Cargando…
A novel 6-day cycle surgical pathology rotation improves resident satisfaction and maintains Accreditation Council for Graduate Medical Education (ACGME) milestone performance
Surgical pathology residency training in the United States lags behind other specialties in quality control and graduated responsibility to train independent pathologists capable of seamlessly entering practice after training. We observed that our traditional 3-day-cycle surgical pathology cycle (da...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336254/ https://www.ncbi.nlm.nih.gov/pubmed/37448760 http://dx.doi.org/10.1016/j.acpath.2023.100088 |
_version_ | 1785071169792114688 |
---|---|
author | Felicelli, Christopher Gama, Alcino Pires Chornenkyy, Yevgen Maniar, Kruti Blanco, Luis Z. Novo, Jorge E. |
author_facet | Felicelli, Christopher Gama, Alcino Pires Chornenkyy, Yevgen Maniar, Kruti Blanco, Luis Z. Novo, Jorge E. |
author_sort | Felicelli, Christopher |
collection | PubMed |
description | Surgical pathology residency training in the United States lags behind other specialties in quality control and graduated responsibility to train independent pathologists capable of seamlessly entering practice after training. We observed that our traditional 3-day-cycle surgical pathology cycle (day 1–grossing; day 2 –biopsies/frozens/preview; day 3 – sign-out) consistently and negatively impacted resident education by reducing preview time, case follow-up, immunohistochemical stain (IHC) interpretation, and molecular study integration. We aimed to create a modern surgical pathology rotation that improved performance and outcomes. We innovated our rotation to enhance resident education and ensure graduated responsibility. A novel 6-day cycle was created composed of 2 grossing days, 1 frozens/biopsies/preview days, 2 dedicated sign-out days, and 1 frozens/biopsies/case completion day. Residents completed surveys before implementing the new rotation and 6 months after implementation to track self-assessment of Accreditation Council for Graduate Medical Education (ACGME) milestone performance and internal quality control metrics. Clinical Competency Committee (CCC) annual evaluations were assessed in paired PGY levels pre- and post-intervention. After implementation, there was a statistically significant improvement in self-assessment of levels 4 and 5 of ACGME milestones and improved satisfaction of quality metrics, including time for previewing, reviewing IHC, graduated responsibility, and perceived readiness for independent practice. CCC evaluations showed overall maintained performance levels, with trends towards improvements in junior resident classes. Our 6-day cycle adequately fulfills the current demands of our sizeable academic center's surgical pathology training and can be a model for pathology residencies looking to modernize their surgical pathology rotations and resident education. |
format | Online Article Text |
id | pubmed-10336254 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-103362542023-07-13 A novel 6-day cycle surgical pathology rotation improves resident satisfaction and maintains Accreditation Council for Graduate Medical Education (ACGME) milestone performance Felicelli, Christopher Gama, Alcino Pires Chornenkyy, Yevgen Maniar, Kruti Blanco, Luis Z. Novo, Jorge E. Acad Pathol Regular Article Surgical pathology residency training in the United States lags behind other specialties in quality control and graduated responsibility to train independent pathologists capable of seamlessly entering practice after training. We observed that our traditional 3-day-cycle surgical pathology cycle (day 1–grossing; day 2 –biopsies/frozens/preview; day 3 – sign-out) consistently and negatively impacted resident education by reducing preview time, case follow-up, immunohistochemical stain (IHC) interpretation, and molecular study integration. We aimed to create a modern surgical pathology rotation that improved performance and outcomes. We innovated our rotation to enhance resident education and ensure graduated responsibility. A novel 6-day cycle was created composed of 2 grossing days, 1 frozens/biopsies/preview days, 2 dedicated sign-out days, and 1 frozens/biopsies/case completion day. Residents completed surveys before implementing the new rotation and 6 months after implementation to track self-assessment of Accreditation Council for Graduate Medical Education (ACGME) milestone performance and internal quality control metrics. Clinical Competency Committee (CCC) annual evaluations were