Michael L Wilson1,2,3, Stephanie Ayers3, Daniel Berney3,4, Alexia Eslan3, Jeannette Guarner3,5, Susan Lester6,7, Ricard Masia7,8, Zahir Moloo3,9,10, Angela Mutuku9,10, Drucilla Roberts3,7,8, Jennifer Stall7,8, Shahin Sayed3,9,10. 1. Department of Pathology and Laboratory Services, Denv er Health, Denver, CO. 2. Department of Pathology, University of Colorado School of Medicine, Aurora, CO. 3. African Strategies for Advancing Pathology, Denver, CO. 4. Department of Cellular Pathology, Barts Cancer Institute at Queen Mary University of London, London, UK. 5. Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA. 6. Department of Pathology, Brigham and Women's Hospital, Boston, MA. 7. Department of Pathology, Harvard Medical School, Boston, MA. 8. Department of Pathology, Massachusetts General Hospital, Boston. 9. College of Pathologists of East, Central, and South Africa, Nairobi, Kenya. 10. Department of Pathology, Aga Khan University Hospital Nairobi, Nairobi, Kenya.
Abstract
OBJECTIVES: Cancer care requires both accurate pathologic diagnosis as well as pathologic cancer staging. We evaluated three approaches to training pathologists in sub-Saharan Africa to perform pathologic cancer staging of breast, cervix, prostate, and colorectal cancers. METHODS: One of three training methods was used at each workshop: didactic, case-based testing (CBT), or a blended approach. The project involved 52 participants from 16 pathology departments in 11 countries in East, Central, and Southern Africa. Evaluation of each method included pre- and postworkshop knowledge assessments, online pre- and postworkshop surveys of practice changes at the individual and institutional levels, and selected site visits. RESULTS: While CBT resulted in the highest overall average postassessment individual scores, both CBT and blended approaches resulted in 19% increases in average scores from pre- to postworkshop assessments. Institutions that participated in the blended workshop had increased changes in practice as indicated by the institutional survey. CONCLUSIONS: Both CBT and a blended approach are effective methods for training pathologists in pathologic cancer staging. Both are superior to traditional lectures alone.
OBJECTIVES: Cancer care requires both accurate pathologic diagnosis as well as pathologic cancer staging. We evaluated three approaches to training pathologists in sub-Saharan Africa to perform pathologic cancer staging of breast, cervix, prostate, and colorectal cancers. METHODS: One of three training methods was used at each workshop: didactic, case-based testing (CBT), or a blended approach. The project involved 52 participants from 16 pathology departments in 11 countries in East, Central, and Southern Africa. Evaluation of each method included pre- and postworkshop knowledge assessments, online pre- and postworkshop surveys of practice changes at the individual and institutional levels, and selected site visits. RESULTS: While CBT resulted in the highest overall average postassessment individual scores, both CBT and blended approaches resulted in 19% increases in average scores from pre- to postworkshop assessments. Institutions that participated in the blended workshop had increased changes in practice as indicated by the institutional survey. CONCLUSIONS: Both CBT and a blended approach are effective methods for training pathologists in pathologic cancer staging. Both are superior to traditional lectures alone.
Authors: Jeannette Guarner; Timothy Amukele; Meheretu Mehari; Tufa Gemechu; Yimtubezinash Woldeamanuel; Anne M Winkler; Daniel Asrat; Michael L Wilson; Carlos del Rio Journal: Am J Clin Pathol Date: 2015-03 Impact factor: 2.493
Authors: Kenneth A Fleming; Mahendra Naidoo; Michael Wilson; John Flanigan; Susan Horton; Modupe Kuti; Lai Meng Looi; Chris Price; Kun Ru; Abdul Ghafur; Jianxiang Wang; Nestor Lago Journal: Am J Clin Pathol Date: 2017-01-01 Impact factor: 2.493
Authors: Peter Ntiamoah; Ngozi R Monu; Fatimah B Abdulkareem; Kayode A Adeniji; John O Obafunwa; Akinwumi O Komolafe; Clayton Yates; Ernest Kaninjing; John D Carpten; Bodour Salhia; Folake T Odedina; Marcia Edelweiss; T Peter Kingham; Olusegun I Alatise Journal: J Glob Oncol Date: 2019-09