Academic PathologyPub Date : 2025-04-01DOI: 10.1016/j.acpath.2025.100170
Kelly Ernst MD, Christine Heisen MD, Minami A. Tokuyama MD, Krishna L. Bharani MD, PhD
{"title":"Making housestaff feel at home: impact of workspace interventions on anatomic pathology trainee wellness","authors":"Kelly Ernst MD, Christine Heisen MD, Minami A. Tokuyama MD, Krishna L. Bharani MD, PhD","doi":"10.1016/j.acpath.2025.100170","DOIUrl":"10.1016/j.acpath.2025.100170","url":null,"abstract":"<div><div>To improve trainee well-being in a healthcare setting, we implemented changes shown to significantly improve employee well-being in corporate settings in an anatomic pathology (AP) trainee workspace at one large academic program and measured changes in trainee stress and well-being. An IRB-approved survey was distributed to trainees before and after implementation of workspace modifications, which included deep cleaning of the physical space, making storage space for personal items, improving access to perishable and nonperishable foods, arranging equipment to facilitate ergonomic use, and providing real and artificial visuals of nature. The survey incorporated evidence-based scales including the Ambient Belonging Scale (ABS), the five-item WHO-5 Well-Being Index, the five-item modified Spielberger State and Trait Anxiety Scales, and the Growth Mindset Scale. Pre-intervention (n = 21) and post-intervention (n = 18) participants had scores consistent with a growth mindset, no significant anxiety state or trait, and above average sense of well-being. Compared with pre-intervention survey results, post-intervention AP residents who actively worked in the space had a significantly increased sense of belonging. Free-text feedback indicated that our efforts to improve the environment and to increase access to food positively impacted their well-being as AP trainees. We show that workspace interventions implemented at our institution significantly increased a sense of belonging for our trainees independent of their growth mindset, anxiety state or trait, and sense of well-being, which was high pre- and post-intervention. These simple and cost-effective workspace interventions can be implemented broadly to create a more supportive, inclusive environment for pathology trainees.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 2","pages":"Article 100170"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792569","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}
Academic PathologyPub Date : 2025-01-01DOI: 10.1016/j.acpath.2024.100158
Asli Azemi MD , Carlos Parra-Herran MD
{"title":"International medical graduates representation in pathology academic workforce, departmental leadership and society leadership","authors":"Asli Azemi MD , Carlos Parra-Herran MD","doi":"10.1016/j.acpath.2024.100158","DOIUrl":"10.1016/j.acpath.2024.100158","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100158"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","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}
Academic PathologyPub Date : 2025-01-01DOI: 10.1016/j.acpath.2025.100162
Kripa Ahuja MS , Richard M. Conran MD, PhD, JD
{"title":"Educational Case: Disseminated intravascular coagulation in a patient with cancer","authors":"Kripa Ahuja MS , Richard M. Conran MD, PhD, JD","doi":"10.1016/j.acpath.2025.100162","DOIUrl":"10.1016/j.acpath.2025.100162","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100162"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421156","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}
Academic PathologyPub Date : 2025-01-01DOI: 10.1016/j.acpath.2025.100163
Steven Gamss FTLD , Menachem M. Gurevitz DO , Daniel Miller DO , Yonah C. Ziemba MD
{"title":"Educational Case: Aortic valve stenosis","authors":"Steven Gamss FTLD , Menachem M. Gurevitz DO , Daniel Miller DO , Yonah C. Ziemba MD","doi":"10.1016/j.acpath.2025.100163","DOIUrl":"10.1016/j.acpath.2025.100163","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100163"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550426","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}
Academic PathologyPub Date : 2025-01-01DOI: 10.1016/j.acpath.2025.100168
Liana Haven MD, MPH, Susan J. Roe MD
{"title":"Educational Case: Ectopic pregnancy and its relation to pelvic infections","authors":"Liana Haven MD, MPH, Susan J. Roe MD","doi":"10.1016/j.acpath.2025.100168","DOIUrl":"10.1016/j.acpath.2025.100168","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100168"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421155","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}
Academic PathologyPub Date : 2025-01-01DOI: 10.1016/j.acpath.2025.100166
Harry Gaffney MD , Kamran M. Mirza MD, PhD
{"title":"Pathology in the artificial intelligence era: Guiding innovation and implementation to preserve human insight","authors":"Harry Gaffney MD , Kamran M. Mirza MD, PhD","doi":"10.1016/j.acpath.2025.100166","DOIUrl":"10.1016/j.acpath.2025.100166","url":null,"abstract":"<div><div>The integration of artificial intelligence in pathology has ignited discussions about the role of technology in diagnostics—whether artificial intelligence serves as a tool for augmentation or risks replacing human expertise. This manuscript explores artificial intelligence's evolving contributions to pathology, emphasizing its potential capacity to enhance, rather than eclipse, the pathologist's role. Through historical comparisons, such as the transition from analog to digital in radiology, this paper highlights how technological advancements have historically expanded professional capabilities without diminishing the essential human element. Current applications of artificial intelligence in pathology—from diagnostic standardization to workflow efficiency—demonstrate its potential to augment diagnostic accuracy, expedite processes, and improve consistency across institutions. However, challenges remain in algorithmic bias, regulatory oversight, and maintaining interpretive skills among pathologists. The discussion underscores the importance of comprehensive governance frameworks, evolving educational curricula, and public engagement initiatives to ensure artificial intelligence in pathology remains a collaborative endeavor that empowers professionals, upholds ethical standards, and enhances patient outcomes. This manuscript ultimately advocates for a balanced approach where artificial intelligence and human expertise work in concert to advance the future of diagnostic medicine.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100166"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510258","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}
Academic PathologyPub Date : 2025-01-01DOI: 10.1016/j.acpath.2024.100157
Meredith Herman DO , Casey Schukow DO , Alexandra Tatarian MD , Ziad M. El-Zaatari MD , Gloria Hopkins Sura MD , Marilyn M. Bui MD, PhD, FCAP
{"title":"#PathArt: from glass slide to canvas; with a mission of enlightening the burdens of life","authors":"Meredith Herman DO , Casey Schukow DO , Alexandra Tatarian MD , Ziad M. El-Zaatari MD , Gloria Hopkins Sura MD , Marilyn M. Bui MD, PhD, FCAP","doi":"10.1016/j.acpath.2024.100157","DOIUrl":"10.1016/j.acpath.2024.100157","url":null,"abstract":"<div><div>Pathology requires visual aptitude, pattern, and color recognition as a medical specialty. This can account for the growing PathArt (or #PathArt via social media, or SoMe) movement. For the purpose of this review, the authors define PathArt as any form of art inspired by pathology topics, such as microscopic images (i.e. surgical histology, cytology, hematology, immunohistochemistry), gross pathology, and clinical pathology (including molecular/genetics). Pathologists are well-versed in the use of hashtags and commonly utilize them to tag relevant medical topics to share with colleagues through online platforms, such as Twitter (renamed X in 2023). As the professional laboratory network has expanded virtually, artists within the community have emerged and shared numerous pathology artworks. However, displaying pathology as “beautiful” art pieces gives rise to concerns over portraying cancer light-heartedly given the humanity of disease. For this review, we discuss the history of art and medicine, pathology as a visual and creative specialty, explore the conceptual framework of the hashtag #PathArt is associated with sharing pathology-related art on SoMe, and address the psychological and medico-legal implications that surround PathArt. This article is intended to provide a guide to fostering PathArt and #PathArt in an ethical and positive manner. References were obtained via qualitative review of non-peer-reviewed and peer-reviewed literature pertinent to this topic.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 1","pages":"Article 100157"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171189","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}