Academic PathologyPub Date : 2024-04-01DOI: 10.1016/j.acpath.2024.100127
E.B. Lin MD, MS *, C.C. McCormick-Baw MD, PhD
{"title":"Encouraging Exploration of Pathology among High School, Undergraduate, and Medical Students","authors":"E.B. Lin MD, MS *, C.C. McCormick-Baw MD, PhD","doi":"10.1016/j.acpath.2024.100127","DOIUrl":"10.1016/j.acpath.2024.100127","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 2","pages":"Article 100127"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2374289524000216/pdfft?md5=097fe0882a3ffbccb7ea7ef1517460fc&pid=1-s2.0-S2374289524000216-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962345","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 : 2024-04-01DOI: 10.1016/j.acpath.2024.100119
Yavuz Selim Kıyak MD, PhD
{"title":"ChatGPT's ability or prompt quality: what determines the success of generating multiple-choice questions","authors":"Yavuz Selim Kıyak MD, PhD","doi":"10.1016/j.acpath.2024.100119","DOIUrl":"10.1016/j.acpath.2024.100119","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 2","pages":"Article 100119"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2374289524000137/pdfft?md5=cad3026e0bc6bb628f277f57d6538e3c&pid=1-s2.0-S2374289524000137-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137426","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 : 2024-04-01DOI: 10.1016/j.acpath.2024.100123
Corey S. Post MD, Sara E. Abbott MD, Madelyn Lew MD
{"title":"The “Pathology Passport”: a redesign of the pathology elective experience to enhance medical student engagement and understanding of pathology as a clinical practice","authors":"Corey S. Post MD, Sara E. Abbott MD, Madelyn Lew MD","doi":"10.1016/j.acpath.2024.100123","DOIUrl":"https://doi.org/10.1016/j.acpath.2024.100123","url":null,"abstract":"<div><p>Given the trend of condensed preclinical curricula in medical schools nationwide, creating meaningful pathology learning experiences within the clinical and post-clinical curricula is important to both enhance student understanding of how pathology integrates into daily healthcare delivery and spark potential career interest in the field. While pathology electives are a common modality for medical students to explore pathology, they frequently render students passive observers of daily clinical workflows (often in grossing and sign-out rooms of surgical pathology). This can have a negative impact on student engagement with their pathology clinical teams and on their satisfaction with the pathology elective experience. As such, we aim to describe our institutional experience in creating a new pathology elective structure, the “Pathology Passport,” which leverages intentional student engagement with existing pathology workflows and introduces a means of criterion-based grading. Data collected from student pre- and post-elective surveys demonstrate the elective's positive impact on students' perceived understanding of pathology and their overall learning experience. We hope that our resources can be leveraged at other institutions and even other non-pathology clerkship/elective rotations to promote active engagement of students in clinical workflows while providing clear expectations for grading.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 2","pages":"Article 100123"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2374289524000174/pdfft?md5=041ad3adbe0f2da800e6d1d856ca1810&pid=1-s2.0-S2374289524000174-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141073048","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 : 2024-03-27DOI: 10.1016/j.acpath.2024.100114
Cade Arries MD , Michael A. Linden MD, PhD
{"title":"Enhancing hematopathology peripheral blood smear education through asynchronous video material: A pilot report","authors":"Cade Arries MD , Michael A. Linden MD, PhD","doi":"10.1016/j.acpath.2024.100114","DOIUrl":"https://doi.org/10.1016/j.acpath.2024.100114","url":null,"abstract":"<div><p>This study explores the effectiveness of asynchronous video material as a supplementary educational tool for trainees in hematopathology. Traditional pedagogical methods often rely heavily on faculty involvement, potentially limiting the breadth of information trainees receive due to constraints in faculty time and the variety of cases covered in a limited time interval/rotation. Asynchronous video-based learning presents a potential solution to these challenges. This concept has been utilized effectively in various fields of medical education. In this study, we describe our implementation of an educational program