Academic Pathology最新文献

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Utilization of Entrustable Professional Activities (EPAs) for Personalized Resident Grossing Scheduling 可信赖的专业活动（EPAs）在个性化驻地总收入调度中的应用

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-07-01 DOI: 10.1016/j.acpath.2025.100199

M. Lindstrom MD, K. Walker, D. Sciacca, O. Adeyi MD., M. Zhong MD, PhD

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A Basic Informatics Curriculum for Pathology Residents: Design and Implementation 病理学住院医师基本信息学课程：设计与实施

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-07-01 DOI: 10.1016/j.acpath.2025.100196

P.J. Boyer MD, PhD, M.M. Maher MD, F.M. Davis MD, B.A. Zeches MD, A.I. Younes MD

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Interactive online clinicopathologic case simulations in coagulation disorders for pathology residency programs: A multi-institutional study 病理住院医师项目中凝血障碍的交互式在线临床病理病例模拟：一项多机构研究

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-06-09 DOI: 10.1016/j.acpath.2025.100183

Ahmad Alkhasawneh MD , Hagar Attia MBBCH , Maksim Agaronov MD , Mohammad Barouqa MD , Afshan Idrees MD, MBA, MPH , Yanyun Wu MD, PhD, MBA , Arun Gopinath MD , Robert Allan MD , Agnes Aysola MD , Brett Baskovich MD

Learning coagulation disorders can be challenging to trainees given the rarity of these diseases and the differences in case volume among different training programs. In addition, the work-up is frequently done in a piecemeal fashion with multiple tests ordered before the involvement of trainees; this precludes independent judgment on work-up. To address these deficiencies, we evaluated the usefulness of an interactive online case-based coagulation module in four American College of Graduate Medical Education–accredited pathology training programs. Nine high-yield cases of coagulation disorders were uploaded into an online system (Pathology Playground). Fifty trainees were provided a link to work up the cases on their own several days before a discussion session, with three case sets and three discussion sessions in total (July–September 2024). In each session, cases were reviewed under the supervision of the pathology attending(s). Pre-assessment and post-assessment tests were administered, and a survey was distributed to trainees. The mean pre-assessment score was 62.5%, and the mean post-assessment score was 80.6%. In the survey, 85% of the participants found the module more useful than lectures/textbooks, 82% said they had a better understanding of working up cases, and 96% wanted more cases. The integration of the standardized module into the curriculum has been successful and improved the knowledge of our trainees.

鉴于这些疾病的罕见性和不同培训项目之间的病例量差异，学习凝血障碍对受训者来说是具有挑战性的。此外，训练经常以零敲碎打的方式进行，在受训者参与之前安排了多次测试；这就排除了对后续工作的独立判断。为了解决这些不足，我们评估了在四个美国研究生医学教育学院认可的病理学培训项目中基于病例的互动性在线凝血模块的有效性。9例高产量凝血功能障碍病例被上传到在线系统（病理学游乐场）。在讨论会前几天，50名学员被提供了一个链接，让他们自己完成案例，总共有三个案例集和三个讨论会期（2024年7月至9月）。在每次会议中，病例在病理主治医师的监督下进行审查。进行了评估前和评估后测试，并向受训人员分发了一份调查问卷。前测平均分为62.5%，后测平均分为80.6%。在调查中，85%的参与者认为该模块比讲座/教科书更有用，82%的人说他们对编写案例有了更好的理解，96%的人想要更多的案例。将标准化模块整合到课程中是成功的，并提高了学员的知识水平。

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A cross-sectional analysis of pathology exposure across COCA-accredited osteopathic medical schools: Gaps and opportunities in pathology undergraduate medical education 在coca - cola认证的骨科医学院病理学暴露横断面分析：病理本科医学教育的差距和机会

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-06-06 DOI: 10.1016/j.acpath.2025.100186

Peace Preston DO , Meredith Herman DO , Adam Berry DO , Mahalia Robinson DO , Casey P. Schukow DO , Paul Kowalski MD

Osteopathic medical schools emphasize a holistic approach to patient care, integrating Osteopathic Manipulative Treatment (OMT) with traditional medical education. Unlike allopathic (MD) programs, which focus heavily on biomedical sciences, osteopathic (DO) programs place additional focus on the musculoskeletal system and primary care. Clinical training in DO programs often takes place in community-based medical centers, which typically lack specialized resources, such as pathology departments, limiting exposure to certain specialties. Pathology education in osteopathic schools varies widely, with some schools integrating pathology into foundational sciences through lectures, case-based learning, and histopathology labs. However, clinical clerkships offer inconsistent pathology exposure, compounded by limited partnerships with specialized pathology labs. A study of 61 accredited osteopathic colleges revealed variability in pathology faculty, with some schools lacking pathologists entirely. Additionally, only 12% of these colleges had pathologist deans. From 2021 to 2024, only 1.06% of DO students matched into pathology residency, though the percentage of pathology positions filled by DO applicants increased from 9.8% to 16.7%. This variability highlights the need for curriculum reforms and stronger collaboration with pathology departments to ensure equitable and thorough pathology training. Addressing these gaps is crucial for preparing osteopathic physicians to provide holistic and effective patient care.

