societies and all the representative structures and associations of the same medical specialty. Their bodies must strictly respect the parity between public and private health sectors. The main missions of CNPs include the contribution to the elaboration of the national priority directions for continuous medical education and the definition of the individual plan for continuous professional development (DPC) recommended for the specialty. CNPs also behave as a single window for ministries, State agencies, welfare system and colleges of physicians. They are likely to be strongly involved in the process of re-certification of physicians, established in July 2019. The Conseil national professionnel d'anatomie et cytologie pathologiques, termed CNPath, has been created in 2010 and officially recognized by the Ministry of Health in August 2019. The main current actions of CNPath are: the elaboration of the individual DPC scheme for the specialty and the definition of the minimal obligations requested for its validation, the long-expected recognition of the expertal consultation in pathology, the support to the nation-wide effort for the production of structured pathological reports and the launching of a plan for implementing digital pathology. An internet site is under construction, to diffuse all the relevant information and make available the documents useful to all pathologists.

[The physician-philosopher - Donat Semenovich Sarkisov. To the 90 anniversary since birth].

The huge and promptly increasing volume of the actual material of modern biology and medicine without its systematization doesn't develop any more, and slows down development of science. The science as the work which are explaining world around needs to bring a system in chaos of the facts. This can be done only on the basis of the philosophy of dialectical materialism, which allows an objective, realistic to create theoretical generalizations of the ocean of particulars. Donat Semenovich Sarkisov who agreed the main phenomena of the general pathology with modem biological sciences, modern clinical practice, materialistic dialectics was the genial philosopher.

Political continuity or a new beginning? The re-foundation of the "German Society for Pathology" and its politics in postwar Germany.

In 1948, about 70 pathologists decided to reconstitute the "Deutsche Pathologische Gesellschaft" (German Pathological Society). With Arnold Lauche, a new president was elected; at the same time, the organization was renamed the "Deutsche Gesellschaft für Pathologie" (German Society of Pathology). But did these two obvious changes really mark a new beginning, a conscious turning away from the Nazi ideology that had significantly shaped the policies of the professional associations until 1945? The present paper pursues this very question. It examines the personnel and political course set by the German Society of Pathology, and takes a close look its first representatives - Arnold Lauche, Georg B. Gruber und Edmund Randerath - and their professional activities. Special attention is paid to their positions during the Third Reich, their denazification processes and their dealings with the past in the early postwar period. This also includes the Society's policy towards Jewish colleagues marginalized in the Third Reich. The article is based on archival material from the Federal Archives in Berlin, various university archives, and Gruber's estate. In addition, a critical analysis of the relevant secondary literature was conducted. During the Third Reich, Lauche, Gruber, and Randerath were involved in National Socialism to varying degrees. Their board activities in the postwar period stood for personal and political continuity which also included the Society's policy towards former members of the Nazi Party and Jewish colleagues. The article concludes that there was no clean break with the Nazi past; Gruber in particular, who had already played a leading role in the Society in the Third Reich, continued to exert considerable influence. The German Society for Pathology also failed to bring persecuted Jewish colleagues into its midst - former members of the Nazi Party were given preference both in board positions and in the awarding of honors.

Hans Frederick Bettinger (1897-1975) - "Father of Australian obstetrical and gynecological pathology" and victim of Nazism.

The German-Australian Hans Bettinger is regarded as one of the most important and influential pathologists of his time. Bettinger's research focused on gynecological pathology, with a particular interest in intersexuality, ovarian and cervical cancer. He received global recognition for his achievements: among others, he was a Honorary Fellow at the International Academy of Cytology, the Royal Australian College of Physicians, the Royal College of Pathologists of Australia, the Royal College of Obstetricians and Gynaecologists and a Fellow of the Royal College of Pathologists, London. Far less well-known is German-born Bettinger's role as a victim of Nazism. This significant yet hitherto "blind spot" in Bettinger's life is the focus of this paper. Previously undiscovered archival material from the German Federal Archives in Koblenz, supplemented by documents from the Public Record Office Victoria, Australia, and the University of Melbourne Archives, served as the central sources for this study. This paper reveals that Bettinger, as the husband of a Jewish woman in Nazi Germany, was disenfranchised, and subsequently forced to emigrate. After considerable efforts, he succeeded in building a new life in Australia, where he became the "father of obstetrical and gynecological pathology". In the 1950s Bettinger submitted an application for "reparations" to the Federal Republic of Germany. The legal claim was successful: From April 1951 onwards, Bettinger received a substantial pension and was thus officially recognized as a victim of Nazism. He was, however, never able to bring himself to return to Germany, and spent the rest of his life in Australia.