utilizing asynchronous video material to supplement traditional learning methods for peripheral blood smear interpretation for learners on a hematopathology clerkship. Following a pre-test/post-test assessment with 13 trainees, we analyzed the correlation between video viewing percentage and changes in test scores. The results indicate an improvement in test scores following exposure to video content, supporting the positive impact of asynchronous video material on hematopathology education. Trainees had positive feedback regarding this new educational tool. This study suggests that such self-directed learning could enhance traditional teaching methods, ensuring broader and more consistent coverage of hematopathology concepts.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 2","pages":"Article 100114"},"PeriodicalIF":1.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2374289524000083/pdfft?md5=d313196eb4b6ce685a326c7b735fe06d&pid=1-s2.0-S2374289524000083-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296199","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 : 2024-03-25DOI: 10.1016/j.acpath.2024.100113
Thanaphong Phongpreecha PhD , Eloise Berson PhD , Lei Xue PhD , Sayane Shome PhD , Geetha Saarunya PhD , Jennifer Fralick BA , Bernardita Guridi Ruiz-Tagle MS , Andrew Foody MBA , Alexander L. Chin MD, MBA , Michael Lim MD , Rudolph Arthofer BS , Christopher Albini MBA , Kathleen Montine PhD , Ann K. Folkins MD , Christina S. Kong MD , Nima Aghaeepour PhD , Thomas Montine PhD , Alison Kerr RN, MSN
{"title":"Intra- and post-pandemic impact of the COVID-19 outbreak on Stanford Health Care","authors":"Thanaphong Phongpreecha PhD , Eloise Berson PhD , Lei Xue PhD , Sayane Shome PhD , Geetha Saarunya PhD , Jennifer Fralick BA , Bernardita Guridi Ruiz-Tagle MS , Andrew Foody MBA , Alexander L. Chin MD, MBA , Michael Lim MD , Rudolph Arthofer BS , Christopher Albini MBA , Kathleen Montine PhD , Ann K. Folkins MD , Christina S. Kong MD , Nima Aghaeepour PhD , Thomas Montine PhD , Alison Kerr RN, MSN","doi":"10.1016/j.acpath.2024.100113","DOIUrl":"https://doi.org/10.1016/j.acpath.2024.100113","url":null,"abstract":"<div><p>Stanford Health Care, which provides about 7% of overall healthcare to approximately 9 million people in the San Francisco Bay Area, has undergone significant changes due to the opening of a second hospital in late 2019 and, more importantly, the COVID-19 pandemic. We examine the impact of these events on anatomic pathology (AP) cases, aiming to enhance operational efficiency in response to evolving healthcare demands. We extracted historical census, admission, lab tests, operation, and AP data since 2015. An approximately 45% increase in the volume of laboratory tests (P < 0.0001) and a 17% increase in AP cases (P < 0.0001) occurred post-pandemic. These increases were associated with progressively increasing (P < 0.0001) hospital census. Census increase stemmed from higher admission through the emergency department (ED), and longer lengths of stay mostly for transfer patients, likely due to the greater capability of the new ED and changes in regional and local practice patterns post-pandemic. Higher census led to overcapacity, which has an inverted U relationship that peaked at 103% capacity for AP cases and 114% capacity for laboratory tests. Overcapacity led to a lower capability to perform clinical activities, particularly those related to surgical procedures. We conclude by suggesting parameters for optimal operations in the post-pandemic era.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 2","pages":"Article 100113"},"PeriodicalIF":1.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2374289524000071/pdfft?md5=0429d76278827623068d02cb4e369cc1&pid=1-s2.0-S2374289524000071-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140290984","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 : 2024-03-22DOI: 10.1016/j.acpath.2024.100116
Gary W. Procop MD, MS, MEd, Tyler J. Sandersfeld PhD, Mario Levesque MSEE, Ty McCarthy MSS, Bonnie Woodworth BA, Steven H. Swerdlow MD
