In the US, cytotechnologists (see other topic to know who can be cytotechnologists) can release the benign Pap smears without any abnormality. If the Pap smears show reactive cells, low cellularity, inflammation, et at. The cases will be send to pathologists to review and sign out.

In other words, all abnormal Pap smears and all no gynecologic cytologic cases (FNA, exfoliative need pathologists or cytopathologists to review and sign-out after cytotechnicians screen and write their interpretation.

We know the conditions in the US are a little different from China. The term of cytotechnician may indicate different meaning in the two countries. Can you shares the situation in your hospitals? Which ways do you think are better to patient care?

 我觉得让经过正规培训的细胞病理技师签发无异常的宫颈脱落细胞学的报告是可以接受的。

In the US cytotechnicians can release the Pap without any abnormality, even no reactive change. Generally cytotechnicians graduate from college (most with biology major) and need one full year of cyto school study. Also they need to pass the board exam. The Pap smears interpretated by cytotech need 10% cases with quality control. In other words, 10% of Pap read by cytotech A must be reviewed by other cytotechnicians.