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Schukow CP, Allen TC. A New Generation of Pathologists: Addressing Modern Curriculum and Educational Scholarship for Pathology Educators and Trainees After the End of the COVID-19 Pandemic. Arch Pathol Lab Med 2025; 149:578-588. [PMID: 39370147 DOI: 10.5858/arpa.2024-0114-ra] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/09/2024] [Indexed: 10/08/2024]
Abstract
CONTEXT.— The COVID-19 pandemic irreversibly altered the pathology education landscape. It exacerbated workforce shortages, restricted in-person activities, and highlighted critical means in curricula evaluation to limit the expansion of medical knowledge gaps in postpandemic society. Training enacted swift changes toward online learning (e-learning) practices to minimize potential deficiencies in pathology education. Today, a breadth of widely available online pathology curricular tools, including e-learning and digital pathology, are increasingly being used by medical students, trainees, and pathologists worldwide. OBJECTIVE.— To critically address the continued role of e-learning and digital pathology in postpandemic pathology education and scholarship, as a current paucity of literature exists and lingering workflow effects of this pandemic affecting many anatomic and clinical pathology departments globally persist. DATA SOURCES.— A qualitative review of relevant literature is synthesized to create a timely, narrative discussion to bridge this literature gap. Peer-reviewed sources and other original or primary documents will be assessed. CONCLUSIONS.— Because of the subjective nature of curricular development and defining what constitutes scholarship, no widely established consensus is present, though it has been touched on in previous literature. It may be years until we better understand how e-learning and digital pathology shape curricular practices, scholarship production, and patient-care delivery, though recent studies support sustained blended curricula beyond the COVID-19 pandemic. The education landscape continues to become increasingly digitalized, and infrastructures may soon be able to support complete digital pathology practice as the education norm. Future and theoretical insight for pathology and laboratory departments globally are provided.
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Affiliation(s)
- Casey P Schukow
- From the Department of Pathology, Corewell Health William Beaumont University Hospital, Royal Oak, Michigan
| | - Timothy Craig Allen
- From the Department of Pathology, Corewell Health William Beaumont University Hospital, Royal Oak, Michigan
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Laurent-Bellue A, Dupeux M, Guichard L, Chartier S, Gautier A, Mensa A, Scoazec JY, Prévot S, Guettier C, Ferlicot S. [New approaches for pathology teaching in undergraduate medical studies, the University Paris-Saclay experience]. Ann Pathol 2025; 45:214-223. [PMID: 39884931 DOI: 10.1016/j.annpat.2024.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2024] [Revised: 12/02/2024] [Accepted: 12/07/2024] [Indexed: 02/01/2025]
Abstract
INTRODUCTION Teaching pathology is an essential and early part of the medical curriculum. It is classically theoretical, often accompanied by tutorials. Access to pathology internships for students is not always possible. Following the reform of the undergraduate curriculum, the increase in the size of the student classes has necessitated a reorganization of pathology teaching at the University of Paris-Saclay faculty of medicine. Our goal was to evaluate student performance and student and teacher satisfaction after these changes. MATERIALS AND METHODS We compared results in continuous assessment and theory exams 3 years before the pedagogical reorganization and 2 years afterwards; we assessed student and teacher satisfaction using questionnaires. RESULTS The size of third-year medical student classes gradually increased by 77% after the reform. Tutorials are now given in the form of interactive slide shows in amphitheatres. Continuous assessment results have remained stable (p=0.62) and theory exam results have improved (p=0.02) since the change in teaching organization. Students and teachers were satisfied with the interactive slide shows, students requested video clips to illustrate the digitized slides. DISCUSSION The teaching of pathology has evolved considerably in recent years to adapt to the various reforms and meet students' expectations. New pedagogical tools are helping to keep pace with these changes.
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Affiliation(s)
- Astrid Laurent-Bellue
- Service d'anatomie et cytologie pathologiques, hôpital Bicêtre, AP-HP, université Paris-Saclay, Le Kremlin-Bicêtre, France; Faculté de médecine, université Paris-Saclay, Le Kremlin-Bicêtre, France.
