Graduated responsibility and competency-based education in pathology residency programs: a five-year semi-longitudinal landscape assessment on autonomy and supervision

IF 1.2 Q3 PATHOLOGY

Academic Pathology Pub Date : 2024-09-25 DOI:10.1016/j.acpath.2024.100148

Douglas C. Miller MD, PhD , Cindy McCloskey MD , Gary Procop MD, MS , Scott Anderson MD , Melvin Limson PhD , W. Stephen Black-Schaffer MD, MA

引用次数: 0

Abstract

Pathology residency training has been criticized for having too little opportunities for resident autonomy. As graduate medical education moves to competency-based models measuring competency and giving autonomy for specific tasks will be important. To determine how much autonomy residents are currently granted we surveyed pathology residency directors with regard to a list of usual pathology tasks and compared responses with those of a similar survey from 2018. Among the 29 programs whose directors responded, we found a considerable range within which some programs give much autonomy and others very little. Most programs did not describe measuring competency before granting performance of specific activities. We urge that restrictive programs examine the more permissive programs to see how they can move toward granting more autonomy.

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病理学住院医师培训项目中的毕业责任和基于能力的教育：关于自主权和监督的五年半纵向景观评估

病理学住院医师培训一直被批评为住院医师自主机会太少。随着医学研究生教育向以能力为基础的模式转变，衡量能力和赋予特定任务的自主权将变得非常重要。为了确定目前给予住院医师多少自主权，我们就病理学住院医师培训的常规任务清单对住院医师主任进行了调查，并将答复与 2018 年的类似调查进行了比较。在 29 个有主任回复的项目中，我们发现了一个相当大的范围，其中一些项目给予的自主权很大，而另一些则很小。大多数项目没有说明在允许执行特定活动之前对能力进行了评估。我们敦促限制性项目研究更宽松的项目，看看它们如何能够朝着给予更多自主权的方向发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academic Pathology PATHOLOGY-

CiteScore

2.20

自引率

20.00%

发文量

审稿时长

15 weeks

期刊介绍： Academic Pathology is an open access journal sponsored by the Association of Pathology Chairs, established to give voice to the innovations in leadership and management of academic departments of Pathology. These innovations may have impact across the breadth of pathology and laboratory medicine practice. Academic Pathology addresses methods for improving patient care (clinical informatics, genomic testing and data management, lab automation, electronic health record integration, and annotate biorepositories); best practices in inter-professional clinical partnerships; innovative pedagogical approaches to medical education and educational program evaluation in pathology; models for training academic pathologists and advancing academic career development; administrative and organizational models supporting the discipline; and leadership development in academic medical centers, health systems, and other relevant venues. Intended authorship and audiences for Academic Pathology are international and reach beyond academic pathology itself, including but not limited to healthcare providers, educators, researchers, and policy-makers.