Academic Pathology最新文献_第2页

Graduated responsibility and competency-based education in pathology residency programs: a five-year semi-longitudinal landscape assessment on autonomy and supervision 病理学住院医师培训项目中的毕业责任和基于能力的教育：关于自主权和监督的五年半纵向景观评估

IF 1.2

Academic Pathology Pub Date : 2024-09-25 DOI: 10.1016/j.acpath.2024.100148

Douglas C. Miller MD, PhD , Cindy McCloskey MD , Gary Procop MD, MS , Scott Anderson MD , Melvin Limson PhD , W. Stephen Black-Schaffer MD, MA

引用次数: 0

A required medical student collaborative case presentation with a pathologist in the surgery clerkship 要求医科学生在外科实习中与病理学家进行合作病例展示

IF 1.2

Academic Pathology Pub Date : 2024-09-17 DOI: 10.1016/j.acpath.2024.100147

Abdallah Flaifel MD , Kristen M. Thomas MD , Syed T. Hoda MD , Leandra Krowsoski MD , Isabelle Le Leannec MD , Colleen Gillespie PhD , Margret S. Magid MD

{"title":"A required medical student collaborative case presentation with a pathologist in the surgery clerkship","authors":"Abdallah Flaifel MD , Kristen M. Thomas MD , Syed T. Hoda MD , Leandra Krowsoski MD , Isabelle Le Leannec MD , Colleen Gillespie PhD , 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}

引用次数: 0

Educational Case: Acetaminophen hepatotoxicity: Pathophysiology and evaluation of acute liver failure 教育案例：对乙酰氨基酚肝中毒：病理生理学和急性肝衰竭评估

IF 1.2

Academic Pathology Pub Date : 2024-09-09 DOI: 10.1016/j.acpath.2024.100146

Hunter L. Monroe BS, Tony El Jabbour MD

引用次数: 0

Educational Case: Compare and contrast osteomalacia and rickets with respect to pathogenesis and clinicopathologic features 教育案例：对比骨软化症和佝偻病的发病机制和临床病理特征

IF 1.2

Academic Pathology Pub Date : 2024-09-05 DOI: 10.1016/j.acpath.2024.100144

Sarah Bunker BA, Judy S. Blebea MD, Jyotsna Pandey MD, PhD

引用次数: 0

Development of a residents’ needs assessment-based novel pathology residency boot camp designed on the graduated release of responsibility model 开发基于住院医师需求评估的新型病理学住院医师新兵训练营，该训练营是根据责任分级解除模式设计的

IF 1.2

Academic Pathology Pub Date : 2024-07-01 DOI: 10.1016/j.acpath.2024.100145

Swati Bhardwaj MBBS, MD, Barbara Sampson MD, PhD

{"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, 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":"11 3","pages":"Article 100145"},"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}

引用次数: 0

Evaluating the utility and challenges associated with “unknown” and fictional patients in the electronic medical record 评估与电子病历中的 "未知 "和虚构病人有关的实用性和挑战

IF 1.2

Academic Pathology Pub Date : 2024-07-01 DOI: 10.1016/j.acpath.2024.100141

Kai J. Rogers MD, PhD, John Blau MD, Matthew D. Krasowski MD, PhD

{"title":"Evaluating the utility and challenges associated with “unknown” and fictional patients in the electronic medical record","authors":"Kai J. Rogers MD, PhD, John Blau MD, 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":"11 3","pages":"Article 100141"},"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}

引用次数: 0

Asking the PRIME questions for grossing: Teaching a framework for grossing and constructing gross descriptions using the PRIME model 提出毛估估的 PRIME 问题：使用 PRIME 模式教授毛图绘制和构建毛图描述的框架

IF 1.2

Academic Pathology Pub Date : 2024-07-01 DOI: 10.1016/j.acpath.2024.100143

Christopher C. Attaway MD MSc , Danielle Fortuna MD

{"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 , 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 < 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":"11 3","pages":"Article 100143"},"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}

引用次数: 0

Extending the gift—utilizing residual human anatomical materials for training Pathologists’ Assistants in surgical pathology techniques 扩展天赋--利用残留的人体解剖材料培训病理学家助理的手术病理技术

IF 1.2

Academic Pathology Pub Date : 2024-07-01 DOI: 10.1016/j.acpath.2024.100142

Kerwin M. Kolheffer MS, PA(ASCP)CM , Lauren Yoho MHS, PA(ASCP) , Matthew Myers MA , Ismail El Moudden PhD

引用次数: 0

Optimize Artificial Intelligence Language Model Use in Medical Board Exams: Insights from Instruction Quality and Domain Context Analysis 优化医学考试中人工智能语言模型的使用：从教学质量和领域语境分析中获得启示

IF 1.2

Academic Pathology Pub Date : 2024-04-01 DOI: 10.1016/j.acpath.2024.100138

Z. Qu MD, PhD *, M. Elzieny MBBCH, K. Arora MD

引用次数: 0

Resident Attitudes Towards Autopsy Education and TheAutopsyBook.com 住院医师对尸检教育和 TheAutopsyBook.com 的态度