青年病理学家的秘密生活：挑战与未来方向。

The Secret Life of Junior Pathologists: Challenges and Future Directions.

机构信息

the Department of Pathology, MedStar Georgetown University Hospital, Washington, District of Columbia (Kwon).

From the Departments of Pathology, The University of Texas MD Anderson Cancer Center, Houston(Taherian, Aung).

出版信息

Arch Pathol Lab Med. 2024 Jul 1;148(7):836-845. doi: 10.5858/arpa.2023-0195-OA.

DOI:10.5858/arpa.2023-0195-OA

PMID:37852170

Abstract

CONTEXT.—: Transition from pathology trainee to independent pathologist is stressful. No study has examined junior pathologists' challenges and concerns during this transition.

OBJECTIVE.—: To identify challenges and concerns of junior pathologists.

DESIGN.—: Junior pathologists were defined as those who had been practicing independently for up to 5 years after completion of residency/fellowship. An institutional review board-approved electronic survey was created and distributed to recent pathology graduates of MD Anderson Cancer Center (Houston, Texas) and MedStar Georgetown University Hospital (Washington, District of Columbia). The survey was open from October 13, 2022, to January 31, 2023. The survey included 16 multiple-choice and free-text questions.

RESULTS.—: Responses were received from 39 junior pathologists. Participants working in academic settings indicated independence, work-life balance, and professional identity formation as challenges; those in nonacademic settings indicated pathology reporting, efficiency, and administration as challenges. Areas where participants wished they received more guidance differed by practice setting: participants in academic settings more often chose effective time management and importance of turnaround time (35% [7 of 20] versus 0% [0 of 14], P = .03) and tumor board conference presentation skills (25% [5 of 20] versus 0% [0 of 14], P = .06), while those in nonacademic settings more often chose Current Procedural Terminology (CPT) coding, billing, and cost-effective patient care (79% [11 of 14] versus (35% [7 of 20]; P = .02). More female than male participants indicated that they wished they had received more guidance in leadership and soft skills (79% [11 of 14] versus 28% [5 of 18]; P = .01).

CONCLUSIONS.—: This study identified challenges experienced by junior pathologists. Collective efforts from training programs, experienced pathologists, and professional organizations can explore ways to improve the transition experience.

摘要

背景

从病理科住院医师到独立病理学家的过渡是有压力的。尚无研究探讨过在此过渡期间初级病理学家所面临的挑战和关注点。

目的

确定初级病理学家所面临的挑战和关注点。

设计

初级病理学家的定义为完成住院医师/专科医师培训后独立行医不超过 5 年的病理学家。创建并向德克萨斯州休斯顿的 MD 安德森癌症中心和华盛顿特区的 MedStar 乔治敦大学医院的最近的病理专业毕业生发放了经机构审查委员会批准的电子调查问卷。调查于 2022 年 10 月 13 日至 2023 年 1 月 31 日开放。该调查包括 16 个多项选择题和自由文本问题。

结果

共收到 39 名初级病理学家的回复。在学术环境中工作的参与者表示独立性、工作与生活的平衡和职业身份的形成是挑战；在非学术环境中工作的参与者则表示病理报告、效率和行政工作是挑战。参与者希望在不同实践环境中得到更多指导的领域也有所不同：在学术环境中工作的参与者更希望在有效的时间管理和周转时间的重要性方面（35%[20 人中的 7 人]与 0%[14 人中的 0 人]，P=.03）和肿瘤委员会会议演示技巧方面（25%[20 人中的 5 人]与 0%[14 人中的 0 人]，P=.06）得到更多指导，而非学术环境中工作的参与者更希望在当前程序术语（CPT）编码、计费和成本效益的患者护理方面（79%[14 人中的 11 人]与 35%[20 人中的 7 人]；P=.02）得到更多指导。更多女性参与者表示，她们希望在领导力和软技能方面得到更多指导（79%[14 人中的 11 人]与 28%[18 人中的 5 人]；P=.01）。