Academic Pathology最新文献

英文中文

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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引用次数: 0

Educational Case: Aortic valve stenosis 教育案例：主动脉瓣狭窄

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2025.100163

Steven Gamss FTLD , Menachem M. Gurevitz DO , Daniel Miller DO , Yonah C. Ziemba MD

引用次数: 0

Educational Case: Essential thrombocythemia 教育案例：原发性血小板增多症

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2025.100167

David T. Danielson MD , Jeannie M. Muir MD

引用次数: 0

Educational Case: Ectopic pregnancy and its relation to pelvic infections 教育案例：宫外孕及其与盆腔感染的关系

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2025.100168

Liana Haven MD, MPH, Susan J. Roe MD

引用次数: 0

Pathology in the artificial intelligence era: Guiding innovation and implementation to preserve human insight 人工智能时代的病理学：引导创新和实施，以保持人类的洞察力

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2025.100166

Harry Gaffney MD , Kamran M. Mirza MD, PhD

The integration of artificial intelligence in pathology has ignited discussions about the role of technology in diagnostics—whether artificial intelligence serves as a tool for augmentation or risks replacing human expertise. This manuscript explores artificial intelligence's evolving contributions to pathology, emphasizing its potential capacity to enhance, rather than eclipse, the pathologist's role. Through historical comparisons, such as the transition from analog to digital in radiology, this paper highlights how technological advancements have historically expanded professional capabilities without diminishing the essential human element. Current applications of artificial intelligence in pathology—from diagnostic standardization to workflow efficiency—demonstrate its potential to augment diagnostic accuracy, expedite processes, and improve consistency across institutions. However, challenges remain in algorithmic bias, regulatory oversight, and maintaining interpretive skills among pathologists. The discussion underscores the importance of comprehensive governance frameworks, evolving educational curricula, and public engagement initiatives to ensure artificial intelligence in pathology remains a collaborative endeavor that empowers professionals, upholds ethical standards, and enhances patient outcomes. This manuscript ultimately advocates for a balanced approach where artificial intelligence and human expertise work in concert to advance the future of diagnostic medicine.

人工智能在病理学中的整合引发了关于技术在诊断中的作用的讨论——人工智能是作为一种增强工具还是有取代人类专业知识的风险。本文探讨了人工智能对病理学的不断发展的贡献，强调了其增强而不是削弱病理学家作用的潜在能力。通过历史比较，例如放射学从模拟到数字的转变，本文强调了技术进步如何在不减少基本人为因素的情况下扩大了专业能力。目前，人工智能在病理学中的应用——从诊断标准化到工作流程效率——证明了它在提高诊断准确性、加快流程和提高机构一致性方面的潜力。然而，在算法偏差、监管监督和维持病理学家的解释技能方面仍然存在挑战。讨论强调了综合治理框架、不断发展的教育课程和公众参与倡议的重要性，以确保病理学中的人工智能仍然是一项协作努力，赋予专业人员权力，维护道德标准，并提高患者的治疗效果。这份手稿最终倡导一种平衡的方法，在这种方法中，人工智能和人类专业知识协同工作，以推进诊断医学的未来。

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引用次数: 0

#PathArt: from glass slide to canvas; with a mission of enlightening the burdens of life #PathArt：从玻璃幻灯片到画布；肩负着减轻生活负担的使命

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2024.100157

Meredith Herman DO , Casey Schukow DO , Alexandra Tatarian MD , Ziad M. El-Zaatari MD , Gloria Hopkins Sura MD , Marilyn M. Bui MD, PhD, FCAP

Pathology requires visual aptitude, pattern, and color recognition as a medical specialty. This can account for the growing PathArt (or #PathArt via social media, or SoMe) movement. For the purpose of this review, the authors define PathArt as any form of art inspired by pathology topics, such as microscopic images (i.e. surgical histology, cytology, hematology, immunohistochemistry), gross pathology, and clinical pathology (including molecular/genetics). Pathologists are well-versed in the use of hashtags and commonly utilize them to tag relevant medical topics to share with colleagues through online platforms, such as Twitter (renamed X in 2023). As the professional laboratory network has expanded virtually, artists within the community have emerged and shared numerous pathology artworks. However, displaying pathology as “beautiful” art pieces gives rise to concerns over portraying cancer light-heartedly given the humanity of disease. For this review, we discuss the history of art and medicine, pathology as a visual and creative specialty, explore the conceptual framework of the hashtag #PathArt is associated with sharing pathology-related art on SoMe, and address the psychological and medico-legal implications that surround PathArt. This article is intended to provide a guide to fostering PathArt and #PathArt in an ethical and positive manner. References were obtained via qualitative review of non-peer-reviewed and peer-reviewed literature pertinent to this topic.

