Academic Pathology最新文献

英文中文

Educational Case: Pancreatic neuroendocrine neoplasms 教育案例：胰腺神经内分泌肿瘤

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2025.100161

Hunter L. Monroe BS, Reima El Naili MD

引用次数: 0

Educational Case: Psoriasis 教育案例：牛皮癣。

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2024.100154

Ryan C. Saal BS , Abby S. Van Voorhees MD , Richard M. Conran MD, PhD, JD

引用次数: 0

Osteopathic versus allopathic medical school pathology curricula: a survey of medical students at Michigan State University 整骨疗法与对抗疗法医学院病理学课程：对密歇根州立大学医学生的调查

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2025-01-01 DOI: 10.1016/j.acpath.2025.100164

Curtiss Johnson BA , Meredith Herman DO , Basma Klump PhD , Christina Silva BS , Jessica Maupin DO , Casey P. Schukow DO , Justin Tran BS , Paul Kowalski MD

Despite guidelines for pathology undergraduate medical education set forth by the Association of American Medical Colleges, American Medical Association, Liaison Committee on Medical Education, and Commission on Osteopathic College Accreditation, there is sparse literature regarding differences in pathology curricula between allopathic and osteopathic institutions. As programs alter curricula to adapt to the ever-increasing breadth and depth of medical knowledge, there is concern for lost educational opportunities in pathology and a growing need for research on the landscape of pathology undergraduate medical education in medical schools nationwide. An Institutional Review Board approved, voluntary 22-item survey regarding pathology curricula was distributed to allopathic and osteopathic medical school students at Michigan State University from July 2022 to January 2023. The total number of responses was 363 (n = 363; 22.6% allopathic, 77.4% osteopathic). We present data on pathology education at a university that features both an allopathic and osteopathic college of medicine while focusing on factors that influence medical students’ perceptions of pathology. Statistically significant differences (P≤0.05) in responses—favoring Michigan State University osteopathic students over their allopathic counterparts—were observed in several areas: the perception of pathology as a medical versus surgical specialty (P 0.014), acknowledgement of a dedicated pathology course (P 0.002), and awareness of pathology-specific content (P < 0.001). Allopathic students expressed a greater desire for pathology exposure (P 0.003). This study highlights the variable exposure of pathology between two different curriculums and suggests that, while traditionally primary-care-focused, osteopathic medical programs may offer stronger pathology education and exposure.

尽管美国医学院协会、美国医学协会、医学教育联络委员会和整骨疗法学院认证委员会制定了病理学本科医学教育指导方针，但关于对抗疗法和整骨疗法机构之间病理学课程差异的文献很少。随着项目改变课程以适应不断增长的医学知识的广度和深度，人们担心病理学教育机会的丧失，并且越来越需要对全国医学院的病理学本科医学教育进行研究。2022年7月至2023年1月，一项机构审查委员会批准的关于病理学课程的22项自愿调查分发给密歇根州立大学对抗疗法和整骨疗法医学院的学生。总应答数为363 (n = 363；22.6%对抗疗法，77.4%整骨疗法)。我们提供了一所大学病理学教育的数据，该大学同时设有对抗疗法和整骨疗法医学院，同时关注影响医学生病理学认知的因素。统计上显著差异（P≤0.05）——密歇根州立大学的整骨疗法学生比对抗疗法学生更受欢迎——在以下几个方面观察到：病理学作为医学专业与外科专业的认知（P 0.014），承认专门的病理学课程（P 0.002），以及对病理特异性内容的认识(P <；0.001)。对抗疗法学生表现出更大的病理暴露欲望（P < 0.003）。这项研究强调了两种不同课程之间病理学的不同暴露，并表明，虽然传统上以初级保健为重点，骨科医学课程可能提供更强的病理学教育和暴露。

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引用次数: 0

Educational Case: Neonatal alloimmune thrombocytopenia 教育案例：新生儿同种免疫血小板减少症

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2024-10-01 DOI: 10.1016/j.acpath.2024.100152