Updates to Medicare's Quality Payment Program That May Impact You.

CONTEXT.­: Within Medicare's Quality Payment Program, and more specifically the Merit-based Incentive Payment System, pathologists stand to potentially lose or gain approximately $2 billion during the initial 7 years of the program. If you or your group provides services to Medicare beneficiaries, you will likely need to comply with the program. OBJECTIVE.­: To avoid potential reductions in Medicare reimbursement, pathologists need to understand the requirements of these new payment programs. DATA SOURCES.­: Each year the Centers for Medicare & Medicaid Services publish a Final Rule detailing the program requirements and updates. 2020 marks the fourth reporting year for the Merit-based Incentive Payment System. Performance this year will impact 2022 Medicare Part B distributions by up to ±9%. CONCLUSIONS.­: By staying up to date with the ever-evolving Merit-based Incentive Payment System requirements, pathologists will be better equipped to successfully comply with this relatively new payment system, reduce the burden of participating, understand the reporting differences of the various performance categories, and thereby be able to maximize their scoring and incentive potential.

Victim or profiteer? Gerhard Domagk (1895-1964) and his relation to National Socialism.

As the discoverer of sulfonamides and Nobel Prize winner for medicine, Gerhard Domagk (1895-1964) is without doubt one of the most important pathologists of the 20th century. Domagk has repeatedly been sketched out as a Nazi victim - especially with reference to the fact that he had been briefly imprisoned and that the Nazi regime prevented him from accepting the Nobel Prize. In particular, the life memoirs of Domagk (1995), edited by Bayer, and a Domagk biography by Ekkehard Grundmann (2001) contributed to consolidating the dictum that Domagk was far from Nazi ideology. These depictions are juxtaposed with recent works that sketch Domagk as close to the regime and as a profiteer of the Nazi system. This paper aims to explore Domagk's actual relationship to National Socialism by comparing the discrepant interpretations with the historical facts. The analysis is based on primary sources from various archives and a critical re-analysis of the available secondary literature. The assertion that Domagk was critical of Nazi ideology cannot be objectified. Domagk adapted to the regime, allowed himself to be integrated, enjoyed privileges and thus indirectly contributed to making the regime presentable. In this respect he fulfils the classic characteristics of a political follower.

Developing Pathology Measures for the Quality Payment Program-Part II: Overcoming Challenges With Data Capture to Maximize Reimbursement.

CONTEXT.­: Quality measures are a cornerstone in measuring physicians' performance within the Centers for Medicare & Medicaid Services' Quality Payment Program (QPP). Clinicians' performance on quality measures and other categories within the QPP determines Medicare part B payment adjustments. Driven by evidence-based clinical practice guidelines, quality measures should focus on high-priority facets of health care, support a desired patient outcome, and address an area with evidence of a gap or variation in provider performance. OBJECTIVE.­: To meet the goals of the QPP, a broad array of quality measures must be developed that allows pathologists the flexibility to choose activities and measures most meaningful to their practice and patient population while also trying to mitigate the challenges of implementation and data collection. DESIGN.­: In this second manuscript of the series, we present the development of additional College of American Pathologists-developed quality payment measures for use in the QPP. We also discuss the relationship of quality measure reporting with reimbursement and the challenges with capturing data for quality reporting. RESULTS.­: The College of American Pathologists identified 23 new measures for quality performance reporting that reflect rigorous clinical evidence and address areas in need of performance improvement. CONCLUSIONS.­: Development of quality measures is a necessary and ongoing effort within the College of American Pathologists. Increased awareness about pathology-specific issues in measure development and reporting is essential to ensuring pathology's ability to demonstrate value and meaningfully participate in the QPP.

Current and Historical Trends in Diversity by Race, Ethnicity, and Sex Within the US Pathology Physician Workforce.

