Academic Pathology最新文献

英文中文

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-04-01 DOI: 10.1016/j.acpath.2025.100181

Mitchell Guerin BS , Kristin Olson MD , Elham Vali Betts MD

引用次数: 0

Making housestaff feel at home: impact of workspace interventions on anatomic pathology trainee wellness 使家政人员有宾至如归的感觉：工作空间干预对解剖病理学实习生健康的影响

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-04-01 DOI: 10.1016/j.acpath.2025.100170

Kelly Ernst MD, Christine Heisen MD, Minami A. Tokuyama MD, Krishna L. Bharani MD, PhD

To improve trainee well-being in a healthcare setting, we implemented changes shown to significantly improve employee well-being in corporate settings in an anatomic pathology (AP) trainee workspace at one large academic program and measured changes in trainee stress and well-being. An IRB-approved survey was distributed to trainees before and after implementation of workspace modifications, which included deep cleaning of the physical space, making storage space for personal items, improving access to perishable and nonperishable foods, arranging equipment to facilitate ergonomic use, and providing real and artificial visuals of nature. The survey incorporated evidence-based scales including the Ambient Belonging Scale (ABS), the five-item WHO-5 Well-Being Index, the five-item modified Spielberger State and Trait Anxiety Scales, and the Growth Mindset Scale. Pre-intervention (n = 21) and post-intervention (n = 18) participants had scores consistent with a growth mindset, no significant anxiety state or trait, and above average sense of well-being. Compared with pre-intervention survey results, post-intervention AP residents who actively worked in the space had a significantly increased sense of belonging. Free-text feedback indicated that our efforts to improve the environment and to increase access to food positively impacted their well-being as AP trainees. We show that workspace interventions implemented at our institution significantly increased a sense of belonging for our trainees independent of their growth mindset, anxiety state or trait, and sense of well-being, which was high pre- and post-intervention. These simple and cost-effective workspace interventions can be implemented broadly to create a more supportive, inclusive environment for pathology trainees.

为了改善医疗保健环境中受训人员的幸福感，我们在一个大型学术项目的解剖病理学（AP）受训人员工作空间中实施了一些改变，显示这些改变显著改善了企业环境中员工的幸福感，并测量了受训人员压力和幸福感的变化。在工作空间改造实施前后，向受培训者分发了一份经irb批准的调查，其中包括对物理空间进行深度清洁，为个人物品提供存储空间，改善易腐和不易腐烂食品的获取途径，安排设备以促进人体工程学的使用，并提供真实和人工的自然视觉效果。该调查采用了基于证据的量表，包括环境归属感量表（ABS）、五项WHO-5幸福指数、五项修正的斯皮尔伯格状态和特质焦虑量表以及成长心态量表。干预前（n = 21）和干预后（n = 18）参与者的得分与成长型心态一致，没有显著的焦虑状态或特征，幸福感高于平均水平。与干预前的调查结果相比，干预后积极在空间工作的AP居民的归属感显著增加。自由文本反馈表明，我们为改善环境和增加获得食物的机会所做的努力对他们作为AP学员的福祉产生了积极影响。我们发现，在我们的机构实施的工作空间干预显著增加了我们的学员的归属感，独立于他们的成长心态，焦虑状态或特质，和幸福感，这是高的干预前和干预后。这些简单且具有成本效益的工作空间干预措施可以广泛实施，为病理学实习生创造一个更具支持性和包容性的环境。

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引用次数: 0

Pathology observerships and externships for international medical graduates: Insights from a MatchToPath.com survey 国际医学毕业生的病理学观察员和实习：来自MatchToPath.com调查的见解

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-04-01 DOI: 10.1016/j.acpath.2025.100178

Priya Upadhyay MBBS, PhD , Terri E. Jones MD , Kamran M. Mirza MD, PhD , Oscar F. Lopez-Nunez MD , Meredith Herman DO , Yasamin Mirzabeigi MD , Tiarra Price DO , Fahad Alam MD , Swikrity U. Baskota MD