Ingmar N. Bastian MD , William N. Rose MD

引用次数: 0

Social media in pathology and laboratory medicine: A systematic review 病理学和检验医学中的社交媒体：系统回顾

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2024-10-01 DOI: 10.1016/j.acpath.2024.100151

Allyson Flippo BS , Bhakti Dixit MS , Casey P. Schukow DO , Sean M. Hacking MB, BCH, BAO , Leo Song MD , Kimberly Fiock PhD, MS , Kathryn Golab MLS(ASCP)CMSHCM , Snehal Sonawane MD , David N. Alter MD, MPH, DABCC , Rodney E. Rohde PhD, SM(ASCP)CM, SVCM, MBCM, FACSc , Swikrity U. Baskota MD, FCAP , Aadil Ahmed MD , Nicole R. Jackson MD, MPH , Anna B. Owczarczyk MD, PhD, FASCP , Kyle S. Conway MD , Kamran M. Mirza MD, PhD

The use of social media platforms in pathology and medical laboratory science has increased in recent years, revolutionizing the way professionals in these fields interact, disseminate information, and collaborate. To gain an understanding of the current landscape regarding social media use in pathology and medical laboratory science, a novel systematic review was conducted. A search of PubMed, Medline, Embase, and Scopus was performed to identify articles evaluating social media use within pathology and medical laboratory science. Articles published in English within the previous 10 years were searched on December 22, 2022. Inclusion criteria were articles containing information regarding social media utility in pathology or laboratory medicine and related articles that mentioned specific hashtags for pathology. The review process involved analyzing the social media platforms referenced, hashtags mentioned, and the presence of international authors as key endpoints of interest. 802 publications were identified; 54 studies met inclusion criteria. Subspecialties represented were considered, but none were found to be statistically significant. X/Twitter (n = 42) was the most discussed social media platform. The top hashtags discussed were #pathJC (5.1%), #dermpathJC (4.2%), #USCAP2016 (3.4%), and #PathBoards (3.4%). Analysis of these articles provides insights into current trends, including the social media platforms referenced, hashtags used, and involvement of international authors. This review will contribute to a deeper understanding of the role and impact of social media in these fields, highlighting opportunities and challenges for future research and practice in pathology and lab medicine.

近年来，社交媒体平台在病理学和医学检验科学领域的使用越来越多，彻底改变了这些领域的专业人员互动、传播信息和合作的方式。为了了解社交媒体在病理学和医学检验科学中的使用现状，我们进行了一项新颖的系统性综述。我们对 PubMed、Medline、Embase 和 Scopus 进行了检索，以确定评估病理学和医学实验室科学中社交媒体使用情况的文章。检索时间为 2022 年 12 月 22 日，检索对象为过去 10 年内发表的英文文章。纳入标准是包含病理学或检验医学社交媒体应用信息的文章，以及提及病理学特定标签的相关文章。审查过程包括分析所引用的社交媒体平台、所提及的标签以及是否有国际作者作为关键兴趣终点。共确定了 802 篇出版物；54 项研究符合纳入标准。考虑了所代表的亚专科，但未发现有统计学意义的亚专科。X/Twitter（n = 42）是讨论最多的社交媒体平台。讨论最多的标签是 #pathJC (5.1%)、#dermpathJC (4.2%)、#USCAP2016 (3.4%) 和 #PathBoards (3.4%)。对这些文章的分析有助于深入了解当前的趋势，包括所引用的社交媒体平台、所使用的标签以及国际作者的参与情况。这篇综述将有助于加深对社交媒体在这些领域的作用和影响的理解，为病理学和检验医学的未来研究和实践带来机遇和挑战。

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引用次数: 0

Paying to publish: A cross-sectional analysis of article processing charges and journal characteristics among 87 pathology journals 付费出版：对 87 种病理学期刊的文章处理费和期刊特点的横截面分析

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2024-10-01 DOI: 10.1016/j.acpath.2024.100153