assessed in paired PGY levels pre- and post-intervention. After implementation, there was a statistically significant improvement in self-assessment of levels 4 and 5 of ACGME milestones and improved satisfaction of quality metrics, including time for previewing, reviewing IHC, graduated responsibility, and perceived readiness for independent practice. CCC evaluations showed overall maintained performance levels, with trends towards improvements in junior resident classes. Our 6-day cycle adequately fulfills the current demands of our sizeable academic center's surgical pathology training and can be a model for pathology residencies looking to modernize their surgical pathology rotations and resident education. Elsevier 2023-06-30 /pmc/articles/PMC10336254/ /pubmed/37448760 http://dx.doi.org/10.1016/j.acpath.2023.100088 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Regular Article Felicelli, Christopher Gama, Alcino Pires Chornenkyy, Yevgen Maniar, Kruti Blanco, Luis Z. Novo, Jorge E. A novel 6-day cycle surgical pathology rotation improves resident satisfaction and maintains Accreditation Council for Graduate Medical Education (ACGME) milestone performance |
title | A novel 6-day cycle surgical pathology rotation improves resident satisfaction and maintains Accreditation Council for Graduate Medical Education (ACGME) milestone performance |
title_full | A novel 6-day cycle surgical pathology rotation improves resident satisfaction and maintains Accreditation Council for Graduate Medical Education (ACGME) milestone performance |
title_fullStr | A novel 6-day cycle surgical pathology rotation improves resident satisfaction and maintains Accreditation Council for Graduate Medical Education (ACGME) milestone performance |
title_full_unstemmed | A novel 6-day cycle surgical pathology rotation improves resident satisfaction and maintains Accreditation Council for Graduate Medical Education (ACGME) milestone performance |
title_short | A novel 6-day cycle surgical pathology rotation improves resident satisfaction and maintains Accreditation Council for Graduate Medical Education (ACGME) milestone performance |
title_sort | novel 6-day cycle surgical pathology rotation improves resident satisfaction and maintains accreditation council for graduate medical education (acgme) milestone performance |
topic | Regular Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336254/ https://www.ncbi.nlm.nih.gov/pubmed/37448760 http://dx.doi.org/10.1016/j.acpath.2023.100088 |
work_keys_str_mv | AT felicellichristopher anovel6daycyclesurgicalpathologyrotationimprovesresidentsatisfactionandmaintainsaccreditationcouncilforgraduatemedicaleducationacgmemilestoneperformance AT gamaalcinopires anovel6daycyclesurgicalpathologyrotationimprovesresidentsatisfactionandmaintainsaccreditationcouncilforgraduatemedicaleducationacgmemilestoneperformance AT chornenkyyyevgen anovel6daycyclesurgicalpathologyrotationimprovesresidentsatisfactionandmaintainsaccreditationcouncilforgraduatemedicaleducationacgmemilestoneperformance AT maniarkruti anovel6daycyclesurgicalpathologyrotationimprovesresidentsatisfactionandmaintainsaccreditationcouncilforgraduatemedicaleducationacgmemilestoneperformance AT blancoluisz anovel6daycyclesurgicalpathologyrotationimprovesresidentsatisfactionandmaintainsaccreditationcouncilforgraduatemedicaleducationacgmemilestoneperformance AT novojorgee anovel6daycyclesurgicalpathologyrotationimprovesresidentsatisfactionandmaintainsaccreditationcouncilforgraduatemedicaleducationacgmemilestoneperformance AT felicellichristopher novel6daycyclesurgicalpathologyrotationimprovesresidentsatisfactionandmaintainsaccreditationcouncilforgraduatemedicaleducationacgmemilestoneperformance AT gamaalcinopires novel6daycyclesurgicalpathologyrotationimprovesresidentsatisfactionandmaintainsaccreditationcouncilforgraduatemedicaleducationacgmemilestoneperformance AT chornenkyyyevgen novel6daycyclesurgicalpathologyrotationimprovesresidentsatisfactionandmaintainsaccreditationcouncilforgraduatemedicaleducationacgmemilestoneperformance AT maniarkruti novel6daycyclesurgicalpathologyrotationimprovesresidentsatisfactionandmaintainsaccreditationcouncilforgraduatemedicaleducationacgmemilestoneperformance AT blancoluisz novel6daycyclesurgicalpathologyrotationimprovesresidentsatisfactionandmaintainsaccreditationcouncilforgraduatemedicaleducationacgmemilestoneperformance AT novojorgee novel6daycyclesurgicalpathologyrotationimprovesresidentsatisfactionandmaintainsaccreditationcouncilforgraduatemedicaleducationacgmemilestoneperformance |