Creation and evaluation of a combined pathology resident rotation in immunology, histocompatibility, and coagulation.

Abstract

Objective: Clinical pathology curriculum assessment at our institution suggested improvements in coagulation, histocompatibility, and immunology. We created a 4-week rotation inclusive of these fields, and we describe here the curriculum and experience residents have had.

Methods: Didactic lectures, assigned reading, time at the bench, online modules, and case study discussions were implemented. There were 2 weeks of morning activities dedicated to histocompatibility, while the other 2 weeks were dedicated to immunology. Afternoons were dedicated to special coagulation. Resident surveys and medical knowledge assessments were completed at the beginning and end of the rotation.

Results: We included in this analysis 22 residents. The average knowledge quiz score before the rotation was 15.7 (48% [range, 8-23]) correct answers, while the average score after the rotation was 25 (76% [range, 19-29]), corresponding to a 28% increase in scores. On a Likert scale of 1 to 5, 88% of trainees ranked the rotation at a 4. After the rotation, residents felt more confident interpreting studies for the 3 subspecialties, particularly for special coagulation.

Conclusions: Residents liked the rotation, and their evaluations demonstrate an increase in medical knowledge after the rotation. The training described here can be adapted to teach other compatible clinical pathology subspecialties.