Landon M. Clark MPhil , Dayle K. Wang AB, BE , Brian D. Adkins MD , Valerie A. Fitzhugh MD , Philip D. Walker MLIS, MS , Shazia S. Khan MD , Oluwole Fadare MD , Laura D. Stephens MD , Alice C. Coogan MD , Garrett S. Booth MD, MS , Jeremy W. Jacobs MD, MHS

Article processing charges are increasingly being levied on authors via publication fees to provide open access to readers. These charges may impose challenges to early career physicians seeking to publish research but pathology journal article processing charges have not been investigated to date. We aimed to quantify pathology journal article processing charges and investigate the potential associated factors. We performed a cross-sectional analysis of manuscript article processing charges among the 87 pathology journals in the “Pathology” category in Journal Citation Reports (Clarivate) and associated journal variables: publication model (open access vs hybrid), impact factor, year founded, journal location, journal publisher, medical society affiliation, whether the journal is published in print vs online, and subscription cost to institutions. Most (70.1 %, 61/87) journals were hybrid, while 29.9 % (26/87) were open access. Overall, the median cost to publish open access was significantly greater for hybrid journals compared with open access journals ($3710 vs $1735; P<0.0001). Article processing charges positively correlated with impact factor, journal publisher, and institutional journal subscription costs in bivariate analysis. In multivariable analysis, impact factor associated with higher charges, whereas open access journals, medical society affiliation, and location in a European country outside of the United Kingdom were associated with lower charges. There was no significant association between publication frequency, years since journal founding, or print and online publication. Understanding the potential fees that may impact pathologists attempting to publish in the biomedical literature as well as the options for covering these costs is crucial to ensure equitable career advancement opportunities.

为了向读者提供开放式阅读，越来越多的文章处理费通过出版费的形式向作者收取。这些收费可能会给寻求发表研究成果的早期职业医师带来挑战，但迄今为止尚未对病理学期刊的文章处理费进行过调查。我们旨在量化病理学期刊论文处理费，并调查潜在的相关因素。我们对《期刊引文报告》（Clarivate）中 "病理学 "类别的87种病理学期刊的稿件处理费用以及相关期刊变量进行了横向分析：出版模式（开放获取与混合获取）、影响因子、创刊年份、期刊所在地、期刊出版商、医学会附属机构、期刊是否以印刷版出版与在线出版以及机构订阅成本。大多数期刊（70.1%，61/87）为混合型，29.9%（26/87）为开放存取型。总体而言，混合型期刊与开放存取期刊相比，开放存取期刊的出版成本中位数明显更高（3710 美元对 1735 美元；P<0.0001）。在双变量分析中，文章处理费与影响因子、期刊出版商和机构期刊订阅成本呈正相关。在多变量分析中，影响因子与较高的费用相关，而开放存取期刊、医学会附属机构和位于英国以外的欧洲国家则与较低的费用相关。出版频率、期刊创办年限、印刷出版与在线出版之间没有明显关联。了解可能影响病理学家在生物医学文献上发表论文的潜在费用以及支付这些费用的选择对于确保公平的职业发展机会至关重要。

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引用次数: 0

Entrustable professional activities (EPAs) in surgical pathology: implementation experience and longitudinal observations of resident development 外科病理学中的可委托专业活动（EPAs）：住院医师发展的实施经验和纵向观察

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2024-10-01 DOI: 10.1016/j.acpath.2024.100150

Alcino Gama MD , Christopher Felicelli MD , Indu Agarwal MD , Taylor Bronson MD , Bonnie Choy MD , David J. Escobar MD, PhD , Jennifer Y. Ju MD , Carissa LaBoy MD , Ritu Nayar MD , Behtash G. Nezami MD , Jessica Nguyen MD , Farres Obeidin MD , Jenna Purdy MD , Elisheva Shanes MD , Amanda L. Strickland MD , Luis Z. Blanco Jr. MD , Jorge E. Novo MD

