Academic PathologyPub Date : 2025-04-01DOI: 10.1016/j.acpath.2025.100173
A.F. Schurr DO , V.M. Quann DO , A. Gomez MD, A. Martinez-Mencia MD, J. Guarente MD, A. Goldberg MD
{"title":"Bacterial contamination of multiple platelet units at a university hospital-affiliated blood donation center in Philadelphia, PA: A quality improvement project","authors":"A.F. Schurr DO , V.M. Quann DO , A. Gomez MD, A. Martinez-Mencia MD, J. Guarente MD, A. Goldberg MD","doi":"10.1016/j.acpath.2025.100173","DOIUrl":"10.1016/j.acpath.2025.100173","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 2","pages":"Article 100173"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230978","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.2025.100170
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 : 2025-04-01DOI: 10.1016/j.acpath.2025.100178
Priya Upadhyay MBBS, PhD , Terri E. Jones MD , Kamran M. Mirza MD, PhD , Oscar F. Lopez-Nunez MD , Meredith Herman DO , Yasamin Mirzabeigi MD , Tiarra Price DO , Fahad Alam MD , Swikrity U. Baskota MD
{"title":"Pathology observerships and externships for international medical graduates: Insights from a MatchToPath.com survey","authors":"Priya Upadhyay MBBS, PhD , Terri E. Jones MD , Kamran M. Mirza MD, PhD , Oscar F. Lopez-Nunez MD , Meredith Herman DO , Yasamin Mirzabeigi MD , Tiarra Price DO , Fahad Alam MD , Swikrity U. Baskota MD","doi":"10.1016/j.acpath.2025.100178","DOIUrl":"10.1016/j.acpath.2025.100178","url":null,"abstract":"<div><div>Observerships and externships (OE) provide international medical graduates (IMGs) with essential clinical experience in the US, helping them acclimate to the medical system and strengthen their residency applications. However, OE are limited in the US and can be challenging for IMGs to arrange. Despite being a crucial component of the residency application process for IMGs, arranging OEs can be a significant stressor due to limited financial resources and a lack of connections with pathologists in the US. To date, there is limited literature on this topic. This study aims to evaluate current trends of OE in pathology for IMGs and offers suggestions to improve access to these opportunities within the physician workforce. The study was conducted using survey tools that included a Google Form shared from 6/2023 to 5/2024 on social media platforms associated with MatchToPath.com. The survey collected respondents’ ages, country of citizenship, medical school graduation year, number of application attempts, match success rates, number of OEs completed and their duration, expenses incurred, and overall experiences and challenges. A total of 128 applicants completed the survey where pathology was the primary specialty of choice for 79 % of respondents. Major obstacles for OEs included high costs and limited availability of positions. The study finds an urgent need for a standardized process with clear regulations governing expenses to prevent unreasonable pricing among OE providers. It also emphasizes the importance of creating a widely accessible database containing comprehensive information about OE opportunities for IMGs interested in pursuing pathology training in the US.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 2","pages":"Article 100178"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084636","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.2025.100179
Meagan Chambers MD, MS, MSc , Jody E. Hooper MD , Alex K. Williamson MD
{"title":"Never let a good crisis go to waste: Decreased autopsy exposure necessitates TheAutopsyBook.com, a novel educational resource","authors":"Meagan Chambers MD, MS, MSc , Jody E. Hooper MD , Alex K. Williamson MD","doi":"10.1016/j.acpath.2025.100179","DOIUrl":"10.1016/j.acpath.2025.100179","url":null,"abstract":"<div><div>The American Board of Pathology decreased the number of autopsies pathology residents must complete before board examinations from 50 to 30, despite recommendations from the Association of Pathology Chairs' Autopsy Working Group to the contrary. We present findings from a survey of pathology trainees who will begin independent practice under this criterion. The survey was composed of Likert and free-text questions. An invitation to complete the survey was disseminated on two autopsy-related national listservs, and 85 United States–based trainees responded. Respondents felt autopsy rotations had high educational value (64% of respondents) and that significant learning is required to perform a high-quality autopsy (74% of respondents). Approximately half of trainees (54%) feel prepared to independently perform autopsies after completing 30 procedures during residency. Only 36% of trainees felt that the existing educational resources were sufficient to learn autopsy pathology. In the survey's free-text questions, trainees identified attendings' attitude toward autopsy, rotation structure, and a lack of study resources as major barriers to learning autopsy pathology. The feedback on educational resources has informed the creation of <span><span>TheAutopsyBook.com</span><svg><path></path></svg></span>: a case-based, online, freely accessible learning resource for medical autopsy which affords residents access to efficient, high-yield information. The website content is vetted by a diverse group of leading autopsy educators and should be shared widely by program directors and educators to help bridge identified educational gaps.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"12 2","pages":"Article 100179"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069993","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 : 2025-01-01DOI: 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.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}