No, but you wouldn’t be alone if you thought this. In a recent survey, over two thirds of people thought that pathologists worked only with the dead, as shown in television programmes like CSI and Silent Witness. In fact, although some pathologists do perform autopsies (also called ‘post mortems’), this is only a small proportion of their work and the majority of pathologists work for the benefit of living patients. Every time someone has a blood test, cervical smear or a lump removed, it’s a pathologist who looks at the specimen to work out if there’s any disease present or not.
Pathologists don’t all do the same job. There are 18 different specialties, with their own training programmes and exams. Pathologists work in laboratories, in clinics and on hospital wards. You might meet some of them face to face, but others work behind the scenes, providing the information that other doctors need to make a diagnosis and decide what treatment to offer.
Millions of pathology tests are carried out every year – over 14 tests for every man, woman and child in the country. Many major advances have been made by pathologists, for example in the treatment of cancer, ensuring safe blood transfusions, developing vaccines against infectious diseases and the treatment of inherited conditions.
The four main pathology specialties are histopathology (the study of disease in human tissue), haematology (the study of disorders of the blood), clinical biochemistry (the study of chemicals in the blood and other fluids) and medical microbiology (the study of infection). You can read more about these in this booklet. You can also find out about some of the other specialties, including immunology, genetics and toxicology.