Entrustable professional activities (EPAs) have been implemented in various medical specialties, and the Pathology National EPA Working Group has piloted the implementation of four pathology EPAs. We recently published the development of EPAs within our surgical pathology rotation. Following a six-month pilot, a survey demonstrated that faculty and residents found the forms helpful and easy to use and easy to understand, and EPAs have been fully incorporated into our surgical pathology rotation. Here, we discuss our experience, challenges, and results of resident EPA performance for intraoperative consultations (IOC) and sign-out (SO) after 21 months of implementation. Between June 2022 and March 2024, 24 residents were evaluated by 13 faculty members, resulting in 136 IOC and 298 SO EPA forms. Paper forms were predominantly used, with only five electronic forms submitted. EPA performance scores for SO increased from 2.4 ± 0.8 in Block 1 to 4.6 ± 0.2 in Block 14 (p < 0.0001), whereas performance scores for IOC increased from 2.7 ± 1.0 in Block 1 to 4.8 ± 0.2 in Block 14 (p < 0.0001). The progressive decrease in the standard deviation throughout residency denotes higher competence homogeneity as residency graduation approaches. Overall, our EPA evaluation method showed ease of use, provided valuable tracking tools, and long-term feasibility. EPAs are robust tools for tracking resident progression toward independent practice in surgical pathology, offering valuable insights for program and rotation directors to assess and track individual EPA skills, identify intervention points, and provide an opportunity for immediate, actionable feedback based on current performance.

受托专业活动（EPAs）已在各医学专科实施，病理学国家 EPA 工作组已试行了四项病理学 EPAs。我们最近公布了外科病理学轮转中 EPA 的发展情况。经过 6 个月的试点，一项调查显示，教师和住院医师都认为这些表格很有帮助、易于使用且易于理解，因此 EPA 已完全纳入我们的外科病理学轮转中。在此，我们将讨论我们的经验、挑战以及实施 21 个月后住院医师术中会诊（IOC）和签出（SO）的 EPA 表现结果。在 2022 年 6 月至 2024 年 3 月期间，13 名教师对 24 名住院医师进行了评估，共收到 136 份 IOC 和 298 份 SO EPA 表格。主要使用纸质表格，仅提交了 5 份电子表格。SO的EPA表现得分从第1组的2.4±0.8分增加到第14组的4.6±0.2分（p <0.0001），而IOC的表现得分从第1组的2.7±1.0分增加到第14组的4.8±0.2分（p <0.0001）。在整个住院医师培训期间，标准偏差逐渐减小，这表明随着住院医师培训毕业的临近，能力的同质性更高。总之，我们的 EPA 评估方法易于使用，提供了有价值的跟踪工具和长期可行性。EPA 是跟踪住院医师在外科病理学独立实践方面进展的有力工具，为项目和轮转主任评估和跟踪个人 EPA 技能、确定干预点提供了有价值的见解，并为基于当前表现的即时、可操作反馈提供了机会。

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引用次数: 0

Graduated responsibility and competency-based education in pathology residency programs: a five-year semi-longitudinal landscape assessment on autonomy and supervision 病理学住院医师培训项目中的毕业责任和基于能力的教育：关于自主权和监督的五年半纵向景观评估

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2024-09-25 DOI: 10.1016/j.acpath.2024.100148

Douglas C. Miller MD, PhD , Cindy McCloskey MD , Gary Procop MD, MS , Scott Anderson MD , Melvin Limson PhD , W. Stephen Black-Schaffer MD, MA

Pathology residency training has been criticized for having too little opportunities for resident autonomy. As graduate medical education moves to competency-based models measuring competency and giving autonomy for specific tasks will be important. To determine how much autonomy residents are currently granted we surveyed pathology residency directors with regard to a list of usual pathology tasks and compared responses with those of a similar survey from 2018. Among the 29 programs whose directors responded, we found a considerable range within which some programs give much autonomy and others very little. Most programs did not describe measuring competency before granting performance of specific activities. We urge that restrictive programs examine the more permissive programs to see how they can move toward granting more autonomy.

