Support for the concept of MDM has been meager. I have not finalized several of the concepts but have allowed them to grow. As such, the tools of the concept have remained mostly outside the armamentarium of practicing pathologists. I have had young practioners of pathology walk out of my presentations. Clearly, the concept has few adherents.
Surgical pathology is a rewarding specialty.
To appreciate it, morphology must remain independent of therapeutic implications. There is a meeting-ground for the two but surgical pathology should not become the servant of therapy. Therapy must avail itself of the rewards of surgical pathology. Too much of what today passes for surgical pathology is an accommodation for the needs of oncologists. At my age, finality has to be addressed.