Kimambo Asteria, Vuhahula Edda, Ng Dianna
Department of Pathology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Department of Pathology, Kairuki University, Dar es Salaam, Tanzania.
Acad Pathol. 2025 Sep 1;12(4):100217. doi: 10.1016/j.acpath.2025.100217. eCollection 2025 Oct-Dec.
One of the proposed primary barriers to high-quality pathology services in Sub-Saharan Africa has been the variability in pathology training. In this study, we evaluated the perceived readiness for practice of current and former anatomic pathology residents at Muhimbili University of Health and Allied Sciences in Tanzania. An online survey evaluating perceived readiness in the ability to perform core professional competencies in anatomic pathology was distributed to previous and current Muhimbili University of Health and Allied Sciences pathology residents. The survey had 30 of 45 (67%) respondents, which included current and former residents. More than 95% of participants either strongly agreed or agreed that the Muhimbili University of Health and Allied Sciences training program prepared them to perform grossing, surgical pathology report writing, fine-needle aspiration, and effective interdisciplinary consultation. Fewer participants were confident in activities related to laboratory management. The program's major strength was the exposure to a large number of cases, while weaknesses included a small number of faculty, insufficient mentorship, and limited infrastructure. Current and former trainees of the Muhimbili University of Health and Allied Sciences pathology residency program overall felt that their training prepared them for independent clinical practice. Additional training in laboratory management should be considered.
撒哈拉以南非洲地区高质量病理服务的主要障碍之一被认为是病理培训的差异性。在本研究中,我们评估了坦桑尼亚穆希姆比利卫生与联合科学大学现任和前任解剖病理学住院医师对执业的自我认知准备情况。一项评估在解剖病理学中执行核心专业能力的自我认知准备情况的在线调查被分发给穆希姆比利卫生与联合科学大学之前和现在的病理住院医师。该调查有45名受访者中的30名(67%)做出回应,其中包括现任和前任住院医师。超过95%的参与者强烈同意或同意穆希姆比利卫生与联合科学大学的培训项目使他们有能力进行大体标本检查、撰写外科病理报告、细针穿刺以及有效的多学科会诊。对与实验室管理相关活动有信心的参与者较少。该项目的主要优势是接触大量病例,而劣势包括教员数量少、指导不足以及基础设施有限。穆希姆比利卫生与联合科学大学病理住院医师培训项目的现任和前任学员总体上认为他们的培训使他们为独立临床实践做好了准备。应考虑增加实验室管理方面的培训。