Observerships and externships (OE) provide international medical graduates (IMGs) with essential clinical experience in the US, helping them acclimate to the medical system and strengthen their residency applications. However, OE are limited in the US and can be challenging for IMGs to arrange. Despite being a crucial component of the residency application process for IMGs, arranging OEs can be a significant stressor due to limited financial resources and a lack of connections with pathologists in the US. To date, there is limited literature on this topic. This study aims to evaluate current trends of OE in pathology for IMGs and offers suggestions to improve access to these opportunities within the physician workforce. The study was conducted using survey tools that included a Google Form shared from 6/2023 to 5/2024 on social media platforms associated with MatchToPath.com. The survey collected respondents’ ages, country of citizenship, medical school graduation year, number of application attempts, match success rates, number of OEs completed and their duration, expenses incurred, and overall experiences and challenges. A total of 128 applicants completed the survey where pathology was the primary specialty of choice for 79 % of respondents. Major obstacles for OEs included high costs and limited availability of positions. The study finds an urgent need for a standardized process with clear regulations governing expenses to prevent unreasonable pricing among OE providers. It also emphasizes the importance of creating a widely accessible database containing comprehensive information about OE opportunities for IMGs interested in pursuing pathology training in the US.

观察和实习（OE）为国际医学毕业生（img）提供在美国的基本临床经验，帮助他们适应医疗系统并加强他们的住院医师申请。然而，OE在美国是有限的，这对img来说可能是一个挑战。尽管这是img住院申请过程中的一个重要组成部分，但由于财政资源有限以及与美国病理学家缺乏联系，安排OEs可能是一个重大的压力源。迄今为止，关于这一主题的文献有限。本研究旨在评估img病理中OE的当前趋势，并提出建议，以改善医生队伍中获得这些机会的机会。这项研究是通过调查工具进行的，其中包括一份谷歌表格，该表格于2023年6月至2024年5月在MatchToPath.com相关的社交媒体平台上共享。调查收集了受访者的年龄、国籍、医学院毕业年份、申请次数、匹配成功率、完成的OEs数量及其持续时间、花费的费用以及总体经历和挑战。共有128名申请人完成了调查，其中79%的受访者选择病理学为主要专业。OEs的主要障碍包括成本高和职位有限。研究发现，迫切需要一个标准化的流程，明确规定费用，以防止OE供应商之间的不合理定价。它还强调了创建一个广泛可访问的数据库的重要性，该数据库包含有兴趣在美国进行病理学培训的img的OE机会的全面信息。

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引用次数: 0

Educational Case: Hairy cell leukemia 教育案例：毛细胞白血病

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-04-01 DOI: 10.1016/j.acpath.2025.100180

Cassandra M. Raziel MD , Joanna L. Conant MD

引用次数: 0

Never let a good crisis go to waste: Decreased autopsy exposure necessitates TheAutopsyBook.com, a novel educational resource 永远不要浪费一个好的危机：减少尸检曝光需要TheAutopsyBook.com，这是一个新的教育资源

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-04-01 DOI: 10.1016/j.acpath.2025.100179

Meagan Chambers MD, MS, MSc , Jody E. Hooper MD , Alex K. Williamson MD

The American Board of Pathology decreased the number of autopsies pathology residents must complete before board examinations from 50 to 30, despite recommendations from the Association of Pathology Chairs' Autopsy Working Group to the contrary. We present findings from a survey of pathology trainees who will begin independent practice under this criterion. The survey was composed of Likert and free-text questions. An invitation to complete the survey was disseminated on two autopsy-related national listservs, and 85 United States–based trainees responded. Respondents felt autopsy rotations had high educational value (64% of respondents) and that significant learning is required to perform a high-quality autopsy (74% of respondents). Approximately half of trainees (54%) feel prepared to independently perform autopsies after completing 30 procedures during residency. Only 36% of trainees felt that the existing educational resources were sufficient to learn autopsy pathology. In the survey's free-text questions, trainees identified attendings' attitude toward autopsy, rotation structure, and a lack of study resources as major barriers to learning autopsy pathology. The feedback on educational resources has informed the creation of TheAutopsyBook.com: a case-based, online, freely accessible learning resource for medical autopsy which affords residents access to efficient, high-yield information. The website content is vetted by a diverse group of leading autopsy educators and should be shared widely by program directors and educators to help bridge identified educational gaps.

美国病理学委员会将病理学住院医师在委员会检查前必须完成的尸检数量从50个减少到30个，尽管病理学主席尸检工作组的建议与此相反。我们目前的调查结果从病理学学员谁将开始独立实践在这一标准。该调查由李克特和自由文本问题组成。在两个与尸体解剖有关的国家名单上发出了完成调查的邀请，85名驻美国的受训者作出了答复。受访者认为尸检轮转具有很高的教育价值（64%的受访者），并且需要大量的学习来进行高质量的尸检（74%的受访者）。大约一半的实习生（54%）在实习期间完成30个程序后，觉得可以独立进行尸检。只有36%的受训者认为现有的教育资源足以学习解剖病理学。在调查的自由文本问题中，受训人员认为主治医生对尸检的态度、轮换结构和缺乏学习资源是学习尸检病理学的主要障碍。对教育资源的反馈为TheAutopsyBook.com的创建提供了信息：这是一个基于案例的、在线的、免费的医学解剖学习资源，为居民提供了高效、高产的信息。该网站的内容由一组不同的主要解剖教育家进行审查，并应由项目主管和教育工作者广泛分享，以帮助弥合已确定的教育差距。

