Academic Pathology最新文献

{"title":"Educational Case: Neonatal alloimmune thrombocytopenia","authors":"Ingmar N. Bastian MD , 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":null,"pages":null},"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":null,"pages":null},"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":"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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}

{"title":"Educational Case: Acetaminophen hepatotoxicity: Pathophysiology and evaluation of acute liver failure","authors":"Hunter L. Monroe BS,&nbsp;Tony El Jabbour MD","doi":"10.1016/j.acpath.2024.100146","DOIUrl":"10.1016/j.acpath.2024.100146","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2374289524000423/pdfft?md5=ae9dfb6a64aa92e656af17ce6f05e03d&pid=1-s2.0-S2374289524000423-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142158130","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: Compare and contrast osteomalacia and rickets with respect to pathogenesis and clinicopathologic features","authors":"Sarah Bunker BA,&nbsp;Judy S. Blebea MD,&nbsp;Jyotsna Pandey MD, PhD","doi":"10.1016/j.acpath.2024.100144","DOIUrl":"10.1016/j.acpath.2024.100144","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S237428952400040X/pdfft?md5=8c82f7c8b0dd30ae6c8c365209c760f5&pid=1-s2.0-S237428952400040X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150823","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":"Development of a residents’ needs assessment-based novel pathology residency boot camp designed on the graduated release of responsibility model","authors":"Swati Bhardwaj MBBS, MD,&nbsp;Barbara Sampson MD, PhD","doi":"10.1016/j.acpath.2024.100145","DOIUrl":"10.1016/j.acpath.2024.100145","url":null,"abstract":"<div><p>Boot camps in medical education have emerged as effective tools for addressing knowledge gaps and facilitating the integration of incoming residents into clinical training. We developed a pathology boot camp designed on a needs assessment survey, the graduated release of responsibility model, and active involvement of senior residents as educators. A comprehensive survey was administered to current first-year residents to assess educational needs to identify significant knowledge gaps and difficult areas. Based on these findings, a four-week, three-phase curriculum was developed, comprising introductory didactics, hands-on training, and mentorship under senior residents. Pre- and post-tests, as well as resident surveys, were used to evaluate the efficacy of the boot camp curriculum. Senior residents unanimously expressed the need for a boot camp, expressing challenges in histology, workflow, autopsy, and laboratory operations. Pre- and post-boot camp assessment tests showed a 15% knowledge improvement. Most pathology programs across the country have implemented structured pathology boot camps. The strengths of our boot camp included the emphasis on the previous year's residents' feedback, and the challenges that they encountered, serving as a comparison group; a graduated release of responsibility model; and the involvement of senior residents as designated mentors for the duration of the boot camp. The pathology boot camp presented here serves as a promising model for addressing foundational knowledge deficits among incoming residents. By tailoring the curriculum to meet specific educational needs and leveraging senior residents as educators, institutions can better prepare residents for the challenges of clinical training.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2374289524000411/pdfft?md5=33e2ec0cb0851160c2d6a066b019ce35&pid=1-s2.0-S2374289524000411-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150803","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":"Asking the PRIME questions for grossing: Teaching a framework for grossing and constructing gross descriptions using the PRIME model","authors":"Christopher C. Attaway MD MSc ,&nbsp;Danielle Fortuna MD","doi":"10.1016/j.acpath.2024.100143","DOIUrl":"10.1016/j.acpath.2024.100143","url":null,"abstract":"<div><p>Grossing is essential to the practice of anatomic pathology. The importance of this skill cannot be understated, but it simultaneously can be enigmatic for novice pathology residents. Successful grossing asks questions to yield the most accurate answers which facilitate a complete report and diagnosis for patient care. To provide a unified framework of approach to grossing specimens, we devised the PRIME (P = process/picture, R = relationships, I = internal, M = margins, E = external) model for grossing. The PRIME model was introduced to anatomic pathology trainees (n = 21) at two academic hospitals through an interactive workshop featuring multiple exercises: (1) scoring provided inadequate gross descriptions of common, familiar objects (fruit) for content quality before and after introduction of the PRIME model, (2) building a gross description as a group with a representative fruit specimen using PRIME, (3) videos of grossing specimens which the participants used to practice constructing their own gross description using PRIME, and (4) analysis of an example surgical specimen's gross description using PRIME. Pre- and post-workshop questionnaires assessed the trainees' experience with grossing before residency, their confidence to write a gross description, and their opinions of the PRIME model. The assessment of fruit gross descriptions before and after the introduction of PRIME was significant (p &lt; 0.05), as well as the participants' confidence level to write an accurate gross description using PRIME. The PRIME model and workshop help to fill a void in pathology education and erode perceived barriers to confident grossing by providing a framework of the key concepts behind grossing specimens, no matter the complexity.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S237428952400037X/pdfft?md5=dd26b0db833c3ba2f18b89b68442e37c&pid=1-s2.0-S237428952400037X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951485","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":"Evaluating the utility and challenges associated with “unknown” and fictional patients in the electronic medical record","authors":"Kai J. Rogers MD, PhD,&nbsp;John Blau MD,&nbsp;Matthew D. Krasowski MD, PhD","doi":"10.1016/j.acpath.2024.100141","DOIUrl":"10.1016/j.acpath.2024.100141","url":null,"abstract":"<div><p>Electronic medical records (EMRs) allow for the creation of “fictional” and unknown patients within the EMR production environment. Surprisingly, there is sparse literature regarding the use cases for these patients or the challenges associated with their existence in the EMR. Here, we identified three classes of patients in regular use at our institution: true fictional patients with medical record numbers (MRNs) used to test EMR functions in the production environment, “confidential patients” used to store sensitive data, and “unknown” patients that are assigned temporary MRNs in emergency situations until additional information can be acquired. A further layer of complexity involving the merging of records for unknown patients once they are identified is also explored. Each class of patients, real or fictional, poses a variety of challenges from a clinical laboratory standpoint, which are often dealt with on a case-by-case basis. Here, we present a series of instructional cases adapted from actual patient safety events at our institution involving fictional, confidential, and unknown patient records. These illustrative cases highlight the utility of these fictional and unknown patients, as well as the challenges they pose on an institutional and individual level, including issues that arise from merging clinical data from temporary MRNs to identified patient charts. Lastly, we provide recommendations on how best to manage similar scenarios that may arise.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2374289524000356/pdfft?md5=0f9e87d5a2c90e45e7594dd0bb38270a&pid=1-s2.0-S2374289524000356-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951483","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}