Academic Pathology最新文献

{"title":"The role of web-based platforms as a novel approach to addressing access to pathology education: The PathElective.com experience","authors":"Cullen M. Lilley MD, MS, MA ,&nbsp;Azmer Khan BSc ,&nbsp;Anaisa S. Quintanilla-Arteaga MD, MS ,&nbsp;Brian K. Cox MD, MAS ,&nbsp;Alisha D. Ware MD ,&nbsp;Marissa J. White MD ,&nbsp;Kamran M. Mirza MD, PhD","doi":"10.1016/j.acpath.2025.100235","DOIUrl":"10.1016/j.acpath.2025.100235","url":null,"abstract":"<div><div>PathElective.com was created as a free, virtual, and modular pathology education platform in response to educational disruptions during the coronavirus disease pandemic. Since its launch, it has become a widely used resource across educational levels and geographic regions. This study aims to explore the extent to which PathElective has expanded access to pathology education<strong>.</strong> To accomplish this goal, a voluntary, anonymous, one-submission-per-user survey was distributed to PathElective users to gather self-reported demographic information, usage patterns, and perceptions of the platform's accessibility and educational value. Survey responses (n = 1003) demonstrated a broad range of geographic, ethnic, and professional identities among users. The most represented groups were White (23%), Indian (18%), and African (9%). Users ranged in age from less than 18 to greater than 80, with the majority being 25–50 years old. Most identified as female (62%), and 18% identified with a sexual orientation other than straight. Nearly one-quarter of respondents reported challenges accessing reliable internet, and less than half grew up in English-speaking households. Despite this, 76% agreed that PathElective was more accessible than other educational resources, and 72% felt it filled a previously unmet educational need. A significant positive correlation was found between the length of time using the platform and agreement that it met an unmet educational need. <span><span>PathElective.com</span><svg><path></path></svg></span> offers promise regarding improved access to curated pathology education for trainees around the world. Its free, virtual format supports learners across a range of backgrounds and training levels, positioning it as a valuable tool for scalable pathology education.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"13 1","pages":"Article 100235"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146023077","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}

{"title":"Joining the National Resident Matching Program Fellowship Match: the hematopathology experience","authors":"Elizabeth L. Courville MD ,&nbsp;Robert Seifert MD ,&nbsp;Sam Sadigh MD ,&nbsp;Xueyan Chen MD, PhD ,&nbsp;Jeanette L. Calli MS ,&nbsp;Robert Hasserjian MD ,&nbsp;Alexa J. Siddon MD","doi":"10.1016/j.acpath.2025.100230","DOIUrl":"10.1016/j.acpath.2025.100230","url":null,"abstract":"<div><div>Hematopathology fellowships are a critical subspecialty within the field of pathology, and with a progressively earlier and earlier fellowship interview timeline, hematopathology decided to join the Pathology Fellowship Match in 2025. The pros and cons of participating in the National Resident Matching Program Match were evaluated, and ultimately it was decided to be undertaken. The National Resident Matching Program requires that 75% of programs and fellowship positions should be entered in order to sponsor the Match. The Society for Hematopathology Education Committee lead the process to recruit hematopathology fellowships into the Match, initiating a survey to assess initial interest, creating a listserv for program director questions, and maintaining a website with programs that ultimately decided to participate. The initial survey results showed that 79% of hematopathology program directors responded “yes” or “maybe” to whether they would participate in a formal Match. The Society for Hematopathology Education Committee then proceeded with a memorandum of understanding to show commitment to the Match. Multiple efforts to disseminate information followed, including informational webinars, social media outreach, and emails to program directors. Ultimately 83% of hematopathology fellowships participated in the 2025 Match, with 85% of positions filling, and 94.7% of hematopathology applicants matching. A follow-up program director survey showed that 98% of respondents planned to participate in the 2026 Match. This feedback solidifies that the Pathology Fellowship Match has shown mutual benefit for programs and applicants.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"13 1","pages":"Article 100230"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737719","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}

{"title":"Educational Case: Mesothelioma","authors":"Kassaye Firde MD ,&nbsp;Deborah J. Chute MD","doi":"10.1016/j.acpath.2025.100239","DOIUrl":"10.1016/j.acpath.2025.100239","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"13 1","pages":"Article 100239"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173112","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}