| | - Margot Dupeux
- Service d'anatomie et cytologie pathologiques, hôpital Bicêtre, AP-HP, université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Loris Guichard
- Service d'anatomie et cytologie pathologiques, hôpital Bicêtre, AP-HP, université Paris-Saclay, Le Kremlin-Bicêtre, France; Faculté de médecine, université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Suzanne Chartier
- Service de pathologie clinique, hôpitaux universitaires de Genève, Genève, Suisse
| | - Alice Gautier
- Service d'anatomie et cytologie pathologiques, hôpital Bicêtre, AP-HP, université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Anna Mensa
- Service d'anatomie et cytologie pathologiques, hôpital Bicêtre, AP-HP, université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Jean-Yves Scoazec
- Faculté de médecine, université Paris-Saclay, Le Kremlin-Bicêtre, France; Gustave-Roussy, biologie et pathologie médicales, Villejuif, France
| | - Sophie Prévot
- Service d'anatomie et cytologie pathologiques, hôpital Bicêtre, AP-HP, université Paris-Saclay, Le Kremlin-Bicêtre, France; Faculté de médecine, université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Catherine Guettier
- Service d'anatomie et cytologie pathologiques, hôpital Bicêtre, AP-HP, université Paris-Saclay, Le Kremlin-Bicêtre, France; Faculté de médecine, université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Sophie Ferlicot
- Service d'anatomie et cytologie pathologiques, hôpital Bicêtre, AP-HP, université Paris-Saclay, Le Kremlin-Bicêtre, France; Faculté de médecine, université Paris-Saclay, Le Kremlin-Bicêtre, France
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Caputo A, Maffei E, Gupta N, Cima L, Merolla F, Cazzaniga G, Pepe P, Verze P, Fraggetta F. Computer-assisted diagnosis to improve diagnostic pathology: A review. INDIAN J PATHOL MICR 2025; 68:3-10. [PMID: 40162930 DOI: 10.4103/ijpm.ijpm_339_24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2024] [Accepted: 02/17/2025] [Indexed: 04/02/2025] Open
Abstract
ABSTRACT With an increasing demand for accuracy and efficiency in diagnostic pathology, computer-assisted diagnosis (CAD) emerges as a prominent and transformative solution. This review aims to explore the practical applications, implications, strengths, and weaknesses of CAD applied to diagnostic pathology. A comprehensive literature search was conducted to include English-language studies focusing on CAD tools, digital pathology, and Artificial intelligence (AI) applications in pathology. The review underscores the transformative potential of CAD tools in pathology, particularly in streamlining diagnostic processes, reducing turnaround times, and augmenting diagnostic accuracy. It emphasizes the strides made in digital pathology, the integration of AI, and the promising prospects for prognostic biomarker discovery using computational methods. Additionally, ethical considerations regarding data privacy, equity, and trust in AI deployment are examined. CAD has the potential to revolutionize diagnostic pathology. The insights gleaned from this review offer a panoramic view of recent advancements. Ultimately, this review aims to guide future research, influence clinical practice, and inform policy-making by elucidating the promising horizons and potential pitfalls of integrating CAD tools in pathology.
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Affiliation(s)
- Alessandro Caputo
- Department of Pathology, University Hospital "San Giovanni di Dio e Ruggi D'Aragona", Salerno, Italy
- Department of Medicine and Surgery, University of Salerno, Baronissi, Italy
| | - Elisabetta Maffei
- Department of Pathology, University Hospital "San Giovanni di Dio e Ruggi D'Aragona", Salerno, Italy
- Department of Medicine and Surgery, University of Salerno, Baronissi, Italy
| | - Nalini Gupta
- Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Luca Cima
- Department of Diagnostic and Public Health, Section of Pathology, University and Hospital Trust of Verona, Campobasso, Italy
| | - Francesco Merolla
- Department of Medicine and Health Sciences "V. Tiberio", University of Molise, Campobasso, Italy
| | - Giorgio Cazzaniga
- Department of Medicine and Surgery, Pathology, IRCCS Fondazione San Gerardo dei Tintori, University of Milano-Bicocca, Catania, Italy
| | - Pietro Pepe
- Department of Urology, Cannizzaro Hospital, Catania, Italy
| | - Paolo Verze
- Department of Medicine and Surgery, University of Salerno, Baronissi, Italy
- Department of Urology, University Hospital "San Giovanni di Dio e Ruggi D'Aragona", Salerno, Italy
| | - Filippo Fraggetta
- Department of Pathology, Pathology Unit, Gravina Hospital, Caltagirone, Italy
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Flippo A, Dixit B, Schukow CP, Hacking SM, Song L, Fiock K, Golab K, Sowane S, Alter DN, Rohde RE, Baskota SU, Ahmed A, Jackson NR, Owczarczyk AB, Conway KS, Mirza KM. Social media in pathology and laboratory medicine: A systematic review. Acad Pathol 2024; 11:100151. [PMID: 39559455 PMCID: PMC11570711 DOI: 10.1016/j.acpath.2024.100151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Revised: 08/19/2024] [Accepted: 09/14/2024] [Indexed: 11/20/2024] Open
Abstract
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.
