Taylor Alexander S, Kroll-Wheeler Lauren, Lew Madelyn
Department of Pathology, University of Michigan, Ann Arbor, MI USA.
Med Sci Educ. 2022 Jun 14;32(4):793-801. doi: 10.1007/s40670-022-01569-y. eCollection 2022 Aug.
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.
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.
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.
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.
The online version contains supplementary material available at 10.1007/s40670-022-01569-y.
医学院课程更多地侧重于早期临床接触以及压缩理论课程，这引发了关于如何将病理学有效融入临床相关医学教育的问题。本研究强调了在外科实习期间安排为期1周的病理学必修轮转如何影响学生的病理学知识库和观点。
192名医学生在外科实习期间参加了新设计的为期1周的病理学必修轮转。收集学生轮转后的反馈和调查数据，以评估他们对病理学的看法。就新轮转对工作流程的影响对病理学住院医师和教员进行了调查。
80%的学生受访者同意该轮转提高了对病理学工作流程及其融入更大医疗保健服务图景的理解。分别有62%和66%的学生报告称该轮转对他们对病理学和病理学家的看法产生了积极影响。然而，相当数量的病理学住院医师受访者指出，学生融入临床活动对他们自己的学习有轻微（42%）或显著（5%）的减少。病理学教员和住院医师也指出，医学生的存在对工作流程效率有轻微（分别为19%和37%）或显著（分别为63%和58%）的降低。
将病理学轮转纳入外科实习是一种可行的策略，可弥补由于课程重组导致的病理学接触和教育减少，这种重组压缩了临床前时间，同时为医学生提供了更综合、实用的病理学领域视角。病理学系必须优先并积极参与临床前和临床课程开发。
在线版本包含可在10.1007/s40670-022-01569-y获取的补充材料。
