Literature DB >> 36035534

Pathology Rotations Embedded Within Surgery Clerkships Can Shift Student Perspectives About Pathology.

Alexander S Taylor1, Lauren Kroll-Wheeler1, Madelyn Lew1.   

Abstract

Purpose: Medical school curricula have focused more on early clinical exposure with compressed didactic curricula, raising questions on how pathology can be effectively integrated into clinically relevant medical education. This study highlights how a required 1-week pathology rotation embedded within a surgery clerkship can impact students' knowledge base and perspectives of pathology.
Methods: One hundred ninety-two medical students rotated through a newly designed mandatory 1-week pathology rotation during surgery clerkship. Post-rotation feedback and survey data from students were collected to evaluate their perspectives of pathology. Pathology residents and faculty were surveyed about changes on workflow imposed by the new rotation.
Results: Eighty percent of student respondents agreed the rotation improved understanding of pathology workflow and its integration into the larger picture of healthcare delivery. 62% and 66% reported the rotation had a positive impact on their perspectives of pathology and pathologists, respectively. However, a significant number pathology resident respondents noted that integration of students into clinical activities either slightly (42%) or significantly (5%) decreased their own learning. Both pathology faculty and residents also noted medical student presence either slightly (19% and 37%, respectively) or significantly (63% and 58%, respectively) decreased workflow efficiency. Conclusions: Integration of pathology rotations into surgical clerkships is a viable strategy to remedy decreased pathology contact and education due to curricular restructuring that condenses preclinical time while offering medical students a more integrated and practical perspective of pathology as a field. It is essential for pathology departments to prioritize and actively participate in both preclinical and clinical curricular development. Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-022-01569-y.
© The Author(s) under exclusive licence to International Association of Medical Science Educators 2022.

Entities:  

Keywords:  Clerkships; Curriculum; Education; Medical school; Pathology; Required rotations

Year:  2022        PMID: 36035534      PMCID: PMC9411384          DOI: 10.1007/s40670-022-01569-y

Source DB:  PubMed          Journal:  Med Sci Educ        ISSN: 2156-8650


  21 in total

1.  A 35-year experience with the post-sophomore fellowship in pathology: analysis of its effectiveness as a recruitment resource.

Authors:  L G Dodd; D L Rosenthal; P Cancilla
Journal:  Hum Pathol       Date:  1992-04       Impact factor: 3.466

2.  The pathology student fellowship program at the University of Vermont: 1956-2005.

Authors:  Bruce R MacPherson
Journal:  Hum Pathol       Date:  2005-11       Impact factor: 3.466

3.  Medical students' perceptions of pathology and the effect of the second-year pathology course.

Authors:  Lorne Holland; Barbara Bosch
Journal:  Hum Pathol       Date:  2006-01       Impact factor: 3.466

4.  University of Missouri-Columbia School of Medicine postsophomore pathology fellowship program.

Authors:  D L Longo; D A Senhauser; D D Tavlor; F V Lucas
Journal:  J Med Educ       Date:  1976-04

5.  What training is needed in the fourth year of medical school? Views of residency program directors.

Authors:  Pamela Lyss-Lerman; Arianne Teherani; Eva Aagaard; Helen Loeser; Molly Cooke; G Michael Harper
Journal:  Acad Med       Date:  2009-07       Impact factor: 6.893

6.  Pathology Partnership in Medical Student-Run Free Clinics Promotes Patient Care and Laboratory Management Training.

Authors:  Zhen W Mei; David B Chapel; Meredith Reynolds; Anthony Chang; James N Woodruff; Wei Wei Lee; David S McClintock
Journal:  Am J Clin Pathol       Date:  2019-09-09       Impact factor: 2.493

7.  Fewer seniors from United States allopathic medical schools are filling pathology residency positions in the Main Residency Match, 2008-2017.

Authors:  Ryan Philip Jajosky; Audrey N Jajosky; Daniel T Kleven; Gurmukh Singh
Journal:  Hum Pathol       Date:  2017-11-24       Impact factor: 3.466

8.  Passport to pathology: transforming the medical student pathology elective from a passive educational experience to an exciting, immersive clinical rotation.

Authors:  Paras S Minhas; Imarhia E Enogieru; Richard N Mitchell; Douglas A Mata
Journal:  Hum Pathol       Date:  2017-09-08       Impact factor: 3.466

9.  Residency choices by graduating medical students: why not pathology?

Authors:  Tawny Hung; Sandra Jarvis-Selinger; Jason C Ford
Journal:  Hum Pathol       Date:  2011-02-02       Impact factor: 3.466

10.  Increasing Medical Student Exposure to Pathology by Creating an Integrated Rotation During Surgery Clerkship.

Authors:  Madelyn Lew
Journal:  Acad Pathol       Date:  2021-05-11
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