病理学住院医师培训一直被批评为住院医师自主机会太少。随着医学研究生教育向以能力为基础的模式转变，衡量能力和赋予特定任务的自主权将变得非常重要。为了确定目前给予住院医师多少自主权，我们就病理学住院医师培训的常规任务清单对住院医师主任进行了调查，并将答复与 2018 年的类似调查进行了比较。在 29 个有主任回复的项目中，我们发现了一个相当大的范围，其中一些项目给予的自主权很大，而另一些则很小。大多数项目没有说明在允许执行特定活动之前对能力进行了评估。我们敦促限制性项目研究更宽松的项目，看看它们如何能够朝着给予更多自主权的方向发展。

引用次数: 0

A required medical student collaborative case presentation with a pathologist in the surgery clerkship 要求医科学生在外科实习中与病理学家进行合作病例展示

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2024-09-17 DOI: 10.1016/j.acpath.2024.100147

Abdallah Flaifel MD , Kristen M. Thomas MD , Syed T. Hoda MD , Leandra Krowsoski MD , Isabelle Le Leannec MD , Colleen Gillespie PhD , Margret S. Magid MD

In medical education, pathology has traditionally been concentrated in only the preclinical years, often without sufficient emphasis on its practical application in clinical practice. Correspondingly, medical students' interest in pathology as a career has been low. To address this issue and foster a deeper understanding of pathology's clinical relevance and encourage appropriate utilization, we introduced a required exposure to pathology in the surgery clerkship featuring clinicopathological case review in a small group setting. Unlike other approaches, we wanted to create a program that concentrates on pathology cases directly linked to patients whom students cared for during their clerkship rotation, emphasizing the relevance of pathology diagnosis. Feedback has been overwhelmingly positive from participating students, who report an increased awareness of pathology's importance in patient management and of the significance of interdisciplinary collaboration between pathologists and clinicians. A notable feature of this program is its relatively low time and personnel requirements, which facilitate inclusion in the busy clerkship and acceptance in the Department of Pathology. Challenges, such as timely case selection and administrative co-ordination, are being addressed to optimize the program's implementation. In the future, we are considering expanding this model to other clerkships. By rekindling interest in pathology through practical engagement and highlighting its real-world relevance, this approach offers a promising strategy to counteract recruitment challenges in this crucial medical field.

在医学教育中，病理学历来只集中在临床前几年，往往没有充分强调其在临床实践中的实际应用。相应地，医学生对病理学作为职业的兴趣也不高。为了解决这个问题，促进学生更深入地了解病理学的临床意义，并鼓励学生合理利用病理学，我们在外科实习中引入了病理学必修课程，以小组形式进行临床病理病例回顾。与其他方法不同的是，我们希望创建一个项目，将病理病例与学生在实习轮转期间护理的病人直接联系起来，强调病理诊断的相关性。参与学生的反馈非常积极，他们表示对病理学在患者管理中的重要性以及病理学家和临床医生之间跨学科合作的意义有了更深的认识。该计划的一个显著特点是对时间和人员的要求相对较低，这有利于学生在繁忙的实习期间参加该计划，也有利于病理系接受该计划。我们正在解决及时选择病例和行政协调等难题，以优化计划的实施。未来，我们正考虑将这一模式推广到其他实习岗位。通过实际参与和强调病理学与现实世界的相关性来重新激发对病理学的兴趣，这种方法为应对这一重要医学领域的招生挑战提供了一种前景广阔的策略。

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引用次数: 0

Educational Case: Acetaminophen hepatotoxicity: Pathophysiology and evaluation of acute liver failure 教育案例：对乙酰氨基酚肝中毒：病理生理学和急性肝衰竭评估

IF 1.2 Q3 PATHOLOGY

Academic Pathology

Pub Date : 2024-09-09 DOI: 10.1016/j.acpath.2024.100146

Hunter L. Monroe BS, Tony El Jabbour MD

引用次数: 0

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