Cytopathology and the pathology resident. A survey of residency program directors.

OBJECTIVE

To collect information on the status of cytopathology training in the United States.

DESIGN

Questionnaire survey mailed in June 1994.

SETTING

Pathology residency training programs in the United States.

PARTICIPANTS

Pathology residency directors.

MAIN OUTCOME MEASURES

Training length, numbers of cytology specimens, teaching methods and topics, and graduated responsibility.

RESULTS

Of the 196 surveys mailed, 101 (52%) programs responded. The average length of required training was 3 months. The perceived optimal training time averaged 4.5 months, however, with 80% of programs requiring less than their stated optimum. The median numbers of gynecologic, nongynecologic, and fine-needle aspiration biopsy specimens examined per resident were 1100, 500, and 200, respectively. Cytopreparatory techniques, laboratory management, computer systems, and immunocytochemistry were included in over 75% of cytopathology training programs. Teaching at the microscope was rated as the most important teaching method by 90% of respondents. The majority of senior residents performed fine-needle aspiration biopsy procedures and screened and signed out cases with direct faculty supervision, but fewer than 20% of programs allowed senior residents to independently sign out specimens.

CONCLUSIONS

Recommendations based on this review include a minimum training time of 3 months, improved training in both fine-needle aspiration biopsy techniques and gynecologic cytology, continuous exposure to cytopathologic techniques, and increased graded responsibility for senior residents.