Harris Cynthia K, Chen Yigu, Jensen Kristin C, Hornick Jason L, Kilfoyle Claire, Lamps Laura W, Heher Yael K
Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston MA, USA.
Memorial Sloan Kettering Cancer Center, Weill Cornell Medicine, New York NY, USA.
Acad Pathol. 2022 Aug 24;9(1):100048. doi: 10.1016/j.acpath.2022.100048. eCollection 2022.
The United States and Canadian Academy of Pathology (USCAP) leadership undertook a high level, global review of educational product outcomes data using high reliability organization (HRO) principles: preoccupation with failure; reluctance to simplify; sensitivity to operations; commitment to resilience; and deference to expertise. HRO principles have long been applied to fields such as aviation, nuclear power, and more recently to healthcare, yet they are rarely applied to the field that underpins these-and many other-complex systems: education. While errors in education are less calamitous than in air travel or healthcare delivery, USCAP's educational products impact over 15,000 learners a year, and thus have important implications for the future practice of pathology. Here we report USCAP's experiences using HRO principles to evaluate our keystone educational product, the "USCAP Short Course." Following this novel method of data review, USCAP leadership was able to better understand diverse learner needs based on practice venue, training level, and course topic. Unexpected lessons included the identification of specifically challenging educational topics, such as molecular pathology, and a need to focus more resources on emerging fields such as quality and patient safety. The results allow USCAP to assess educational product performance using HRO tools, and provide strong data-driven decision support for future national pathology education strategy.
美国和加拿大病理学会（USCAP）领导层运用高可靠性组织（HRO）原则，对教育产品成果数据进行了一次全面的全球审查：关注失败；不愿简化；对运营敏感；致力于恢复力；尊重专业知识。HRO原则长期以来一直应用于航空、核电等领域，最近也应用于医疗保健领域，但它们很少应用于支撑这些以及许多其他复杂系统的领域：教育。虽然教育中的错误不像航空旅行或医疗服务中的错误那样灾难性，但USCAP的教育产品每年影响超过15000名学习者，因此对病理学的未来实践具有重要意义。在此，我们报告USCAP运用HRO原则评估其关键教育产品“USCAP短期课程”的经验。通过这种新颖的数据审查方法，USCAP领导层能够根据实践场所、培训水平和课程主题更好地了解不同学习者的需求。意外收获包括确定了特别具有挑战性的教育主题，如分子病理学，以及需要将更多资源集中在质量和患者安全等新兴领域。这些结果使USCAP能够使用HRO工具评估教育产品的性能，并为未来的国家病理学教育战略提供强有力的数据驱动决策支持。
