Academic Pathology最新文献_第9页

Educational Case: Endometrial ectopia in endometriosis and adenomyosis 教育案例:子宫内膜异位症和子宫腺肌症的子宫内膜异位

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Academic Pathology Pub Date : 2023-07-01 DOI: 10.1016/j.acpath.2023.100092

Carolyn G. Chen MD, PhD, Joanna S.Y. Chan MD

引用次数: 0

Educational Case: Serous endometrial intraepithelial carcinoma and endometrial cancer 教育案例:浆液性子宫内膜上皮内癌和子宫内膜癌

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Academic Pathology Pub Date : 2023-04-01 DOI: 10.1016/j.acpath.2023.100077

Carl T. McGary MD, PhD, Rodney Boyum MD, PhD

引用次数: 0

The next phase in patient safety education: Towards a standardized, tools-based pathology patient safety curriculum 患者安全教育的下一阶段:朝着标准化的、基于工具的病理学患者安全课程发展

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Academic Pathology Pub Date : 2023-04-01 DOI: 10.1016/j.acpath.2023.100081

Cynthia K. Harris MD , Yigu Chen MPH, PMP , Erin L. Alston MD , Ali Brown MD, FASCP , Devon Chabot-Richards MD , Suzanne M. Dintzis MD, PhD , Mark L. Graber MD, FACP , Ronald Jackups Jr. MD, PhD , Lesley C. Lomo MD , Jennifer Laudadio MD, FACP , Priscilla S. Markwood , Kaitlyn J. Nielson MD , Von Samedi MD, PhD , Barbara Sampson MD, PhD , Richard L. Haspel MD, PhD , Nadeem Zafar MD , Kathleen T. Montone MD , John Childs MD , Kristie L. White MD, MAEd , Yael K. Heher MD, MPH, FRCP(C)

{"title":"The next phase in patient safety education: Towards a standardized, tools-based pathology patient safety curriculum","authors":"Cynthia K. Harris MD , Yigu Chen MPH, PMP , Erin L. Alston MD , Ali Brown MD, FASCP , Devon Chabot-Richards MD , Suzanne M. Dintzis MD, PhD , Mark L. Graber MD, FACP , Ronald Jackups Jr. MD, PhD , Lesley C. Lomo MD , Jennifer Laudadio MD, FACP , Priscilla S. Markwood , Kaitlyn J. Nielson MD , Von Samedi MD, PhD , Barbara Sampson MD, PhD , Richard L. Haspel MD, PhD , Nadeem Zafar MD , Kathleen T. Montone MD , John Childs MD , Kristie L. White MD, MAEd , Yael K. Heher MD, MPH, FRCP(C)","doi":"10.1016/j.acpath.2023.100081","DOIUrl":"https://doi.org/10.1016/j.acpath.2023.100081","url":null,"abstract":"<div><p>Patient safety education is a mandated Common Program Requirement of the Accreditation Council for Graduate Medical Education and for the Royal College of Physicians and Surgeons of Canada in all medical residency and fellowship programs. Although many hospitals and healthcare environments have general patient safety education tools for trainees, few to none focus on the unique training milieu of pathologists, including a mix of highly automated and manual error-prone processes, frequent multiplicity of events, and lack of direct patient relationships for error disclosure. We established a national Association of Pathology Chairs-Program Directors Section Workgroup focused on patient safety education for pathology trainees entitled Training Residents in Patient Safety (TRIPS). TRIPS included diverse representatives from across the United States, as well as representatives from pathology organizations including the American Board of Pathology, the American Society for Clinical Pathology, the United States and Canadian Academy of Pathology, the College of American Pathologists, and the Society to Improve Diagnosis in Medicine. Objectives of the workgroup included developing a standardized patient safety curriculum, designing teaching and assessment tools, and refining them with pilot sites. Here we report the establishment of TRIPS as well as data from national needs assessment of Program Directors across the country, who confirmed the need for a standardized patient safety curriculum.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"10 2","pages":"Article 100081"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49731726","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}

引用次数: 0

Educational Case: Cartilaginous tumors of bone 教育案例:骨软骨肿瘤

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Academic Pathology Pub Date : 2023-04-01 DOI: 10.1016/j.acpath.2023.100070

Georgia Dau BS , Issac McCool MD , Lynette Parker MD , Barbara Knollmann-Ritschel MD

