Department of Pathology and Laboratory Medicine and Department of Medicine, Rhode Island Hospital, and The Alpert Medical School of Brown University, Providence, RI.
R I Med J (2013). 2021 Dec 1;104(10):21-25.
Autopsy training is required for board certification by the American Board of Pathology and may be affected by autopsy rate. It is unclear whether the COVID-19 pandemic has affected autopsy education and rate. Prior to the pandemic, our autopsy gross organ review lectures at the Brown University pathology residency program were in-person and used a detective style to discover the pathological lesions followed by an integrated discussion of anatomic and clinical pathology. During the COVID-19 pandemic, these lectures became remote and there was a noticeable impact on the involvement and responsiveness of the audience compared to in-person teaching. Certain qualities of face-to-face teaching can be difficult to be reproduced through virtual teaching, including the detective style to look for pathological lesions and the ability to palpate lesions from gross specimens. Our results showed that the autopsy case number increased during the COVID-19 pandemic, but the overall autopsy rate did not significantly change.
尸检培训是获得美国病理学委员会认证所必需的，可能会受到尸检率的影响。目前尚不清楚 COVID-19 大流行是否影响了尸检教育和尸检率。在大流行之前，我们在布朗大学病理学住院医师培训项目中的尸检大体器官复习讲座是面对面进行的，采用侦探式方法来发现病理病变，然后对解剖病理学和临床病理学进行综合讨论。在 COVID-19 大流行期间，这些讲座变成了远程进行，与面对面教学相比，观众的参与度和反应明显受到影响。某些面对面教学的特点很难通过虚拟教学来复制，包括寻找病理病变的侦探式方法以及从大体标本上触诊病变的能力。我们的结果表明，COVID-19 大流行期间尸检病例数增加，但总体尸检率没有显著变化。