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Affiliation(s)
| | - Bhakti Dixit
- Department of Pathology, University of Toledo Medical Center, Toledo, OH, USA
| | - Casey P. Schukow
- Department of Pathology, Corewell Health's Beaumont Hospital, Royal Oak, MI, USA
| | - Sean M. Hacking
- Laboratory Medicine Program, University Health Network, Toronto, ON, Canada
- Department of Pathology, NYU Grossman School of Medicine, New York, NY, USA
| | - Leo Song
- School of Medicine, University College Dublin, Dublin, Ireland
| | - Kimberly Fiock
- Department of Pathology, University of Iowa, Iowa City, IA, USA
| | - Kathryn Golab
- Wisconsin Diagnostic Laboratories, Milwaukee, WI, USA
| | - Snehal Sowane
- Department of Pathology, University of Illinois Hospitals and Clinics, Chicago, IL, USA
| | - David N. Alter
- Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, USA
| | - Rodney E. Rohde
- Medical Laboratory Science Program, Texas State University, San Marcos, TX, USA
| | - Swikrity U. Baskota
- Department of Pathology and Cell Biology, Columbia University, Irving Medical Center, New York, NY, USA
| | - Aadil Ahmed
- Illinois Dermatology Institute, Park Ridge IL, USA
- Department of Pathology and Laboratory Medicine, Loyola University Stritch School of Medicine, Maywood, IL, USA
| | - Nicole R. Jackson
- Department of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA
| | - Anna B. Owczarczyk
- Robert J. Tomsich Pathology and Laboratory Medicine, Cleveland Clinic, Cleveland, OH, USA
| | - Kyle S. Conway
- Department of Pathology, University of Michigan Health System, Ann Arbor, MI, USA
| | - Kamran M. Mirza
- Department of Pathology, University of Michigan Health System, Ann Arbor, MI, USA
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Eloy C, Bychkov A, Fraggetta F, Temprana-Salvador J, Pantanowitz L, Vielh P. How many more slides to go until we fully adopt digital cytology? Cytopathology 2024; 35:442-443. [PMID: 38736173 DOI: 10.1111/cyt.13388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2024] [Accepted: 04/27/2024] [Indexed: 05/14/2024]
Abstract
Two‐liner/synopsis: The digital cytology hub (DCH) has been established under the umbrella of the Cytopathology journal. DCH will help bring about the crucial changes needed to make digital cytology the way of practicing cytology in our laboratories.
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Affiliation(s)
- Catarina Eloy
- Pathology Department, Medical Faculty of University of Porto & Pathology Laboratory, Institute of Molecular Pathology and Immunology of University of Porto (IPATIMUP), Porto, Portugal
| | - Andrey Bychkov
- Department of Pathology, Kameda Medical Center, Chiba, Japan
| | | | | | - Liron Pantanowitz
- Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
| | - Philippe Vielh
- Department of Pathology, Medipath and American Hospital of Paris, Paris, France
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Bao Y, Qi H, Wang D, Ding M, Li W, Chen L, Lei Z, Yang R, Zeng N. Ischemic stroke pathophysiology: A bibliometric and visualization analysis from 1990 to 2022. Heliyon 2024; 10:e28597. [PMID: 38596051 PMCID: PMC11002588 DOI: 10.1016/j.heliyon.2024.e28597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Revised: 03/18/2024] [Accepted: 03/21/2024] [Indexed: 04/11/2024] Open
Abstract
Background Pathophysiology plays a significant role in the scientific study of ischemic stroke, and has attracted increasing interest from researchers in the field. However, a comprehensive bibliometric analysis is lacking in this field. The purpose of this study is to identify the current research status and hotspots of ischemic stroke pathophysiology from a bibliometric perspective. Methods The Web of Science Core Collection database was searched for articles published from 1990 to 2022. CiteSpace, VOSviewer, and R package "bibliometrix" software were used to analyze countries/regions, institutions, journals, authors, papers, and keywords to predict the latest trends in ischemic stroke pathophysiology research. Results This analysis collected 7578 records of ischemic stroke pathophysiology. China and America emerged as the leading countries in this field, with Harvard University being the most active institution. Among journals and authors in this field, journal Stroke and author Gregory YH Lip published the most papers, while Nature Medicine was the journal with the highest citation per article. Keywords and co-citation clusters were closely related to "central nervous system", "mechanisms", "biochemistry & molecular biology" and "radiology, nuclear medicine & medical imaging", while other related fields, such as peripheral organs damage induced by the central nervous system and rehabilitation after ischemic stroke, require further research efforts. Conclusion This is the first bibliometric study that comprehensively mapped out the knowledge structure and development trends of ischemic stroke pathophysiology in recent 32 years, which may provide a reference for scholars to explore ischemic stroke pathophysiology.
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Affiliation(s)
- Yiwen Bao
- State Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
- School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
| | - Hu Qi
- State Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
- School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
| | - Dejian Wang
- State Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
- School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
| | - Meiling Ding
- State Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
- School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
| | - Wenjing Li
- School of Pharmaceutical Sciences (Shenzhen), Sun Yat-sen University, Shenzhen, 518107, PR China
| | - Li Chen
- Department of Pharmacy, Clinical Medical College and The First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, 610500, PR China
| | - Ziqin Lei
- State Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
- School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
| | - Ruocong Yang
- State Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
- School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
| | - Nan Zeng
- State Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
- School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 611137, PR China
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