引用次数: 0

Educational Case: Cutaneous infections of the skin 教育案例:皮肤感染

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Academic Pathology Pub Date : 2023-04-01 DOI: 10.1016/j.acpath.2023.100072

Olivia J. Leung MD , Samuel L. Grindstaff MD, Barbara E. Knollmann-Ritschel MD

引用次数: 0

Educational Case: Ovarian neoplasms: A series of educational cases to review malignancies of epithelial, stromal, and germ cell origin 教育案例:卵巢肿瘤:一系列教育案例回顾上皮、间质和生殖细胞来源的恶性肿瘤

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Academic Pathology Pub Date : 2023-04-01 DOI: 10.1016/j.acpath.2023.100080

Jordyn B. Tumas MD , Joanna Chan MD

引用次数: 0

Evaluating the impact of pass/fail United States Medical Licensing Examination Step 1 scoring on pathology residency selection 评估通过/不通过美国医疗执照考试第1步评分对病理学住院医师选择的影响

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Academic Pathology Pub Date : 2023-04-01 DOI: 10.1016/j.acpath.2023.100083

Ayaka Fujihashi BS , Lydia C. Yang BS , William Haynes BS , Om U. Patel BS , Kaitlin Burge BA , Ishant Yadav BS , Nicholas Van Wagoner MD, PhD , Brandi McCleskey MD

{"title":"Evaluating the impact of pass/fail United States Medical Licensing Examination Step 1 scoring on pathology residency selection","authors":"Ayaka Fujihashi BS , Lydia C. Yang BS , William Haynes BS , Om U. Patel BS , Kaitlin Burge BA , Ishant Yadav BS , Nicholas Van Wagoner MD, PhD , Brandi McCleskey MD","doi":"10.1016/j.acpath.2023.100083","DOIUrl":"10.1016/j.acpath.2023.100083","url":null,"abstract":"<div><p>Beginning 26 January 2022, the United States Medical Licensing Examination Step 1 changed from a numerical score to Pass/Fail. Historically, residency programs have used Step 1 scores as a valuable metric in assessing the competitiveness of applicants. We assessed how residency program criteria will change when evaluating applicants after Step 1 becomes Pass/Fail. A survey was distributed to the program directors of all 144 pathology residency programs accredited by Accreditation Council for Graduate Medical Education. Survey questions evaluated the importance of using Step 1 and Step 2 Clinical Knowledge (CK) scores when assessing applicants. Participants were asked to rank a list of applicant criteria used before and after Step 1 becomes Pass/Fail. Data were analyzed using chi-squared and paired <em>t</em>-tests with significance at <em>P</em> < 0.05. A total of 34 residency program directors (23.6%) responded to the survey. 76.5% (<em>P</em>< 0.001) of responders believed Step 1 scores were able to predict a resident's ability to pass their board exams, while 41.2% believed Step 2 CK could predict a resident's ability to pass board exams and perform clinically in pathology (<em>P</em> = 0.282). 61.8% of responders agreed that an applicant's medical school ranking would become more important (<em>P</em> = 0.001). There were no significant differences in the relative importance of 16 selection criteria after the change of Step 1 to Pass/Fail. It does not appear that Step 2 CK will become more important. Although results are constrained by a 23.6% response rate, it can be a start to guiding future students through residency applications.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"10 2","pages":"Article 100083"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10164826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9823424","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: 2

Educational Case: Pseudomembranous colitis attributable to Clostridioides difficile 教育案例:难辨梭状芽胞杆菌引起的假膜性结肠炎

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Academic Pathology Pub Date : 2023-04-01 DOI: 10.1016/j.acpath.2023.100076

Joseph L. Maniaci MD , Robin D. LeGallo MD

引用次数: 0

Detecting residents at risk of attrition – A Singapore pathology residency's experience 检测居民的磨损风险-新加坡病理学住院医师的经验

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Academic Pathology Pub Date : 2023-04-01 DOI: 10.1016/j.acpath.2023.100075

Amos Z.E. Tay MBBS , Po Yin Tang MBBS, BMedSc , Lee May New BSc , Xiaozhu Zhang PhD , Wei-Qiang Leow MBBS

