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The impact of autopsy participation on clinical residency

BACKGROUND: Autopsy has had an essential role in ensuring the quality of education and medical care. However, its role in clinical residency has not been clarified. This study assessed actual autopsy circumstances during clinical residency and evaluated the association between autopsy and clinical k...

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Autores principales: Katayama, Kohta, Nishizaki, Yuji, Shinozaki, Tomohiro, Saitoh, Yuta, Yano, Tetsuhiro, Aoki, Takuya, Noguchi, Masayuki, Tokuda, Yasuharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8411404/
https://www.ncbi.nlm.nih.gov/pubmed/34484995
http://dx.doi.org/10.1002/jgf2.449
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author Katayama, Kohta
Nishizaki, Yuji
Shinozaki, Tomohiro
Saitoh, Yuta
Yano, Tetsuhiro
Aoki, Takuya
Noguchi, Masayuki
Tokuda, Yasuharu
author_facet Katayama, Kohta
Nishizaki, Yuji
Shinozaki, Tomohiro
Saitoh, Yuta
Yano, Tetsuhiro
Aoki, Takuya
Noguchi, Masayuki
Tokuda, Yasuharu
author_sort Katayama, Kohta
collection PubMed
description BACKGROUND: Autopsy has had an essential role in ensuring the quality of education and medical care. However, its role in clinical residency has not been clarified. This study assessed actual autopsy circumstances during clinical residency and evaluated the association between autopsy and clinical knowledge. METHODS: We conducted a cross‐sectional study involving postgraduate second year residents in Japan who took the General Medicine In‐Training Examination in 2019. We modeled the General Medicine In‐Training Examination scores of the residents to examine their association with autopsy experiences and the number of autopsy experiences to assess its predictors. RESULTS: Of 2715 postgraduate second year residents, 353 (13.8%) had no autopsy participation, and 1015 (39.7%) had only one experience. Although autopsy participation was not related to the mean General Medicine In‐Training Examination score, the residents' clinicopathological conference participation, self‐study for more than 60 min per day, and wish to be pathologists were significantly associated with autopsy experiences. They experienced more autopsies when they belonged to small‐sized hospitals in rural areas performing many autopsies. CONCLUSION: We reported the current status of autopsy in clinical residency and showed that more than half of the residents experienced no or only one autopsy. General Medicine In‐Training Examination scores were not correlated with the number of autopsy experiences.
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spelling pubmed-84114042021-09-03 The impact of autopsy participation on clinical residency Katayama, Kohta Nishizaki, Yuji Shinozaki, Tomohiro Saitoh, Yuta Yano, Tetsuhiro Aoki, Takuya Noguchi, Masayuki Tokuda, Yasuharu J Gen Fam Med Original Articles BACKGROUND: Autopsy has had an essential role in ensuring the quality of education and medical care. However, its role in clinical residency has not been clarified. This study assessed actual autopsy circumstances during clinical residency and evaluated the association between autopsy and clinical knowledge. METHODS: We conducted a cross‐sectional study involving postgraduate second year residents in Japan who took the General Medicine In‐Training Examination in 2019. We modeled the General Medicine In‐Training Examination scores of the residents to examine their association with autopsy experiences and the number of autopsy experiences to assess its predictors. RESULTS: Of 2715 postgraduate second year residents, 353 (13.8%) had no autopsy participation, and 1015 (39.7%) had only one experience. Although autopsy participation was not related to the mean General Medicine In‐Training Examination score, the residents' clinicopathological conference participation, self‐study for more than 60 min per day, and wish to be pathologists were significantly associated with autopsy experiences. They experienced more autopsies when they belonged to small‐sized hospitals in rural areas performing many autopsies. CONCLUSION: We reported the current status of autopsy in clinical residency and showed that more than half of the residents experienced no or only one autopsy. General Medicine In‐Training Examination scores were not correlated with the number of autopsy experiences. John Wiley and Sons Inc. 2021-05-03 /pmc/articles/PMC8411404/ /pubmed/34484995 http://dx.doi.org/10.1002/jgf2.449 Text en © 2021 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Katayama, Kohta
Nishizaki, Yuji
Shinozaki, Tomohiro
Saitoh, Yuta
Yano, Tetsuhiro
Aoki, Takuya
Noguchi, Masayuki
Tokuda, Yasuharu
The impact of autopsy participation on clinical residency
title The impact of autopsy participation on clinical residency
title_full The impact of autopsy participation on clinical residency
title_fullStr The impact of autopsy participation on clinical residency
title_full_unstemmed The impact of autopsy participation on clinical residency
title_short The impact of autopsy participation on clinical residency
title_sort impact of autopsy participation on clinical residency
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8411404/
https://www.ncbi.nlm.nih.gov/pubmed/34484995
http://dx.doi.org/10.1002/jgf2.449
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