Academic Pathology最新文献

The role of web-based platforms as a novel approach to addressing access to pathology education: The PathElective.com experience 基于网络的平台作为解决病理学教育的新途径的作用：PathElective.com的经验

IF 1.3 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2026-01-01 DOI: 10.1016/j.acpath.2025.100235

Cullen M. Lilley MD, MS, MA , Azmer Khan BSc , Anaisa S. Quintanilla-Arteaga MD, MS , Brian K. Cox MD, MAS , Alisha D. Ware MD , Marissa J. White MD , Kamran M. Mirza MD, PhD

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. 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. PathElective.com 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.

PathElective.com是一个免费的、虚拟的、模块化的病理学教育平台，旨在应对冠状病毒大流行期间教育中断的情况。自推出以来，它已成为跨教育水平和地理区域广泛使用的资源。本研究旨在探讨病理学选修课程在多大程度上扩大了病理学教育的机会。为了实现这一目标，我们向path选修用户分发了一份自愿的、匿名的、每个用户提交一次的调查，以收集自我报告的人口统计信息、使用模式以及对平台可访问性和教育价值的看法。调查回复（n = 1003）显示了用户中广泛的地理、种族和职业身份。最具代表性的群体是白人（23%）、印度人（18%）和非洲人（9%）。用户年龄从18岁以下到80岁以上不等，其中大多数年龄在25-50岁之间。大多数人认为自己是女性（62%），18%的人认为自己的性取向不是异性恋。近四分之一的受访者表示访问可靠的互联网存在困难，不到一半的受访者在说英语的家庭长大。尽管如此，76%的人认为path选修比其他教育资源更容易获得，72%的人认为它满足了以前未被满足的教育需求。使用该平台的时间长度与认为该平台满足了未满足的教育需求之间存在显著的正相关。PathElective.com为世界各地的学员提供了更好的获得精心策划的病理学教育的承诺。其免费的虚拟格式支持各种背景和培训水平的学习者，将其定位为可扩展的病理学教育的宝贵工具。

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引用次数: 0

Educational Case: Thallium poisoning 教育案例：铊中毒

IF 1.3 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2026-01-01 DOI: 10.1016/j.acpath.2025.100237

Olivia C. Iverson MD , Theresa N. Kinard MD , Christine L.H. Snozek PhD

引用次数: 0

Educational Case: Rosai–Dorfman disease mimicking metastatic carcinoma 教育案例：Rosai-Dorfman病模拟转移性癌

IF 1.3 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2026-01-01 DOI: 10.1016/j.acpath.2025.100233

Max Rogers MD , David T. Danielson MD , Ian Lagerstrom MD , Aaron Auerbach MD, MPH

引用次数: 0

Free for all: Exploring next of kin consent for autopsy 对所有人免费：探索近亲同意尸检

IF 1.3 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2026-01-01 DOI: 10.1016/j.acpath.2025.100238

Meagan Chambers MD MS MSc , Shera Wanner BS , Charlie M. Sawyer BA , Nicole R. Jackson MD MPH

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 (P<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.

尸检通过确认诊断、发现意外发现和提高医学知识，为患者、家庭、卫生保健系统和社区提供了至关重要的益处。然而，当进入障碍最小化时，关于尸检同意如何在人口群体中分配的了解较少。本研究评估了一个大型学术机构中不同种族、性别、收入和主要语言群体的尸检利用的社会经济趋势。对2018年至2022年所有住院死亡和尸检病例进行回顾性审查。将种族、经济地位、性别和英语为第一语言的尸检频率与这些相同变量的住院死亡频率进行比较。在4626例死亡中，821例尸检符合纳入标准（尸检同意率为17.7%）。大多数尸检对象为男性（n = 489, 59.6%）、白人（n = 568, 69.2%）、非西班牙裔患者（n = 644, 78.4%）和居住在本州的居民（n = 703, 85.6%）。女性、亚洲人和非英语母语者被解剖的可能性较小；只有5%的尸体解剖是为英语为第二语言的死者进行的（P<0.00001）。在一个实行普遍同意政策的机构中，家庭总是免费接受尸检，有证据表明，不同性别和第一语言的使用率不同，但大多数种族或族裔群体的使用率不同。这些发现强调了在家庭普遍免费提供尸检程序的情况下，尸检利用的模式，强调了同意决定的差异，而不是获取的差异。

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引用次数: 0

Easing the transition into pathology residency: four years of experience implementing and optimizing an integrated anatomic pathology onboarding course tied to core ACGME competencies 轻松过渡到病理学住院医师：四年实施和优化与核心ACGME能力相关的综合解剖病理学入职课程的经验

IF 1.3 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2026-01-01 DOI: 10.1016/j.acpath.2025.100231

Dijana Poljak MD , Bronwyn Bryant MD , Bei Zhang MD, PhD , Agnes Balla MD, MHS

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.