{"title":"Educational Case: Thallium poisoning","authors":"Olivia C. Iverson MD ,&nbsp;Theresa N. Kinard MD ,&nbsp;Christine L.H. Snozek PhD","doi":"10.1016/j.acpath.2025.100237","DOIUrl":"10.1016/j.acpath.2025.100237","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"13 1","pages":"Article 100237"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146023080","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}

{"title":"Free for all: Exploring next of kin consent for autopsy","authors":"Meagan Chambers MD MS MSc ,&nbsp;Shera Wanner BS ,&nbsp;Charlie M. Sawyer BA ,&nbsp;Nicole R. Jackson MD MPH","doi":"10.1016/j.acpath.2025.100238","DOIUrl":"10.1016/j.acpath.2025.100238","url":null,"abstract":"<div><div>Autopsy provides critical benefits for patients, families, healthcare systems, and communities by confirming diagnoses, identifying unexpected findings, and improving medical knowledge. Less is known, however, about how autopsy consent is distributed across demographic groups when access barriers are minimized. This study evaluates the socioeconomic trends of autopsy utilization among various race, sex, income, and primary language groups at a large academic institution. A retrospective review of all in-hospital deaths and autopsies was completed for cases from 2018 to 2022. Frequencies of autopsies for race, economic status, sex, and English as a first language were compared to frequencies of in-hospital deaths for these same variables. Of 4626 deaths, 821 autopsies were performed that met the inclusion criteria (a 17.7% autopsy consent rate). Most autopsies were performed on men (n = 489, 59.6%), White (n = 568, 69.2%), non-Hispanic patients (n = 644, 78.4%), and living in-state residents (n = 703, 85.6%). Women, Asians, and nonnative English speakers were less likely to be autopsied; only 5% of autopsies were done for decedents with English as a second language (<em>P</em>&lt;0.00001). At an institution with a universal consent policy wherein families are always offered an autopsy at no charge, there was evidence of different utilization rates by sex and first language but not by most racial or ethnic groups. These findings highlight patterns of autopsy utilization in a setting where families are universally offered the procedure at no cost, underscoring differences in consent decisions rather than access.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"13 1","pages":"Article 100238"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146023078","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}

{"title":"Educational Case: Rosai–Dorfman disease mimicking metastatic carcinoma","authors":"Max Rogers MD ,&nbsp;David T. Danielson MD ,&nbsp;Ian Lagerstrom MD ,&nbsp;Aaron Auerbach MD, MPH","doi":"10.1016/j.acpath.2025.100233","DOIUrl":"10.1016/j.acpath.2025.100233","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"13 1","pages":"Article 100233"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884093","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}

{"title":"Easing the transition into pathology residency: four years of experience implementing and optimizing an integrated anatomic pathology onboarding course tied to core ACGME competencies","authors":"Dijana Poljak MD ,&nbsp;Bronwyn Bryant MD ,&nbsp;Bei Zhang MD, PhD ,&nbsp;Agnes Balla MD, MHS","doi":"10.1016/j.acpath.2025.100231","DOIUrl":"10.1016/j.acpath.2025.100231","url":null,"abstract":"<div><div>Exposure to the field of Anatomic Pathology continues to be minimal during the medical school years. With the increasing depth of medical knowledge and the diversity of tests performed in the laboratory, incoming residents are often underprepared to fulfill the common clinical and professional responsibilities required by residency. Initially, a course with 16 sessions and later expanded to 24 sessions was designed for incoming pathology trainees spanning from July to August (2021–2024). After feedback from the first year, several sessions were modified and improved including expansion of content on how to dictate reports, populate College of American Pathologists (CAP) cancer synoptic reports, and how to build and use quick texts to increase efficiency. In the most recent iteration of the course, the new Histology Primer series developed by the American Board of Pathology was incorporated. To make this course sustainable in future years and to encourage peer teaching, senior residents were involved in teaching the expanded course content in the second year of this series. Learners completed pre- and post-course objective assessments and a separate course evaluation. The course content was aligned to address 20 of 21 milestones (Version 2) within all 6 Accreditation Council for Graduate Medical Education (ACGME) competencies.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"13 1","pages":"Article 100231"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884094","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}

