Academic Pathology最新文献

{"title":"International medical graduates representation in pathology academic workforce, departmental leadership and society leadership.","authors":"Asli Azemi, Carlos Parra-Herran","doi":"10.1016/j.acpath.2024.100158","DOIUrl":"10.1016/j.acpath.2024.100158","url":null,"abstract":"<p><p>Compared with the overall physician workforce, pathologist workforce in the United States has significant representation of international medical graduates (IMGs). IMG representation in the academic pathology workforce, as well as in departmental and pathology societal leadership, has not been documented. In this cross-sectional study, we surveyed a sample of 20 North American academic pathology departmental publicly available websites. Each faculty was recorded according to the location of their medical school training as either US or Canadian medical graduateor IMG (country of medical school graduation any other than US or Canada). Past and present presidents of four major North American pathology societies [American Society for Clinical Pathology (ASCP), Association for Academic Pathology (AAPath), College of American Pathologists (CAP), United States and Canadian Academy of Pathology (USCAP)] were also recorded. A total of 1455 pathologists were retrieved in our search: 924 (63.5 %) were USCMGs and 531 (36.5 %) IMGs. Likewise, 65 % of pathology chairs were USCMGs and 35 % IMGs. These data mirror the 2022 Association of American Medical Colleges distribution in the pathology workforce (65.6 % USCMGs and 34.4 % IMGs). In contrast, historic data from 1993 to 2024 show that only 8 (8 %) past or current presidents of the major US pathology societies were IMGs (USCAP = 6, ASCP = 1, AAPath = 1, CAP = none). While the academic pathology community has proportional representation of physicians based on location of their medical school training, there is historical underrepresentation of IMGs in societal leadership. Unveiling the causes of this disparity and identifying any potential obstacles for faculty engagement is paramount.</p>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"100158"},"PeriodicalIF":1.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges in autopsy training for pathology residents: A survey of autopsy directors.","authors":"Kathryn P Scherpelz, Desiree Marshall, Alex K Williamson, Nicole R Jackson","doi":"10.1016/j.acpath.2024.100156","DOIUrl":"10.1016/j.acpath.2024.100156","url":null,"abstract":"<p><p>Resident training in autopsy provides a foundation of knowledge and skills for forensic pathologists and anatomic pathologists, but obstacles are present in ensuring quality training. A survey of US autopsy service directors at sites with pathology residency programs was used to identify common challenges in resident autopsy training. Respondents (n = 29) largely believed that negative attitudes from residents, faculty, training programs, and/or the medical system at large (34%) and time limitations (34%) were the most significant challenges for residency autopsy training. Regarding the Accreditation Council for Graduate Medical Education's decreased autopsy requirements from 50 to 30 required cases, respondents noted decreased difficulty (38% to 7%) for residents to achieve the minimum of cases but increased concerns regarding competency at this minimum (7% to 76%). Other impacts of this reduced requirement included decreased interest from residents after meeting minimum requirements, shortened autopsy rotations, increased resident-free autopsies, and increased use of pathologist assistants. Two programs (7%) described a decreased need for residents to share cases, but no other potential benefit was described. In addition to the value provided to the community through autopsies, autopsy training during residency provides knowledge and skills relevant to anatomic pathologists generally and forms a necessary foundation on which forensic pathology fellows and future autopsy attendings can develop proficiency. Continued effort is needed to promote the importance of autopsies to pathology residents and others and to provide sufficient training to produce pathologists competent in autopsy pathology.</p>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"100156"},"PeriodicalIF":1.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational Case: Bullous pemphigoid.","authors":"Ryan C Saal, Alice A Roberts, Richard M Conran","doi":"10.1016/j.acpath.2024.100155","DOIUrl":"https://doi.org/10.1016/j.acpath.2024.100155","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"100155"},"PeriodicalIF":1.2,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11696843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational Case: Psoriasis.","authors":"Ryan C Saal, Abby S Van Voorhees, Richard M Conran","doi":"10.1016/j.acpath.2024.100154","DOIUrl":"https://doi.org/10.1016/j.acpath.2024.100154","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"100154"},"PeriodicalIF":1.2,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational Case: Neonatal alloimmune thrombocytopenia","authors":"Ingmar N. Bastian MD ,&nbsp;William N. Rose MD","doi":"10.1016/j.acpath.2024.100152","DOIUrl":"10.1016/j.acpath.2024.100152","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 4","pages":"Article 