在医学院期间，接触解剖病理学领域的机会仍然很少。随着医学知识的不断深入和实验室测试的多样性，新住院医师往往准备不足，无法履行住院医师所要求的共同临床和专业责任。最初，该课程为7月至8月（2021-2024年）即将到来的病理学学员设计了16节课程，后来扩展到24节课程。在第一年的反馈之后，我们修改和改进了几次会议，包括如何口述报告的内容，填充美国病理学家学院（CAP）癌症概要报告，以及如何构建和使用快速文本以提高效率。在课程的最新迭代中，由美国病理委员会开发的新的组织学入门系列被纳入。为了使这个课程在未来几年持续下去，并鼓励同侪教学，在这个系列的第二年，老年住院医师参与了扩展课程内容的教学。学员完成课前和课后客观评估和单独的课程评估。课程内容与研究生医学教育认证委员会（ACGME）所有6项能力中的21个里程碑（版本2）中的20个保持一致。

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引用次数: 0

Whole slide imaging in medical education: A comparative study of learning experience and engagement using cognitive diagnostic modeling 医学教育中的全幻灯片成像：使用认知诊断模型的学习经验和参与的比较研究

IF 1.3 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2026-01-01 DOI: 10.1016/j.acpath.2025.100232

Mariam Khacheishvili MD, PhD , Alexi Baidoshvili MD, PhD , Nino Tabagari MD, PhD

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.

全幻灯片成像（WSI）广泛应用于临床和研究生病理学培训，但其在本科医学教育中的作用仍未得到充分探讨，特别是与学生参与度、认知负荷和教学有效性的关系。本研究比较了基于全幻灯片图像的教学与传统的基于显微照片的教学方法，重点关注满意度、认知负荷和参与。采用主观测量和客观行为分析相结合的认知诊断建模方法。采用学科内混合方法设计，对来自两所大学的51名医学生（二年级至四年级）进行研究。所有学生都参加了整个幻灯片图像和常规课程。数据包括前后问卷调查、满意度调查、认知负荷量表和基于视频的参与分析。8个参与标准（4个认知标准，4个行为标准）被客观编码。RStudio中的广义DINA模型评估属性掌握和项目级性能。WSI教学提高了学生的认知，尤其是经验不足的学生，其中国际二年级学生的收获最大。对WSI的满意度很高，特别是在可用性和诊断清晰度方面。四年级的学生虽然仍然持积极态度，但提供了更多批评性的反馈。WSI课程显著减少了内在和外在的认知负荷，支持更有效的学习。GDINA模型在WSI会话中显示出比常规会话（68% - 80%）更高的属性掌握（87% - 95%）。所有项目的辨别指数都超过0.40，其中积极参与和姿势的辨别指数最高。模型拟合和分类准确率（98.79%）支持可靠性。整个幻灯片图像通过增加满意度，减少认知负荷和促进参与来增强本科病理学学习。认知诊断模型为评估教育干预提供了一个强有力的框架。

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引用次数: 0

Educational Case: Acute myeloid leukemia, myelodysplasia-related 教育案例：急性髓性白血病，骨髓增生异常相关

IF 1.3 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2026-01-01 DOI: 10.1016/j.acpath.2025.100236

Ian T. Lagerstrom MD , David T. Danielson MD , Fredrick C. Frost MD , Jeannie M. Muir MD , Aaron Auerbach MD, MPH

引用次数: 0

Joining the National Resident Matching Program Fellowship Match: the hematopathology experience 加入全国住院医师配对计划奖学金配对：血液病经验

IF 1.3 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-12-12 DOI: 10.1016/j.acpath.2025.100230

Elizabeth L. Courville MD , Robert Seifert MD , Sam Sadigh MD , Xueyan Chen MD, PhD , Jeanette L. Calli MS , Robert Hasserjian MD , Alexa J. Siddon MD

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.

