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Asking the PRIME questions for grossing: Teaching a framework for grossing and constructing gross descriptions using the PRIME model 提出毛估估的 PRIME 问题:使用 PRIME 模式教授毛图绘制和构建毛图描述的框架
IF 1.2 Q3 PATHOLOGY Pub Date : 2024-07-01 DOI: 10.1016/j.acpath.2024.100143
Christopher C. Attaway MD MSc , Danielle Fortuna MD

Grossing is essential to the practice of anatomic pathology. The importance of this skill cannot be understated, but it simultaneously can be enigmatic for novice pathology residents. Successful grossing asks questions to yield the most accurate answers which facilitate a complete report and diagnosis for patient care. To provide a unified framework of approach to grossing specimens, we devised the PRIME (P = process/picture, R = relationships, I = internal, M = margins, E = external) model for grossing. The PRIME model was introduced to anatomic pathology trainees (n = 21) at two academic hospitals through an interactive workshop featuring multiple exercises: (1) scoring provided inadequate gross descriptions of common, familiar objects (fruit) for content quality before and after introduction of the PRIME model, (2) building a gross description as a group with a representative fruit specimen using PRIME, (3) videos of grossing specimens which the participants used to practice constructing their own gross description using PRIME, and (4) analysis of an example surgical specimen's gross description using PRIME. Pre- and post-workshop questionnaires assessed the trainees' experience with grossing before residency, their confidence to write a gross description, and their opinions of the PRIME model. The assessment of fruit gross descriptions before and after the introduction of PRIME was significant (p < 0.05), as well as the participants' confidence level to write an accurate gross description using PRIME. The PRIME model and workshop help to fill a void in pathology education and erode perceived barriers to confident grossing by providing a framework of the key concepts behind grossing specimens, no matter the complexity.

切片是解剖病理学实践中必不可少的一项技能。这项技能的重要性不容低估,但同时对病理住院医师新手来说也可能是个谜。成功的大体标本处理会提出问题,以获得最准确的答案,从而为患者护理提供完整的报告和诊断。为了提供统一的标本粗检方法框架,我们设计了 PRIME(P = 过程/图片,R = 关系,I = 内部,M = 边缘,E = 外部)粗检模型。我们通过互动研讨会向两家学术医院的解剖病理学学员(n = 21)介绍了 PRIME 模型,研讨会包括多项练习:(1) 在介绍 PRIME 模型之前和之后,对提供的常见、熟悉物体(水果)的不完整大体描述进行内容质量评分;(2) 以小组为单位使用 PRIME 建立具有代表性的水果标本的大体描述;(3) 观看标本大体描述视频,学员们利用视频练习使用 PRIME 建立自己的大体描述;(4) 使用 PRIME 分析手术标本的大体描述示例。工作坊前后的问卷调查评估了学员在实习前的毛细描写经验、撰写毛细描写的信心以及对 PRIME 模型的看法。在引入 PRIME 之前和之后,学员对果实毛发描述的评估均有显著意义(p < 0.05),学员对使用 PRIME 撰写准确毛发描述的信心水平也有显著意义(p < 0.05)。PRIME 模型和工作坊有助于填补病理学教育的空白,并通过提供标本毛检背后的关键概念框架,消除自信毛检的障碍,无论标本的复杂程度如何。
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引用次数: 0
Extending the gift—utilizing residual human anatomical materials for training Pathologists’ Assistants in surgical pathology techniques 扩展天赋--利用残留的人体解剖材料培训病理学家助理的手术病理技术
IF 1.2 Q3 PATHOLOGY Pub Date : 2024-07-01 DOI: 10.1016/j.acpath.2024.100142
Kerwin M. Kolheffer MS, PA(ASCP)CM , Lauren Yoho MHS, PA(ASCP) , Matthew Myers MA , Ismail El Moudden PhD

This study investigates the effectiveness of using residual human anatomical materials, obtained from a gross anatomy course, for training Pathologists' Assistant (PathA) students in surgical pathology techniques. We utilized two surveys to assess the perceived efficacy of this approach: one survey targeted PathA students to evaluate their training experiences with both human and animal tissues, while the other assessed the impact of specimen collection on the educational experiences of gross anatomy course students.

本研究调查了使用从大体解剖课程中获得的残留人体解剖材料对病理助理(PathA)学生进行外科病理学技术培训的有效性。我们利用两项调查来评估这种方法的效果:一项调查针对病理助理学生,评估他们使用人体和动物组织的培训经验;另一项调查评估标本收集对解剖学课程学生教育经验的影响。
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引用次数: 0
Optimize Artificial Intelligence Language Model Use in Medical Board Exams: Insights from Instruction Quality and Domain Context Analysis 优化医学考试中人工智能语言模型的使用:从教学质量和领域语境分析中获得启示
IF 1.2 Q3 PATHOLOGY Pub Date : 2024-04-01 DOI: 10.1016/j.acpath.2024.100138
Z. Qu MD, PhD *, M. Elzieny MBBCH, K. Arora MD
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引用次数: 0
Implementing PathElective as an organized means of supplementing pathology education in an osteopathic medical school—the New York Institute of Technology College of Osteopathic Medicine experience 在骨科医学院实施 PathElective 作为补充病理学教育的有组织手段--纽约理工学院骨科医学院的经验
IF 1 Q3 PATHOLOGY Pub Date : 2024-04-01 DOI: 10.1016/j.acpath.2024.100122
Maria Maratta Plummer MD , Kamran M. Mirza MD, PhD , Cullen M. Lilley MD, MS, MA , Nelson Eng DO

