Literature DB >> 25989714

The clinico-pathological conference, based upon Giovanni Battista Morgagni's legacy, remains of fundamental importance even in the era of the vanishing autopsy.

Fabio Zampieri1, Stefania Rizzo, Gaetano Thiene, Cristina Basso.   

Abstract

Walter Cannon and Richard Cabot inaugurated the clinico-pathological conference (CPC) at Harvard Medical School at the beginning of the twentieth century, but this approach to anatomo-clinical correlation was first introduced by Giovanni Battista Morgagni at the University of Padua in the eighteenth century. The CPC consists of the presentation of a clinical case, in which past and recent medical histories of the patient, with all relevant information about laboratory tests including biopsy results, therapy and, eventually in a fatal case, the autopsy, are discussed. This is done for an audience of trainees and all physicians involved in the care for the patient. The CPC is still in use in many academic hospitals, as a teaching tool not only for undergraduate and graduate medical trainees, but also for postgraduate continuous medical education, in spite of the progressively declining autopsy rate. CPCs represent the ideal occasion for fruitful discussion between the two "souls" of medicine, i.e., the clinical, with its focus on the patient, and the pathological, with its focus on understanding disease. To discontinue using them would be equal to denying that modern medicine originated in Morgagni's method.

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Year:  2015        PMID: 25989714     DOI: 10.1007/s00428-015-1785-9

Source DB:  PubMed          Journal:  Virchows Arch        ISSN: 0945-6317            Impact factor:   4.064


  14 in total

1.  Determination of the cause of death: its relationship to cardiac disease and autopsy findings.

Authors:  J E Edwards
Journal:  Mayo Clin Proc       Date:  1999-07       Impact factor: 7.616

2.  Death of the teaching autopsy.

Authors:  Gregory O'Grady
Journal:  BMJ       Date:  2003-10-04

3.  The vanishing nonforensic autopsy.

Authors:  Kaveh G Shojania; Elizabeth C Burton
Journal:  N Engl J Med       Date:  2008-02-28       Impact factor: 91.245

4.  Historicism and neo-Kantianism.

Authors:  Fred Beiser
Journal:  Stud Hist Philos Sci       Date:  2008-12       Impact factor: 1.429

5.  Symposium on the physician in the 18th century.

Authors:  S JARCHO; J C TRENT; W J BELL
Journal:  Bull Hist Med       Date:  1948-09       Impact factor: 1.314

6.  An etymological "autopsy" of Morgagni's title: De sedibus et causis morborum per anatomen indagatis (1761).

Authors:  Fabio Zampieri; Alberto Zanatta; Gaetano Thiene
Journal:  Hum Pathol       Date:  2013-07-12       Impact factor: 3.466

7.  The history of the rise and fall in importance of the clinicopathologic conference in American medicine.

Authors:  Harold M Malkin
Journal:  Ann Diagn Pathol       Date:  2008-08-15       Impact factor: 2.090

8.  Case Records of the Massachusetts General Hospital--a home-court advantage?

Authors:  S Saint; A S Go; C Frances; L M Tierney
Journal:  N Engl J Med       Date:  1995-09-28       Impact factor: 91.245

9.  Ben Castleman--champion of the CPC.

Authors:  R E Scully
Journal:  N Engl J Med       Date:  1982-08-05       Impact factor: 91.245

10.  The art of diagnosis: solving the clinicopathological exercise.

Authors:  D M Eddy; C H Clanton
Journal:  N Engl J Med       Date:  1982-05-27       Impact factor: 91.245

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  7 in total

1.  Giovanni Battista Morgagni (1682-1771).

Authors:  Çağatay Öncel; Sevin Baser
Journal:  J Neurol       Date:  2015-10-20       Impact factor: 4.849

2.  The medical autopsy as quality assurance tool in clinical medicine: dreams and realities.

Authors:  Jan G van den Tweel; Christian Wittekind
Journal:  Virchows Arch       Date:  2015-08-28       Impact factor: 4.064

3.  The pedagogical value of autopsy.

Authors:  Fernando Peixoto Ferraz de Campos; Luiz Otávio Savassi Rocha
Journal:  Autops Case Rep       Date:  2015-09-30

4.  Clinico-pathological correlation: Teaching aspects, avenues, and advances.

Authors:  Sunil Jain
Journal:  J Adv Med Educ Prof       Date:  2022-01

5.  Code of practice for medical autopsies: a minimum standard position paper for pathology departments performing medical (hospital) autopsies in adults.

Authors:  G Cecilie Alfsen; Jacek Gulczyński; Ivana Kholová; Bart Latten; Javier Martinez; Myriam Metzger; Katarzyna Michaud; Carlos M Pontinha; Natalia Rakislova; Samuel Rotman; Zsuzsanna Varga; Katharina Wassilew; Vsevolod Zinserling
Journal:  Virchows Arch       Date:  2021-12-10       Impact factor: 4.535

Review 6.  Autopsy in the era of advanced cardiovascular imaging.

Authors:  Cristina Basso; James R Stone
Journal:  Eur Heart J       Date:  2022-07-07       Impact factor: 35.855

7.  Feasibility of postmortem examination in the era of COVID-19 pandemic: the experience of a Northeast Italy University Hospital.

Authors:  Cristina Basso; Fiorella Calabrese; Marta Sbaraglia; Claudia Del Vecchio; Giovanni Carretta; Annamaria Saieva; Daniele Donato; Luciano Flor; Andrea Crisanti; Angelo Paolo Dei Tos
Journal:  Virchows Arch       Date:  2020-06-09       Impact factor: 4.535

  7 in total

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