血液病理学奖学金是病理学领域的一个重要亚专业，随着奖学金面试时间的逐渐提前，血液病理学决定在2025年加入病理学奖学金比赛。对参加全国居民配对计划配对的利弊进行了评估，最终决定进行。国家居民匹配计划要求75%的项目和奖学金职位应该进入，以赞助匹配。血液病教育委员会（Society for Hematopathology Education Committee）领导招募血液病研究人员加入比赛的过程，发起一项调查来评估最初的兴趣，为项目主管的问题创建一个列表，并维护一个网站，列出最终决定参与的项目。最初的调查结果显示，79%的血液病理学项目主任对他们是否会参加正式比赛的回答是“是”或“可能”。血液病学会教育委员会随后签署了一份谅解备忘录，以表明对比赛的承诺。随后，多方努力传播信息，包括信息网络研讨会、社交媒体推广和给项目主管发电子邮件。最终，83%的血液病理学研究员参加了2025年的匹配，85%的职位填补，94.7%的血液病理学申请者匹配。一项后续的项目主管调查显示，98%的受访者计划参加2026年的比赛。这些反馈巩固了病理学奖学金匹配对项目和申请人来说是互惠互利的。

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引用次数: 0

The doctorate in clinical laboratory sciences: current status and outcomes 临床实验室科学博士：现状与结果

IF 1.3 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-12-01 DOI: 10.1016/j.acpath.2025.100229

Jose H. Salazar PhD, MLS (ASCP), Amber Asghar DCLS, MHA, MLS(ASCP), Juan U. Rojo PhD, MLS (ASCP) MB

The Doctor of Clinical Laboratory Sciences (DCLS) degree was implemented at the University of Texas Medical Branch in 2016 with the goal of training laboratory professionals who can improve patient outcomes by participating as part of the healthcare team, providing input regarding the use of laboratory testing in clinical decision-making, and optimizing the utilization of laboratory tests. The University of Texas Medical Branch (UTMB)-DCLS program presented data regarding the implementation of the program from 2016 to 2021. This follow-up study presents the DCLS program outcomes to date. A DCLS alumni, clinical supervisor, and employer surveys were distributed to evaluate the effectiveness of the program and explore the role and patient-care impact of DCLS graduates. The majority of UTMB DCLS alumni secured employment before graduation or shortly thereafter and currently work in academic medical centers and reference laboratories as medical or laboratory directors. Clinicians rate the perceived contribution of DCLS graduates to clinical practice to be highly beneficial, and employers indicate a significant impact of DCLS graduates on patient outcomes. The results presented in this study demonstrate the active participation of DCLS in the healthcare team, thus supporting the need to invest in academic DCLS programs to further the growth of this advanced practice degree.

临床实验室科学博士（DCLS）学位于2016年在德克萨斯大学医学分部实施，其目标是培训实验室专业人员，他们可以通过参与医疗团队，为临床决策中使用实验室测试提供意见，并优化实验室测试的利用，从而改善患者的治疗效果。德克萨斯大学医学分部(UTMB)-DCLS项目提供了2016年至2021年该项目实施的数据。本随访研究介绍了DCLS项目迄今为止的结果。对DCLS毕业生、临床督导和雇主进行了调查，以评估该项目的有效性，并探讨DCLS毕业生的角色和对患者护理的影响。大多数UTMB DCLS校友在毕业前或毕业后不久就找到了工作，目前在学术医学中心和参考实验室担任医学或实验室主任。临床医生认为DCLS毕业生对临床实践的贡献是非常有益的，雇主也表示DCLS毕业生对患者结果有显著影响。本研究的结果表明DCLS在医疗团队中的积极参与，因此支持投资学术DCLS项目以进一步发展这一高级实践学位的必要性。

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引用次数: 0

Pathology exposure in Spanish medical schools: a review of forty-one institutions with insights into pathology curriculum for an international approach 病理学暴露在西班牙医学院：回顾41个机构与洞察病理学课程的国际方法

IF 1.3 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-12-01 DOI: 10.1016/j.acpath.2025.100228

Francisco Reyes-Albaladejo MD , Meredith K. Herman DO , Sara del Río-Ortega MD , Eduardo Alcaraz-Mateos MD, PhD , Kamran Mirza MD, PhD , Luca Cima MD

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.

病理学在将基础科学与临床医学联系起来方面发挥着至关重要的作用，但在西班牙医学教育中，病理学仍然是一个较少受到重视的专业。这项研究调查了西班牙所有41所认可的医学院，以评估学生如何接触病理学。研究结果显示病理教育的存在和结构具有相当大的可变性。只有41.5%的机构有专门的病理学部门，尽管几乎所有的机构都包括组织学或解剖病理学，平均每个教学时间为一学年。公立医学院通常比私立医学院提供更多接触病理学的机会。然而，专注于病理学的选修机会很少，只有一小部分机构在美国提供国际经验。这些在暴露、选修选项和全球合作方面的限制可能导致该专业在西班牙选择住院医师培训项目的学生中排名较低。研究结果强调了提高课程标准化的必要性，并建议扩大选修课程，整合数字病理学工具，促进国际合作伙伴关系，可以显著提高学生的参与度和将病理学作为职业的兴趣。

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引用次数: 0