Miller Douglas C, McCloskey Cindy, Procop Gary, Anderson Scott, Limson Melvin, Black-Schaffer W Stephen
Department of Pathology and Anatomical Sciences, University of Missouri School of Medicine, Columbia, MO, USA.
Residency Curriculum Working Group, Graduate Medical Education Committee of the Association for Academic Pathology, Wilmington, DE, USA.
Acad Pathol. 2024 Sep 25;11(4):100148. doi: 10.1016/j.acpath.2024.100148. eCollection 2024 Oct-Dec.
Pathology residency training has been criticized for having too little opportunities for resident autonomy. As graduate medical education moves to competency-based models measuring competency and giving autonomy for specific tasks will be important. To determine how much autonomy residents are currently granted we surveyed pathology residency directors with regard to a list of usual pathology tasks and compared responses with those of a similar survey from 2018. Among the 29 programs whose directors responded, we found a considerable range within which some programs give much autonomy and others very little. Most programs did not describe measuring competency before granting performance of specific activities. We urge that restrictive programs examine the more permissive programs to see how they can move toward granting more autonomy.
病理学住院医师培训因住院医师自主机会过少而受到批评。随着毕业后医学教育转向基于能力的模式，衡量能力并给予特定任务的自主权将变得很重要。为了确定目前给予住院医师多少自主权，我们就一系列常见的病理学任务对病理学住院医师培训主任进行了调查，并将结果与2018年的类似调查进行了比较。在回复的29个项目中，我们发现各项目之间存在很大差异，有些项目给予很大自主权，而有些项目则很少。大多数项目在允许进行特定活动之前没有描述对能力的衡量。我们敦促限制较多的项目研究更宽松的项目，看看它们如何能够朝着给予更多自主权的方向发展。