{"title":"When to take the primary certification examination: sooner or later?","authors":"Gary W. Procop MD, MS, MEd, Tyler J. Sandersfeld PhD, Mario Levesque MSEE, Ty McCarthy MSS, Bonnie Woodworth BA, Steven H. Swerdlow MD","doi":"10.1016/j.acpath.2024.100116","DOIUrl":"https://doi.org/10.1016/j.acpath.2024.100116","url":null,"abstract":"<div><p>Most Pathology residents take the Anatomic Pathology and/or Clinical Pathology primary pathology certification examination(s) near the end of their final year of training (i.e., Spring), whereas some postpone the examination(s) to the Fall administration of that year or even later. We compared the Spring and Fall administration pass rates of initial primary certification candidates for those who graduated in the same year they took the examination. We also compared the pass rates of same-year graduates with individuals who postponed the examination for a year or more. We also surveyed the candidates regarding the reasons they chose the Spring or Fall administration. Candidates who chose the earlier (i.e., Spring) administration were more likely to pass compared with those who took the later Fall administration (p = 0.0026 for Anatomic Pathology; p = 0.0004 for Clinical Pathology). Delaying the certifying exams beyond the calendar year of residency graduation was associated with a higher failure rate (p < 0.0001 for both Anatomic and Clinical Pathology). The survey results suggest that residents often take their certification examinations earlier to not interfere with fellowship training, because it coincides with the completion of residency training, or it is expected by their program. Pathology residents are more likely to pass the primary certification examinations when they are taken closer to the end of training, rather than postponing it to a later administration. Pathology residency program directors should encourage residents, who are deemed ready, to take their certification examinations at the earliest possible administration.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 2","pages":"Article 100116"},"PeriodicalIF":1.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2374289524000101/pdfft?md5=41a1b1cd251c9856a8c2fe5b917b63b5&pid=1-s2.0-S2374289524000101-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140187225","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 : 2024-03-21DOI: 10.1016/j.acpath.2024.100111
Bronwyn H. Bryant MD , Scott R. Anderson MD , Mark Brissette MD , John M. Childs MD , Dita Gratzinger MD, PhD , Kristen Johnson PhD , Deborah E. Powell MD , Suzanne Zein-Eldin Powell MD , Charles F. Timmons MD, PhD , Cindy B. McCloskey MD
{"title":"Leveraging faculty development to support validation of entrustable professional activities assessment tools in anatomic and clinical pathology training","authors":"Bronwyn H. Bryant MD , Scott R. Anderson MD , Mark Brissette MD , John M. Childs MD , Dita Gratzinger MD, PhD , Kristen Johnson PhD , Deborah E. Powell MD , Suzanne Zein-Eldin Powell MD , Charles F. Timmons MD, PhD , Cindy B. McCloskey MD","doi":"10.1016/j.acpath.2024.100111","DOIUrl":"https://doi.org/10.1016/j.acpath.2024.100111","url":null,"abstract":"<div><p>Entrustable professional activities (EPAs) are observable activities that define the practice of medicine and provide a framework of evaluation that has been incorporated into US medical school curricula in both undergraduate and graduate medical education. This manuscript describes the development of an entrustment scale and formative and summative evaluations for pathology EPAs, outlines a process for faculty development that was employed in a pilot study implementing two Anatomic Pathology and two Clinical Pathology EPAs in volunteer pathology residency programs, and provides initial validation data for the proposed pathology entrustment scales. Prior to implementation, faculty development was necessary to train faculty on the entrustment scale for each given activity. A “train the trainer” model used performance dimension training and frame of reference training to train key faculty at each institution. The session utilized vignettes to practice determination of entrustment ratings and development of feedback for trainees as to strengths and weaknesses in the performance of these activities. Validity of the entrustment scale is discussed using the Messick framework, based on concepts of content, response process, and internal structure. This model of entrustment scales, formative and summative assessments, and faculty development can be utilized for any pathology EPA and provides a roadmap for programs to design and implement EPA assessments into pathology residency training.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"11 2","pages":"Article 100111"},"PeriodicalIF":1.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2374289524000058/pdfft?md5=62ad6ba94c9775453d2b0cd417af828d&pid=1-s2.0-S2374289524000058-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140187227","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}