100152"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social media in pathology and laboratory medicine: A systematic review","authors":"Allyson Flippo BS ,&nbsp;Bhakti Dixit MS ,&nbsp;Casey P. Schukow DO ,&nbsp;Sean M. Hacking MB, BCH, BAO ,&nbsp;Leo Song MD ,&nbsp;Kimberly Fiock PhD, MS ,&nbsp;Kathryn Golab MLS(ASCP)CMSHCM ,&nbsp;Snehal Sonawane MD ,&nbsp;David N. Alter MD, MPH, DABCC ,&nbsp;Rodney E. Rohde PhD, SM(ASCP)CM, SVCM, MBCM, FACSc ,&nbsp;Swikrity U. Baskota MD, FCAP ,&nbsp;Aadil Ahmed MD ,&nbsp;Nicole R. Jackson MD, MPH ,&nbsp;Anna B. Owczarczyk MD, PhD, FASCP ,&nbsp;Kyle S. Conway MD ,&nbsp;Kamran M. Mirza MD, PhD","doi":"10.1016/j.acpath.2024.100151","DOIUrl":"10.1016/j.acpath.2024.100151","url":null,"abstract":"<div><div>The use of social media platforms in pathology and medical laboratory science has increased in recent years, revolutionizing the way professionals in these fields interact, disseminate information, and collaborate. To gain an understanding of the current landscape regarding social media use in pathology and medical laboratory science, a novel systematic review was conducted. A search of PubMed, Medline, Embase, and Scopus was performed to identify articles evaluating social media use within pathology and medical laboratory science. Articles published in English within the previous 10 years were searched on December 22, 2022. Inclusion criteria were articles containing information regarding social media utility in pathology or laboratory medicine and related articles that mentioned specific hashtags for pathology. The review process involved analyzing the social media platforms referenced, hashtags mentioned, and the presence of international authors as key endpoints of interest. 802 publications were identified; 54 studies met inclusion criteria. Subspecialties represented were considered, but none were found to be statistically significant. X/Twitter (n = 42) was the most discussed social media platform. The top hashtags discussed were #pathJC (5.1%), #dermpathJC (4.2%), #USCAP2016 (3.4%), and #PathBoards (3.4%). Analysis of these articles provides insights into current trends, including the social media platforms referenced, hashtags used, and involvement of international authors. This review will contribute to a deeper understanding of the role and impact of social media in these fields, highlighting opportunities and challenges for future research and practice in pathology and lab medicine.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 4","pages":"Article 100151"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paying to publish: A cross-sectional analysis of article processing charges and journal characteristics among 87 pathology journals","authors":"Landon M. Clark MPhil ,&nbsp;Dayle K. Wang AB, BE ,&nbsp;Brian D. Adkins MD ,&nbsp;Valerie A. Fitzhugh MD ,&nbsp;Philip D. Walker MLIS, MS ,&nbsp;Shazia S. Khan MD ,&nbsp;Oluwole Fadare MD ,&nbsp;Laura D. Stephens MD ,&nbsp;Alice C. Coogan MD ,&nbsp;Garrett S. Booth MD, MS ,&nbsp;Jeremy W. Jacobs MD, MHS","doi":"10.1016/j.acpath.2024.100153","DOIUrl":"10.1016/j.acpath.2024.100153","url":null,"abstract":"<div><div>Article processing charges are increasingly being levied on authors via publication fees to provide open access to readers. These charges may impose challenges to early career physicians seeking to publish research but pathology journal article processing charges have not been investigated to date. We aimed to quantify pathology journal article processing charges and investigate the potential associated factors. We performed a cross-sectional analysis of manuscript article processing charges among the 87 pathology journals in the “Pathology” category in Journal Citation Reports (Clarivate) and associated journal variables: publication model (open access vs hybrid), impact factor, year founded, journal location, journal publisher, medical society affiliation, whether the journal is published in print vs online, and subscription cost to institutions. Most (70.1 %, 61/87) journals were hybrid, while 29.9 % (26/87) were open access. Overall, the median cost to publish open access was significantly greater for hybrid journals compared with open access journals ($3710 vs $1735; <em>P</em>&lt;0.0001). Article processing charges positively correlated with impact factor, journal publisher, and institutional journal subscription costs in bivariate analysis. In multivariable analysis, impact factor associated with higher charges, whereas open access journals, medical society affiliation, and location in a European country outside of the United Kingdom were associated with lower charges. There was no significant association between publication frequency, years since journal founding, or print and online publication. Understanding the potential fees that may impact pathologists attempting to publish in the biomedical literature as well as the options for covering these costs is crucial to ensure equitable career advancement opportunities.