Pathology is not traditionally chosen by medical students applying to residency. In osteopathic medical schools, limited access to dedicated pathology faculty further complicates this issue. Because of a lack of pathology experiences, osteopathic medical students may not be as familiar with a pathology career. The purpose of this brief report is to describe the pilot experience of implementing a pre-existing web-based, free virtual platform for pathology education as alternative, supplemental exposure to pathology for osteopathic medical students at our institution. We began to offer the online pathology elective for Academic Year 2022–2023. Using the online free service of PathElective, this course provided a valuable exposure to pathology with multiple modules in anatomic, clinical, and digital/molecular pathology, before and after assessments, recorded videos by pathology experts, handouts, and reading assignments. During the first week, three introductory modules were required followed by weeks 2–4, in which the students would complete a total of 10 modules of their own choice. In total, 14 students participated in this virtual rotation from August 2022–May 2023. All chose cardiac pathology as the most popular module. Three of the 14 students matched into pathology residencies. This small cohort of 4th year medical students at our osteopathic medical school successfully completed a virtual elective rotation with the resources of PathElective. We report the success of this experience and hope to continue monitoring progress.

申请住院医师培训的医学生历来不会选择病理学。在骨科医学院中,专职病理学教师的名额有限,这使问题变得更加复杂。由于缺乏病理学经验,骨科医学生可能对病理学职业不太熟悉。本简短报告的目的是介绍本校实施基于网络的免费病理学教育虚拟平台的试点经验,作为骨科医学生接触病理学的替代和补充。我们从 2022-2023 学年开始提供在线病理学选修课。利用病理学选修课的在线免费服务,该课程通过解剖、临床和数字/分子病理学的多个模块、前后评估、病理学专家录制的视频、讲义和阅读作业,为学生提供了接触病理学的宝贵机会。在第一周,学生们需要学习三个入门模块,随后的第 2-4 周,学生们将完成总共 10 个模块的自选课程。从 2022 年 8 月到 2023 年 5 月,共有 14 名学生参加了这一虚拟轮转。所有学生都选择了最受欢迎的模块--心脏病理学。14 名学生中有 3 人进入了病理学住院医生的行列。在 PathElective 的资源帮助下,我们骨科医学院的这批四年级医学生成功完成了虚拟选修轮转。我们报告了这一成功经验,并希望继续关注进展情况。
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引用次数: 0
Resident Attitudes Towards Autopsy Education and TheAutopsyBook.com 住院医师对尸检教育和 TheAutopsyBook.com 的态度
IF 1.2 Q3 PATHOLOGY Pub Date : 2024-04-01 DOI: 10.1016/j.acpath.2024.100133
M. Chambers MD, MS, MSc * , R. Chambers MS , D. Dailey MD , S. Wanner MD , A.T. Andre MD , J.A. Merk MD , A.K. Williamson MD
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引用次数: 0
Implementing PathElective as An Organized Means of Supplementing Pathology Education in An Osteopathic Medical School - The New York Institute of Technology College of Osteopathic Medicine Experience 在骨科医学院实施病理学选修课作为补充病理学教育的有组织手段--纽约理工学院骨科医学院的经验
IF 1.2 Q3 PATHOLOGY Pub Date : 2024-04-01 DOI: 10.1016/j.acpath.2024.100125
M.M. Plummer MD * , K.M. Mirza MD PhD , C.M. Lilley MD , N. Eng DO
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引用次数: 0
Pathology Scholars Program: A novel pathology introductory course for medical students 病理学学者计划:为医科学生开设的新颖病理学入门课程
IF 1.2 Q3 PATHOLOGY Pub Date : 2024-04-01 DOI: 10.1016/j.acpath.2024.100128
M.A. Giffen DO *, B. Highland BS
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引用次数: 0
Using an Artificial Intelligence(AI) Tool (ChatGPT) to Identify the Main Indications and Side Effects of Drugs 使用人工智能(AI)工具(ChatGPT)识别药物的主要适应症和副作用
IF 1.2 Q3 PATHOLOGY Pub Date : 2024-04-01 DOI: 10.1016/j.acpath.2024.100137
M. Elzieny MBBCh *, Z. Qu MD, PhD
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引用次数: 0
Preparation of Fourth-Year Medical Student for Residency Interviews: An Important Educational Opportunity 四年级医学生为住院医师面试做准备:重要的教育机会
IF 1.2 Q3 PATHOLOGY Pub Date : 2024-04-01 DOI: 10.1016/j.acpath.2024.100131
P.J. Boyer MD, PhD * , B.B. Buchanan MD , P.D. Hopkins PhD , A.I. Higginson MD
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引用次数: 0
Author's response: What determines the success of generating multiple-choice questions 作者的回答:是什么决定了选择题的成功生成
IF 1 Q3 PATHOLOGY Pub Date : 2024-04-01 DOI: 10.1016/j.acpath.2024.100120
Daniel Remick MD
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引用次数: 0
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Academic Pathology
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