OBJECTIVES: This study assessed historical and current gender, racial, and ethnic diversity trends within US pathology graduate medical education (GME) and the pathologist workforce. METHODS: Data from online, publicly available sources were assessed for significant differences in racial, ethnic, and sex distribution in pathology trainees, as well as pathologists in practice or on faculty, separately compared with the US population and then each other using binomial tests. RESULTS: Since 1995, female pathology resident representation has been increasing at a rate of 0.45% per year (95% confidence interval [CI], 0.29-0.61; P < .01), with pathology now having significantly more females (49.8%) compared to the total GME pool (45.4%; P < .0001). In contrast, there was no significant trend in the rate of change per year in black or American Indian, Alaskan Native, Native Hawaiian, and Pacific Islander (AI/AN/NH/PI) resident representation (P = .04 and .02). Since 1995, underrepresented minority (URM) faculty representation has increased by 0.03% per year (95% CI, 0.024-0.036; P < .01), with 7.6% URM faculty in 2018 (5.2% Hispanic, 2.2% black, 0.2% AI/AN/NH/PI). CONCLUSIONS: This assessment of pathology trainee and physician workforce diversity highlights significant improvements in achieving trainee gender parity. However, there are persistent disparities in URM representation, with significant underrepresentation of URM pathologists compared with residents.

A fairytale career in spite of political disenfranchisement: The jewish oral pathologist Bálint Orbán (1899-1960).

Viennese scientist Bálint Orbán (1899-1960) was an international pioneer in the area of oral pathology and one of the principle figures comprising the "Vienna School" of the 1920s. His works "Biology and Pathology of the Tooth and its Supporting Mechanism" (1938) and "Atlas of Clinical Pathology of the Oral Mucous Membrane" (1955), both published in the United States, set new standards across the globe. Even today, the American Academy of Periodontology (AAP) honors aspiring researchers with the Bálint Orbán Award in the context of its "Orbán Memorial Program". One aspect of Orbán's life that remains widely unknown is the fact that his career was thrown into existential threat following Hitler's rise to power in 1938. As a scientist of Jewish ancestry, the new government stripped him of his venia legendi and, as such, robbed him the basis for working as a university professor in Vienna. What became of Orbán's life and career in the years thereafter? What were the conditions that ultimately led him to the United States? How did he manage to set up his career in this new context - including in comparison to his other colleagues who also emigrated? Which factors were ultimately decisive for his further career? The present article seeks to address these very questions. The sources used for this study include documents from the Austrian State Archives as well as from the Vienna University Archive. Our archival work was followed by a critical re-analysis of the available secondary literature. This article illustrates that Bálint Orbán was part of a small group of Jewish scientists who did not suffer from a rupture or setback in their careers under National Socialism. In fact, despite professional disenfranchisement and forced migration, they succeeded in making smooth professional transitions and even advancing their careers. One decisive factor in this - apart from Orbán's consistently high-degree of dedication to his work and above-average research output - was his robust network academic contacts, which he previously laid the groundwork for during his first stay in the United States (1927-1929) and continued to resolutely foster afterwards. Thanks to these contacts, even before his permission to work as a professor in Vienna was revoked, Orbán managed to flee to Chicago and quickly attain a professorship. He spent the rest of his academic life in the United States and, much like his other émigré colleague from Vienna, Hans Popper (1903-1988), he developed what would become his posthumous prominence in this new country.

Maude Abbott and the Origin and Mysterious Disappearance of the Canadian Medical War Museum.

CONTEXT.­: In the early 1900s, it was common practice to retain, prepare, and display instructive pathologic specimens to teach pathology to medical trainees and practitioners; these collections were called medical museums. Maude Abbott, MD, established her reputation by developing expertise in all aspects of medical museum work. She was a founder of the International Association of Medical Museums (later renamed the International Academy of Pathology) and became an internationally renowned expert on congenital heart disease. Her involvement in the Canadian Medical War Museum (CMWM) is less well known. OBJECTIVE.­: To explore Abbott's role in the development of the CMWM during and after World War I and to trace its history. DESIGN.­: Available primary and secondary historical sources were reviewed. RESULTS.­: Instructive pathologic specimens derived from Canadian soldiers dying during World War I were shipped to the Royal College of Surgeons in London, which served as a clearinghouse for museum specimens from Dominion forces. The Canadian specimens were repatriated to Canada, prepared by Abbott, and displayed at several medical meetings. Abbott, because she was a woman, could not enlist and so she reported to a series of enlisted physicians with no expertise in museology. Plans for a permanent CMWM building in Ottawa eventually failed and Abbott maintained the collection at McGill (Montreal, Quebec, Canada) until her death in 1940. We trace the CMWM after her death. CONCLUSIONS.­: Sadly, after Abbott had meticulously prepared these precious teaching specimens so that their previous owners' ultimate sacrifice would continue to help their military brethren, the relics were bureaucratically lost.