{"title":"Detecting residents at risk of attrition – A Singapore pathology residency's experience","authors":"Amos Z.E. Tay MBBS , Po Yin Tang MBBS, BMedSc , Lee May New BSc , Xiaozhu Zhang PhD , Wei-Qiang Leow MBBS","doi":"10.1016/j.acpath.2023.100075","DOIUrl":"10.1016/j.acpath.2023.100075","url":null,"abstract":"<div><p>The SingHealth Pathology Residency Program (SHPRP) is a 5-year postgraduate training program in Singapore. We face the problem of resident attrition, which has a significant impact on the individual, program and healthcare providers. Our residents are regularly evaluated, using in-house evaluations as well as assessments required in our partnership with the Accreditation Council for Graduate Medical Education International (ACGME-I). We hence sought to determine if these assessments were able to distinguish residents who would attrite from residents who would graduate successfully. Retrospective analysis of existing residency assessments was performed on all residents who have separated from SHPRP and compared with residents currently in senior residency or graduated from the program. Statistical analysis was performed on quantitative assessment methods of Resident In-Service Examination (RISE), 360-degree feedback, faculty assessment, Milestones and our own annual departmental mock examination. Word frequency analysis of narrative feedback from faculty assessment was used to generate themes.</p><p>Since 2011, 10 out of 34 residents have separated from the program. RISE, Milestone data and the departmental mock examination showed statistical significance in discriminating residents at risk of attrition for specialty-related reasons from successful residents. Analysis of narrative feedback showed that successful residents performed better in areas of organization, preparation with clinical history, application of knowledge, interpersonal communication and achieving sustained progress. Existing assessment methods used in our pathology residency program are effective in detecting residents at risk of attrition. This also suggests applications in the way that we select, assess and teach residents.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"10 2","pages":"Article 100075"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10121803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9759183","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

How influential are medical school curriculum and other medical school characteristics in students' selecting pathology as a specialty? 医学院的课程和其他医学院的特点对学生选择病理学作为专业有多大影响?

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Academic Pathology Pub Date : 2023-04-01 DOI: 10.1016/j.acpath.2023.100073

Cindy B. McCloskey MD , Mark Brissette MD , John Michael Childs MD , Amanda Lofgreen MS , Kristen Johnson PhD , Melissa R. George DO , Ashley M. Holloman MD , Bronwyn Bryant MD , Mary P. Berg MD , Lisa Ross Dixon MD , Julie Katz Karp MD , Barbara E.C. Knollmann-Ritschel MD , Victor Gerardo Prieto MD, PhD , Charles F. Timmons MD, PhD , Robert D. Hoffman MD, PhD

{"title":"How influential are medical school curriculum and other medical school characteristics in students' selecting pathology as a specialty?","authors":"Cindy B. McCloskey MD , Mark Brissette MD , John Michael Childs MD , Amanda Lofgreen MS , Kristen Johnson PhD , Melissa R. George DO , Ashley M. Holloman MD , Bronwyn Bryant MD , Mary P. Berg MD , Lisa Ross Dixon MD , Julie Katz Karp MD , Barbara E.C. Knollmann-Ritschel MD , Victor Gerardo Prieto MD, PhD , Charles F. Timmons MD, PhD , Robert D. Hoffman MD, PhD","doi":"10.1016/j.acpath.2023.100073","DOIUrl":"10.1016/j.acpath.2023.100073","url":null,"abstract":"<div><p>There has been a significant decline in the number of United States allopathic medical students matching to pathology residency programs. Data acquired from the American Association of Medical Colleges (AAMC) show sustained variation in the medical school production of students who go on to pathology residency. When divided into groups based on the medical school's historical volume of graduates entering pathology, the schools in groups labeled Group 1 and Group 2 produced significantly higher and lower proportions of pathology residents, respectively. This study aimed to identify what medical school curriculum elements and other medical school characteristics might explain the differences observed in the AAMC data. The Dean or another undergraduate medical education contact from the Group 1 and Group 2 schools was invited to participate in an interview. Pathology Program Directors and Pathology Department Chairs were also included in communications. Thirty interviews were completed with equal numbers from each group. Interview questions probed pathology experiences, existence, and structure of a pathology interest group, options for post-sophomore fellowships, recent curriculum changes, and the extent of mentoring programs. Surprisingly, the curriculum does not appear to be a predictor of a medical school's production of students who enter pathology residency. A significantly greater percentage of Group 1 schools are public institutions compared to Group 2 schools. Other factors that may increase the number of students who go into pathology include mentoring, active learning versus observation, and post-sophomore fellowships or other opportunities to work in the capacity of a new pathology resident.</p></div>","PeriodicalId":44927,"journal":{"name":"Academic Pathology","volume":"10 2","pages":"Article 100073"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10139853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9392935","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: 2