作为医学专业，病理学需要视觉天赋、模式和颜色识别。这可以解释PathArt（或通过社交媒体的#PathArt）运动的发展。为了本综述的目的，作者将PathArt定义为受病理学主题启发的任何形式的艺术，例如显微镜图像（即手术组织学，细胞学，血液学，免疫组织化学），大体病理学和临床病理学（包括分子/遗传学）。病理学家对标签的使用非常精通，通常利用标签来标记相关的医学话题，并通过在线平台与同事分享，比如Twitter（2023年更名为X）。随着专业实验室网络的扩大，社区内的艺术家已经出现并分享了大量的病理艺术品。但是，将病理学表现为“美丽”的艺术作品，不免让人担心，考虑到疾病的人性，是否会将癌症轻描淡写地描绘出来。在这篇综述中，我们讨论了艺术和医学的历史，病理学作为一门视觉和创造性的专业，探讨了#PathArt标签与在SoMe上分享病理学相关艺术相关的概念框架，并讨论了围绕PathArt的心理和医学法律含义。本文旨在以道德和积极的方式培养PathArt和#PathArt。参考文献是通过与本主题相关的非同行评议和同行评议文献的定性审查获得的。

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引用次数: 0

From good to great: The journey of sustained academic improvement of a university department of pathology and laboratory medicine 从优秀到卓越：一所大学病理与检验医学系持续学术进步之旅

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2025.100159

Zu-hua Gao MD, PhD, Genevieve McMillan BSc, MHSc, Cheryl Wellington PhD, Helene Cote PhD, Michael Nimmo LLB, MD, David Huntsman MD, Suzanne Vercauteren MD, PhD, Lucy Perrone PhD, David Granville PhD, FAHA, Cornelia Laule PhD

Pathology and Laboratory Medicine discipline occupies a special place in the medical school and healthcare ecosystem as it bridges basic medical science and clinical practice. In the era of rapid knowledge and technology evolution, the new ways of communication, new training requirements, and the demand of personalized precision diagnostics, this specialty is facing unprecedented challenges and opportunities. Some of these challenges are institution-specific, while many are shared worldwide at different magnitudes. This review shares our team efforts in effectively dealing with challenges of budget constraints, engaging diverse and distributed faculties to establish and implement a shared vision and strategy to achieve sustained improvement in education programs and research enterprise. We hope that our experiences and insights can inspire other university departments in finding innovative approaches for their unique challenges and opportunities.

病理学和检验医学学科在医学院和医疗保健生态系统中占有特殊的地位，因为它是基础医学和临床实践的桥梁。在知识和技术快速发展的时代，新的沟通方式，新的培训要求以及个性化精确诊断的需求，该专业面临着前所未有的挑战和机遇。其中一些挑战是机构特有的，而许多挑战在不同程度上是全世界共有的。这篇综述分享了我们团队在有效应对预算限制挑战方面的努力，让不同和分布的院系参与进来，建立和实施共同的愿景和战略，以实现教育项目和研究企业的持续改进。我们希望我们的经验和见解可以启发其他大学院系找到创新的方法来应对他们独特的挑战和机遇。

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引用次数: 0

Challenges in autopsy training for pathology residents: A survey of autopsy directors 病理学住院医师解剖训练的挑战：解剖主任的调查。

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2024.100156

Kathryn P. Scherpelz MD, PhD , Desiree Marshall MD , Alex K. Williamson MD , Nicole R. Jackson MD, MPH

Resident training in autopsy provides a foundation of knowledge and skills for forensic pathologists and anatomic pathologists, but obstacles are present in ensuring quality training. A survey of US autopsy service directors at sites with pathology residency programs was used to identify common challenges in resident autopsy training. Respondents (n = 29) largely believed that negative attitudes from residents, faculty, training programs, and/or the medical system at large (34%) and time limitations (34%) were the most significant challenges for residency autopsy training. Regarding the Accreditation Council for Graduate Medical Education's decreased autopsy requirements from 50 to 30 required cases, respondents noted decreased difficulty (38% to 7%) for residents to achieve the minimum of cases but increased concerns regarding competency at this minimum (7% to 76%). Other impacts of this reduced requirement included decreased interest from residents after meeting minimum requirements, shortened autopsy rotations, increased resident-free autopsies, and increased use of pathologist assistants. Two programs (7%) described a decreased need for residents to share cases, but no other potential benefit was described. In addition to the value provided to the community through autopsies, autopsy training during residency provides knowledge and skills relevant to anatomic pathologists generally and forms a necessary foundation on which forensic pathology fellows and future autopsy attendings can develop proficiency. Continued effort is needed to promote the importance of autopsies to pathology residents and others and to provide sufficient training to produce pathologists competent in autopsy pathology.

尸检住院医师培训为法医病理学家和解剖病理学家提供了知识和技能的基础，但在确保培训质量方面存在障碍。一项对美国尸检服务主任的调查，在有病理学住院医师项目的地方被用来确定住院医师尸检培训的共同挑战。受访者（n = 29）大多认为来自住院医师、教师、培训计划和/或整个医疗系统的负面态度（34%）和时间限制（34%）是住院医师尸检培训面临的最大挑战。关于研究生医学教育认证委员会将尸检要求从50例减少到30例，受访者指出，住院医生达到最低病例数的难度降低了（38%至7%），但对最低病例数能力的担忧增加了（7%至76%）。这一要求降低的其他影响包括：满足最低要求后，住院医生的兴趣降低，尸检轮询时间缩短，住院医生无需尸检增加，以及病理学助理的使用增加。两个项目（7%）描述了住院医生分享病例的需求减少，但没有描述其他潜在的好处。除了通过尸检为社区提供的价值外，住院医师期间的尸检培训还为解剖病理学家提供了相关的知识和技能，并为法医病理学研究员和未来的尸检主治医师发展熟练程度奠定了必要的基础。需要继续努力向病理学住院医师和其他人宣传尸检的重要性，并提供足够的培训，以培养能够胜任尸检病理学的病理学家。

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引用次数: 0

Educational Case: Mechanism and locations of intracranial hypertensive hemorrhage leading to stroke 教育案例：颅内高压出血导致脑卒中的发生机制及部位

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2025.100165

Joshua Richmond MD , Jake Quarles MD , Sanjay Talati MD , Jyotsna Pandey MD PhD

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全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

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Academic Pathology

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