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引用次数: 0

Educational Case: Respiratory bronchiolitis-associated interstitial lung disease with fibrosis 教育案例：呼吸性细支气管炎相关间质性肺疾病伴纤维化

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-04-01 DOI: 10.1016/j.acpath.2025.100182

Rachel T. Koch DO, Caroline Abramovich MD

引用次数: 0

Educational Case: Abnormal uterine bleeding 教育案例：子宫异常出血

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2025.100160

Mikaela B. Herberg MD , Kevin D. Whaley MD , Lauren N. Huddle MD

引用次数: 0

Educational Case: Disseminated intravascular coagulation in a patient with cancer 教育案例：癌症患者的弥散性血管内凝血

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2025.100162

Kripa Ahuja MS , Richard M. Conran MD, PhD, JD

引用次数: 0

Educational Case: Bullous pemphigoid 教育案例：大疱性类天疱疮。

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2024.100155

Ryan C. Saal BS , Alice A. Roberts MD, PhD , Richard M. Conran MD, PhD, JD

引用次数: 0

International medical graduates representation in pathology academic workforce, departmental leadership and society leadership 国际医学毕业生在病理学学术队伍、部门领导和社会领导中的代表性。

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2024.100158

Asli Azemi MD , Carlos Parra-Herran MD

Compared with the overall physician workforce, pathologist workforce in the United States has significant representation of international medical graduates (IMGs). IMG representation in the academic pathology workforce, as well as in departmental and pathology societal leadership, has not been documented. In this cross-sectional study, we surveyed a sample of 20 North American academic pathology departmental publicly available websites. Each faculty was recorded according to the location of their medical school training as either US or Canadian medical graduateor IMG (country of medical school graduation any other than US or Canada). Past and present presidents of four major North American pathology societies [American Society for Clinical Pathology (ASCP), Association for Academic Pathology (AAPath), College of American Pathologists (CAP), United States and Canadian Academy of Pathology (USCAP)] were also recorded. A total of 1455 pathologists were retrieved in our search: 924 (63.5 %) were USCMGs and 531 (36.5 %) IMGs. Likewise, 65 % of pathology chairs were USCMGs and 35 % IMGs. These data mirror the 2022 Association of American Medical Colleges distribution in the pathology workforce (65.6 % USCMGs and 34.4 % IMGs). In contrast, historic data from 1993 to 2024 show that only 8 (8 %) past or current presidents of the major US pathology societies were IMGs (USCAP = 6, ASCP = 1, AAPath = 1, CAP = none). While the academic pathology community has proportional representation of physicians based on location of their medical school training, there is historical underrepresentation of IMGs in societal leadership. Unveiling the causes of this disparity and identifying any potential obstacles for faculty engagement is paramount.

与整体医师劳动力相比，美国的病理学家劳动力在国际医学毕业生（IMGs）中具有重要的代表性。IMG在学术病理学工作人员中的代表性，以及在部门和病理社会领导中的代表性，尚未被记录在案。在这项横断面研究中，我们调查了20个北美学术病理学部门公开网站的样本。每个教员根据其医学院培训地点记录为美国或加拿大医学毕业生或IMG（美国或加拿大以外的医学院毕业国家）。北美四大病理学会（美国临床病理学会（ASCP）、学术病理学会（AAPath）、美国病理学家学会（CAP）、美国和加拿大病理学会（USCAP））的前任和现任主席也被记录下来。我们共检索了1455名病理学家：924名（63.5%）为uscmg， 531名（36.5%）为img。同样，65%的病理主席是uscmg， 35%是img。这些数据反映了2022年美国医学院协会在病理人员中的分布（65.6%的uscmg和34.4%的img）。相比之下，从1993年到2024年的历史数据显示，只有8位（8%）美国主要病理学会的前任或现任主席是img （USCAP = 6, ASCP = 1, AAPath = 1, CAP = 0）。虽然病理学界的医生比例代表基于他们的医学院培训地点，但历史上img在社会领导中的代表性不足。揭示这种差异的原因并确定教师参与的任何潜在障碍是至关重要的。

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