整骨疗法医学院强调病人护理的整体方法，将整骨疗法与传统医学教育相结合。与着重于生物医学科学的对抗疗法（MD）项目不同，整骨疗法（DO）项目更侧重于肌肉骨骼系统和初级保健。DO项目的临床培训通常在社区医疗中心进行，这些医疗中心通常缺乏专业资源，如病理科，限制了某些专业的接触。骨科学校的病理学教育差异很大，有些学校通过讲座、案例学习和组织病理学实验室将病理学纳入基础科学。然而，临床职员提供不一致的病理暴露，加上与专业病理实验室的有限合作关系。一项对61所经认证的骨科学院的研究显示，病理学师资存在差异，有些学校完全没有病理学家。此外，这些学院中只有12%的院长是病理学家。从2021年到2024年，只有1.06%的DO学生匹配到病理学住院医师，尽管DO申请人填补的病理职位比例从9.8%增加到16.7%。这种可变性强调了课程改革和与病理部门加强合作的必要性，以确保公平和彻底的病理培训。解决这些差距是至关重要的准备骨科医生提供全面和有效的病人护理。

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Educational Case: Familial adenomatous polyposis 教育案例：家族性腺瘤性息肉病

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-06-05 DOI: 10.1016/j.acpath.2025.100184

Daniel H. Ngov BFA, Alison R. Huppmann MD

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Utilization and Performance Evaluation of Conventional and Ultrasensitive LH/FSH Testing 常规和超灵敏LH/FSH检测的应用及性能评价

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-04-01 DOI: 10.1016/j.acpath.2025.100174

A.N. Barlev MD, PhD, K. Patel PhD, I. Poventud-Fuentes PhD

引用次数: 0

Evaluating the effectiveness of quality assurance rounds in reducing pathology reporting errors at a pediatric hospital 评估质量保证查房在减少儿科医院病理报告错误方面的有效性

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-04-01 DOI: 10.1016/j.acpath.2025.100175

A. Speranza MD , A. Shio , J.W. Bush MD

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Histopathology Protocol Revision in Bone and Soft Tissue Biopsies: Can Efficiency and Quality Co-Exist? 骨和软组织活检组织病理学方案修订：效率和质量能共存吗？

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-04-01 DOI: 10.1016/j.acpath.2025.100176

E.L. Walters MD , A. Tayal MD , A.F. Nascimento MD, K.G. Behrens MD

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Linking the social determinants of health and disease process using concept mapping in pre-clerkship problem-based learning courses: a pilot study 在职前以问题为基础的学习课程中利用概念图将健康和疾病的社会决定因素联系起来：一项试点研究

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-04-01 DOI: 10.1016/j.acpath.2025.100169

Kellie Mullany BS , Barbara Masi PhD , Jaya G. Yodh PhD , Imanni Sheppard PhD , Grace Park MD , Samar A. Hegazy MD, PhD, MEHP

The Social Determinants of Health significantly impact patient care, and understanding their role in the disease process and patient management is essential to high-quality healthcare. Several barriers exist to integrating social determinants of health into medical curricula, including the lack of consensus on evidence-based teaching methods. In this context, our study investigated the impact of integrating social determinants of health into pre-clerkship problem-based learning courses using concept mapping on the clinical problem-solving process. Fourteen pre-clerkship medical students voluntarily participated and were randomly assigned to control and experimental groups. The experimental group education intervention included two problem-based cases with social determinants of health-informed probes to promote linking those determinants to the disease process and develop a treatment plan using concept mapping. The control group participated in the same cases without the education intervention. Students in both groups completed post-session assignments that included two new cases, individual concept maps, and recorded reflections. Concept maps were scored using a scoring rubric. The scores of both groups were compared using the Mann-Whitney U test. Recorded reflections and concept maps were analyzed using reflexive thematic analysis coding method. Quantitative data analysis showed that the experimental group received significantly higher scores than the control group. Qualitative data analysis highlighted substantial differences in clinical problem-solving approaches. The control group’s clinical reasoning approach focused mainly on the clinical aspects of the case. The experimental group followed a social determinants of health-informed clinical reasoning approach to patient-centered treatment plans with balanced therapeutic/nontherapeutic elements.

健康的社会决定因素显著影响患者护理，了解他们在疾病过程和患者管理中的作用对高质量的医疗保健至关重要。在将健康的社会决定因素纳入医学课程方面存在若干障碍，包括对循证教学方法缺乏共识。在此背景下，我们的研究利用临床问题解决过程的概念映射，调查了将健康的社会决定因素纳入基于问题的实习前学习课程的影响。14名实习前医学生自愿参与，随机分为对照组和实验组。实验组教育干预包括两个基于问题的案例，其中涉及健康知情探针的社会决定因素，以促进将这些决定因素与疾病过程联系起来，并利用概念图制定治疗计划。对照组在没有教育干预的情况下参与相同的病例。两个小组的学生都完成了课后作业，包括两个新案例、个人概念图和反思记录。概念图使用计分表进行评分。使用Mann-Whitney U测试比较两组的得分。采用自反性主题分析编码方法对记录的反射和概念图进行分析。定量数据分析显示，实验组得分明显高于对照组。定性数据分析强调了临床解决问题方法的实质性差异。对照组的临床推理方法主要集中在病例的临床方面。实验组遵循健康知情的社会决定因素临床推理方法，以患者为中心，平衡治疗/非治疗元素的治疗计划。

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Utility of ThinPreps in Enhancing Diagnostic Precision of Fine Needle Aspiration (FNA) Samples from Lymph Nodes ThinPreps在提高淋巴结细针抽吸（FNA）样本诊断精度中的应用

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-04-01 DOI: 10.1016/j.acpath.2025.100177

A. Aravind, N. Kaur, B. Khan, W. Cavett, V. Manucha

引用次数: 0

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