{"title":"Pathology exposure in Spanish medical schools: a review of forty-one institutions with insights into pathology curriculum for an international approach","authors":"Francisco Reyes-Albaladejo MD ,&nbsp;Meredith K. Herman DO ,&nbsp;Sara del Río-Ortega MD ,&nbsp;Eduardo Alcaraz-Mateos MD, PhD ,&nbsp;Kamran Mirza MD, PhD ,&nbsp;Luca Cima MD","doi":"10.1016/j.acpath.2025.100228","DOIUrl":"10.1016/j.acpath.2025.100228","url":null,"abstract":"<div><div>Pathology plays a vital role in connecting basic science with clinical medicine, yet it remains a lesser-emphasized specialty in Spanish medical education. This study researched all 41 accredited medical schools in Spain to assess how students are exposed to pathology. Findings revealed considerable variability in the presence and structure of pathology education. Only 41.5 % of the institutions had dedicated pathology departments, though nearly all included histology or anatomic pathology with an average instruction span of one academic year each. Public medical schools generally offered more exposure to pathology than private ones. However, elective opportunities focused on pathology were scarce, and only a small proportion of institutions provided international experiences in the United States. These limitations in exposure, elective options, and global collaboration may contribute to the specialty's low ranking among students selecting residency training programs in Spain. The results highlight the need for greater standardization across curricula and suggest that expanding elective courses, integrating digital pathology tools, and fostering international partnerships could significantly enhance student engagement and interest in pursuing pathology as a career.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"13 1","pages":"Article 100228"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624939","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}

{"title":"Whole slide imaging in medical education: A comparative study of learning experience and engagement using cognitive diagnostic modeling","authors":"Mariam Khacheishvili MD, PhD ,&nbsp;Alexi Baidoshvili MD, PhD ,&nbsp;Nino Tabagari MD, PhD","doi":"10.1016/j.acpath.2025.100232","DOIUrl":"10.1016/j.acpath.2025.100232","url":null,"abstract":"<div><div>Whole slide imaging (WSI) is widely used in clinical and postgraduate pathology training, yet its role in undergraduate medical education remains underexplored—particularly in relation to student engagement, cognitive load, and instructional effectiveness. This study compared whole slide image-based instruction to traditional microphotograph-based methods in UME, focusing on satisfaction, cognitive load, and engagement. A novel approach combining subjective measures and objective behavioral analysis with cognitive diagnostic modeling was applied. A within-subject, mixed-methods design was employed with 51 medical students (2nd–4th year) from two universities. All students participated in both whole slide image and conventional sessions. Data included pre/post questionnaires, satisfaction surveys, cognitive load scales, and video-based engagement analysis. Eight engagement criteria (four cognitive, four behavioral) were objectively coded. The Generalized DINA model in RStudio assessed attribute mastery and item-level performance. WSI instruction improved student perceptions, especially among less experienced learners, with the strongest gains in international 2nd-year students. Satisfaction was high for WSI, particularly in usability and diagnostic clarity. The 4th-year group, while still positive, offered more critical feedback. WSI sessions significantly reduced intrinsic and extraneous cognitive load, supporting more efficient learning. The GDINA modeling showed higher attribute mastery in WSI sessions (87 %–95 %) compared to conventional (68 %–80 %). Discrimination indices exceeded 0.40 for all items, with highest values for active engagement and posture. Model fit and classification accuracy (98.79 %) supported reliability. Whole slide images enhance undergraduate pathology learning by increasing satisfaction, reducing cognitive load, and promoting engagement. Cognitive diagnostic modeling provides a robust framework for evaluating educational interventions.</div></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"13 1","pages":"Article 100232"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884096","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}

{"title":"Educational Case: Atypical presentation of primary hyperparathyroidism with brown tumor","authors":"Ariel Flotte MD ,&nbsp;Jonathan Light MD, MS ,&nbsp;Harrison Klause MD ,&nbsp;Richard M. Conran MD, PhD, JD","doi":"10.1016/j.acpath.2025.100240","DOIUrl":"10.1016/j.acpath.2025.100240","url":null,"abstract":"","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"13 1","pages":"Article 100240"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173111","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}