Academic PathologyPub Date : 2025-06-09DOI: 10.1016/j.acpath.2025.100183
Ahmad Alkhasawneh MD , Hagar Attia MBBCH , Maksim Agaronov MD , Mohammad Barouqa MD , Afshan Idrees MD, MBA, MPH , Yanyun Wu MD, PhD, MBA , Arun Gopinath MD , Robert Allan MD , Agnes Aysola MD , Brett Baskovich MD
{"title":"Interactive online clinicopathologic case simulations in coagulation disorders for pathology residency programs: A multi-institutional study","authors":"Ahmad Alkhasawneh MD , Hagar Attia MBBCH , Maksim Agaronov MD , Mohammad Barouqa MD , Afshan Idrees MD, MBA, MPH , Yanyun Wu MD, PhD, MBA , Arun Gopinath MD , Robert Allan MD , Agnes Aysola MD , Brett Baskovich MD","doi":"10.1016/j.acpath.2025.100183","DOIUrl":"10.1016/j.acpath.2025.100183","url":null,"abstract":"<div><div>Learning coagulation disorders can be challenging to trainees given the rarity of these diseases and the differences in case volume among different training programs. In addition, the work-up is frequently done in a piecemeal fashion with multiple tests ordered before the involvement of trainees; this precludes independent judgment on work-up. To address these deficiencies, we evaluated the usefulness of an interactive online case-based coagulation module in four American College of Graduate Medical Education–accredited pathology training programs. Nine high-yield cases of coagulation disorders were uploaded into an online system (Pathology Playground). Fifty trainees were provided a link to work up the cases on their own several days before a discussion session, with three case sets and three discussion sessions in total (July–September 2024). In each session, cases were reviewed under the supervision of the pathology attending(s). Pre-assessment and post-assessment tests were administered, and a survey was distributed to trainees. The mean pre-assessment score was 62.5%, and the mean post-assessment score was 80.6%. In the survey, 85% of the participants found the module more useful than lectures/textbooks, 82% said they had a better understanding of working up cases, and 96% wanted more cases. The integration of the standardized module into the curriculum has been successful and improved the knowledge of our trainees.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 3","pages":"Article 100183"},"PeriodicalIF":1.2,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Academic PathologyPub Date : 2025-06-06DOI: 10.1016/j.acpath.2025.100186
Peace Preston DO , Meredith Herman DO , Adam Berry DO , Mahalia Robinson DO , Casey P. Schukow DO , Paul Kowalski MD
{"title":"A cross-sectional analysis of pathology exposure across COCA-accredited osteopathic medical schools: Gaps and opportunities in pathology undergraduate medical education","authors":"Peace Preston DO , Meredith Herman DO , Adam Berry DO , Mahalia Robinson DO , Casey P. Schukow DO , Paul Kowalski MD","doi":"10.1016/j.acpath.2025.100186","DOIUrl":"10.1016/j.acpath.2025.100186","url":null,"abstract":"<div><div>Osteopathic medical schools emphasize a holistic approach to patient care, integrating Osteopathic Manipulative Treatment (OMT) with traditional medical education. Unlike allopathic (MD) programs, which focus heavily on biomedical sciences, osteopathic (DO) programs place additional focus on the musculoskeletal system and primary care. Clinical training in DO programs often takes place in community-based medical centers, which typically lack specialized resources, such as pathology departments, limiting exposure to certain specialties. Pathology education in osteopathic schools varies widely, with some schools integrating pathology into foundational sciences through lectures, case-based learning, and histopathology labs. However, clinical clerkships offer inconsistent pathology exposure, compounded by limited partnerships with specialized pathology labs. A study of 61 accredited osteopathic colleges revealed variability in pathology faculty, with some schools lacking pathologists entirely. Additionally, only 12% of these colleges had pathologist deans. From 2021 to 2024, only 1.06% of DO students matched into pathology residency, though the percentage of pathology positions filled by DO applicants increased from 9.8% to 16.7%. This variability highlights the need for curriculum reforms and stronger collaboration with pathology departments to ensure equitable and thorough pathology training. Addressing these gaps is crucial for preparing osteopathic physicians to provide holistic and effective patient care.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 3","pages":"Article 100186"},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Academic PathologyPub Date : 2025-04-01DOI: 10.1016/j.acpath.2025.100175
A. Speranza MD , A. Shio , J.W. Bush MD
{"title":"Evaluating the effectiveness of quality assurance rounds in reducing pathology reporting errors at a pediatric hospital","authors":"A. Speranza MD , A. Shio , J.W. Bush MD","doi":"10.1016/j.acpath.2025.100175","DOIUrl":"10.1016/j.acpath.2025.100175","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 2","pages":"Article 100175"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Academic PathologyPub Date : 2025-04-01DOI: 10.1016/j.acpath.2025.100169
Kellie Mullany BS , Barbara Masi PhD , Jaya G. Yodh PhD , Imanni Sheppard PhD , Grace Park MD , Samar A. Hegazy MD, PhD, MEHP
{"title":"Linking the social determinants of health and disease process using concept mapping in pre-clerkship problem-based learning courses: a pilot study","authors":"Kellie Mullany BS , Barbara Masi PhD , Jaya G. Yodh PhD , Imanni Sheppard PhD , Grace Park MD , Samar A. Hegazy MD, PhD, MEHP","doi":"10.1016/j.acpath.2025.100169","DOIUrl":"10.1016/j.acpath.2025.100169","url":null,"abstract":"<div><div>The Social Determinants of Health significantly impact patient care, and understanding their role in the disease process and patient management is essential to high-quality healthcare. Several barriers exist to integrating social determinants of health into medical curricula, including the lack of consensus on evidence-based teaching methods. In this context, our study investigated the impact of integrating social determinants of health into pre-clerkship problem-based learning courses using concept mapping on the clinical problem-solving process. Fourteen pre-clerkship medical students voluntarily participated and were randomly assigned to control and experimental groups. The experimental group education intervention included two problem-based cases with social determinants of health-informed probes to promote linking those determinants to the disease process and develop a treatment plan using concept mapping. The control group participated in the same cases without the education intervention. Students in both groups completed post-session assignments that included two new cases, individual concept maps, and recorded reflections. Concept maps were scored using a scoring rubric. The scores of both groups were compared using the Mann-Whitney <em>U</em> test. Recorded reflections and concept maps were analyzed using reflexive thematic analysis coding method. Quantitative data analysis showed that the experimental group received significantly higher scores than the control group. Qualitative data analysis highlighted substantial differences in clinical problem-solving approaches. The control group’s clinical reasoning approach focused mainly on the clinical aspects of the case. The experimental group followed a social determinants of health-informed clinical reasoning approach to patient-centered treatment plans with balanced therapeutic/nontherapeutic elements.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 2","pages":"Article 100169"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Academic PathologyPub Date : 2025-04-01DOI: 10.1016/j.acpath.2025.100177
A. Aravind, N. Kaur, B. Khan, W. Cavett, V. Manucha
{"title":"Utility of ThinPreps in Enhancing Diagnostic Precision of Fine Needle Aspiration (FNA) Samples from Lymph Nodes","authors":"A. Aravind, N. Kaur, B. Khan, W. Cavett, V. Manucha","doi":"10.1016/j.acpath.2025.100177","DOIUrl":"10.1016/j.acpath.2025.100177","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 2","pages":"Article 100177"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}