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 4","pages":"Article 100153"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Entrustable professional activities (EPAs) in surgical pathology: implementation experience and longitudinal observations of resident development","authors":"Alcino Gama MD ,&nbsp;Christopher Felicelli MD ,&nbsp;Indu Agarwal MD ,&nbsp;Taylor Bronson MD ,&nbsp;Bonnie Choy MD ,&nbsp;David J. Escobar MD, PhD ,&nbsp;Jennifer Y. Ju MD ,&nbsp;Carissa LaBoy MD ,&nbsp;Ritu Nayar MD ,&nbsp;Behtash G. Nezami MD ,&nbsp;Jessica Nguyen MD ,&nbsp;Farres Obeidin MD ,&nbsp;Jenna Purdy MD ,&nbsp;Elisheva Shanes MD ,&nbsp;Amanda L. Strickland MD ,&nbsp;Luis Z. Blanco Jr. MD ,&nbsp;Jorge E. Novo MD","doi":"10.1016/j.acpath.2024.100150","DOIUrl":"10.1016/j.acpath.2024.100150","url":null,"abstract":"<div><div>Entrustable professional activities (EPAs) have been implemented in various medical specialties, and the Pathology National EPA Working Group has piloted the implementation of four pathology EPAs. We recently published the development of EPAs within our surgical pathology rotation. Following a six-month pilot, a survey demonstrated that faculty and residents found the forms helpful and easy to use and easy to understand, and EPAs have been fully incorporated into our surgical pathology rotation. Here, we discuss our experience, challenges, and results of resident EPA performance for intraoperative consultations (IOC) and sign-out (SO) after 21 months of implementation. Between June 2022 and March 2024, 24 residents were evaluated by 13 faculty members, resulting in 136 IOC and 298 SO EPA forms. Paper forms were predominantly used, with only five electronic forms submitted. EPA performance scores for SO increased from 2.4 ± 0.8 in Block 1 to 4.6 ± 0.2 in Block 14 (p &lt; 0.0001), whereas performance scores for IOC increased from 2.7 ± 1.0 in Block 1 to 4.8 ± 0.2 in Block 14 (p &lt; 0.0001). The progressive decrease in the standard deviation throughout residency denotes higher competence homogeneity as residency graduation approaches. Overall, our EPA evaluation method showed ease of use, provided valuable tracking tools, and long-term feasibility. EPAs are robust tools for tracking resident progression toward independent practice in surgical pathology, offering valuable insights for program and rotation directors to assess and track individual EPA skills, identify intervention points, and provide an opportunity for immediate, actionable feedback based on current performance.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 4","pages":"Article 100150"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142529814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Graduated responsibility and competency-based education in pathology residency programs: a five-year semi-longitudinal landscape assessment on autonomy and supervision","authors":"Douglas C. Miller MD, PhD ,&nbsp;Cindy McCloskey MD ,&nbsp;Gary Procop MD, MS ,&nbsp;Scott Anderson MD ,&nbsp;Melvin Limson PhD ,&nbsp;W. Stephen Black-Schaffer MD, MA","doi":"10.1016/j.acpath.2024.100148","DOIUrl":"10.1016/j.acpath.2024.100148","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 4","pages":"Article 100148"},"PeriodicalIF":1.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A required medical student collaborative case presentation with a pathologist in the surgery clerkship","authors":"Abdallah Flaifel MD ,&nbsp;Kristen M. Thomas MD ,&nbsp;Syed T. Hoda MD ,&nbsp;Leandra Krowsoski MD ,&nbsp;Isabelle Le Leannec MD ,&nbsp;Colleen Gillespie PhD ,&nbsp;Margret S. Magid MD","doi":"10.1016/j.acpath.2024.100147","DOIUrl":"10.1016/j.acpath.2024.100147","url":null,"abstract":"<div><p>In medical education, pathology has traditionally been concentrated in only the preclinical years, often without sufficient emphasis on its practical application in clinical practice. Correspondingly, medical students' interest in pathology as a career has been low. To address this issue and foster a deeper understanding of pathology's clinical relevance and encourage appropriate utilization, we introduced a required exposure to pathology in the surgery clerkship featuring clinicopathological case review in a small group setting. Unlike other approaches, we wanted to create a program that concentrates on pathology cases directly linked to patients whom students cared for during their clerkship rotation, emphasizing the relevance of pathology diagnosis. Feedback has been overwhelmingly positive from participating students, who report an increased awareness of pathology's importance in patient management and of the significance of interdisciplinary collaboration between pathologists and clinicians. A notable feature of this program is its relatively low time and personnel requirements, which facilitate inclusion in the busy clerkship and acceptance in the Department of Pathology. Challenges, such as timely case selection and administrative co-ordination, are being addressed to optimize the program's implementation. In the future, we are considering expanding this model to other clerkships. By rekindling interest in pathology through practical engagement and highlighting its real-world relevance, this approach offers a promising strategy to counteract recruitment challenges in this crucial medical field.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 4","pages":"Article 100147"},"PeriodicalIF":1.2,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2374289524000435/pdfft?md5=3276ca8f3ef3cd210954d27437142b7e&pid=1-s2.0-S2374289524000435-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}