Royal college of pathologists of australasia quality assurance program review of oral pathology 2008 module

Abstract

Twenty cases were circulated for the Oral Pathology QAP module in 2008. The survey was distributed to 83 participants in a range of Australian and international laboratories and all responded to at least some of the cases. There were 1541 responses out of a possible 1635, an average of 94%. 74% of responses were concordant and 18% were assessed as minor discordance. Differential diagnoses were used rarely as a response to the cases (3%). Discordant responses were a low proportion (17%) of responses. Participants had most difficulty in case DE08-05 of epithelial hyperkeratosis and moderate epithelial dysplasia (55% discordance). There were no responses that were unable to be assessed. The maximum of 20 concordant responses was obtained by six (7%) of the participants. The median values were 14 concordant responses, two minor discordance, zero differential diagnosis only and two discordant responses. 18% of participants submitted four or more minor discordant responses. 16% of participants submitted five or more discordant responses with two participants submitting the maximum of seven discordant responses. The module and selected cases will be discussed. Twenty cases were circulated for the Oral Pathology QAP module in 2008. The survey was distributed to 83 participants in a range of Australian and international laboratories and all responded to at least some of the cases. There were 1541 responses out of a possible 1635, an average of 94%. 74% of responses were concordant and 18% were assessed as minor discordance. Differential diagnoses were used rarely as a response to the cases (3%). Discordant responses were a low proportion (17%) of responses. Participants had most difficulty in case DE08-05 of epithelial hyperkeratosis and moderate epithelial dysplasia (55% discordance). There were no responses that were unable to be assessed. The maximum of 20 concordant responses was obtained by six (7%) of the participants. The median values were 14 concordant responses, two minor discordance, zero differential diagnosis only and two discordant responses. 18% of participants submitted four or more minor discordant responses. 16% of participants submitted five or more discordant responses with two participants submitting the maximum of seven discordant responses. The module and selected cases will be discussed.