96 | Dr. Patrick Emanuel on trans-continental careers, American residency & dermatopathology

Dr. Patrick Emanuel is a dermatopathologist based in Lima, Peru. He also consults for IGENZ molecular laboratory, Pathlab Bay of Plenty, and the Skin Institute (all based in New Zealand). He is an Honorary Associate Professor at the University of Auckland and Adjunct Assistant Professor at the Icahn Mount Sinai School of Medicine in New York. Patrick’s academic interests include cutaneous squamous cell carcinoma, margin control surgery, and the application of molecular techniques to cutaneous tumours.

In this episode, we discuss his journey from Dunedin, to Nelson, to America, then to Peru. We talk about his pathway into dermatopathology, the training involved, the daily routines, and the pay disparity for residency in US. We discuss his work-life balance, practicing medicine in a second language, and the capacity for remote work as a pathologist.

Book 'Margin Control Surgery of the Skin: Concepts, Histopathology, and Applications' mentioned ://www.mhprofessional.com/margin-control-surgery-of-the-skin-concepts-histopathology-and-applications-9781264285990-usa#tab-label-product-description-title
Dermnet: https://dermnetnz.org/

Chapters

• 0:00 Patrick Emanuel
• 1:46 Finding medicine
• 3:37 Moving to housemanship
• 4:55 Moving from NZ to US
• 7:53 Finding a pathology job in US
• 9:46 Picking pathology and training involved
• 14:53 Picking dermatopathology
• 17:36 Training for dermatopathology
• 21:32 Pay differences between NZ and US
• 25:06 Speed of pathology/margin control surgery
• 26:56 Daily life in dermatopathology
• 29:17 New book publication
• 32:23 Balancing life and work in Peru
• 34:42 Practicing medicine in a second language
• 38:50 Working remotely in pathology