Fewer seniors from United States allopathic medical schools are filling pathology residency positions in the Main Residency Match, 2008-2017

Jajosky, Ryan Philip; Jajosky, Audrey N.; Kleven, Daniel; Singh, Gurmukh

doi:10.1016/j.humpath.2017.11.014

Cited by 35 publications

(23 citation statements)

References 9 publications

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“…Another correlate of the current undergraduate medical educational environment is that pathology now has the lowest percentage of residency positions filled by U.S. seniors in the National Residency Matching Program [110, 111]. Furthermore, pathology residency programs have joined other medical specialties in conducting “boot camps” for incoming trainees [112–114].…”

Section: Discussionmentioning

confidence: 99%

Medical education today: all that glitters is not gold

2019

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Background The medical education system based on principles advocated by Flexner and Osler has produced generations of scientifically grounded and clinically skilled physicians whose collective experiences and contributions have served medicine and patients well. Yet sweeping changes launched around the turn of the millennium have constituted a revolution in medical education. In this article, a critique is presented of the new undergraduate medical education (UME) curricula in relationship to graduate medical education (GME) and clinical practice. Discussion Medical education has changed and will continue to change in response to scientific advances and societal needs. However, enthusiasm for reform needs to be tempered by a more measured approach to avoid unintended consequences. Movement from novice to master in medicine cannot be rushed. An argument is made for a shoring up of biomedical science in revised curricula with the beneficiaries being nascent practitioners, developing physician-scientists --and the public. Conclusion Unless there is further modification, the new integrated curricula are at risk of produce graduates deficient in the characteristics that have set physicians apart from other healthcare professionals, namely high-level clinical expertise based on a deep grounding in biomedical science and understanding of the pathologic basis of disease. The challenges for education of the best possible physicians are great but the benefits to medicine and society are enormous.

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Section: Discussionmentioning

confidence: 99%

Medical education today: all that glitters is not gold

2019

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“…Pathology educators have utilized a variety of approaches to attempt to put the importance of the autopsy into the consciousness of medical students (undergraduate medical education) and residents and fellows (Graduate Medical Education). 97–102 However, this task has been made much more difficult by the trends in modern undergraduate medical educational where the perception of needed curriculum reform has led to an integrated curriculum with a focus on patient-centered approach through which problem-based learning has replaced the traditional subject-based curriculum. 7,97–99 This has resulted in the discontinuation of pathology courses and their replacement by elements of pathology scattered throughout the preclinical years which, not surprisingly, has contributed to a reduced understanding and interest in pathology.…”

Section: Ongoing Risks and Opportunities For The Autopsymentioning

confidence: 99%

“…The removal of categorical pathology courses in the post-Flexnerian medical curricula has had negative effects both on the discipline of pathology and on the vast majority of medical students who pursue careers in clinical medicine. 7,100–104 Because of minimal exposure to autopsy during medical school, clinical residents and faculty have a dearth of understanding of practical issues related to requesting an autopsy, including attitudes of family and how best to approach them to obtain permission for autopsy. 105–107 Even within the ranks of pathology, the importance of the autopsy in the pathology residency curriculum has been questioned.…”

Section: Ongoing Risks and Opportunities For The Autopsymentioning

confidence: 99%

The Importance of the Autopsy in Medicine: Perspectives of Pathology Colleagues

et al. 2019

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This article presents a perspective on the importance of the autopsy in medical practice and science based on experiences of the authors as physician-scientists involved in autopsy practice. Our perspectives are presented on the seminal contributions of the autopsy in the areas of cardiovascular disease, including congenital heart disease, atherosclerosis, coronary artery disease, and myocardial infarction, and infectious disease, including tuberculosis and viral infections. On the positive side of the future of the autopsy, we discuss the tremendous opportunities for important research to be done by application of advanced molecular biological techniques to formalin-fixed, paraffin-embedded tissue blocks obtained at autopsy. We also note with concern the countervailing forces impacting the influence of pathology in education and clinical practice at our academic medical centers, which also present impediments to increasing autopsy rates. Our challenge as academic pathologists, whose careers have been molded by involvement in the autopsy, is to counter these trends. The challenges are great but the benefits for medicine and society are enormous.

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“…22 Of all medical specialties, pathology now has the fewest number/percentage of US medical graduates entering training. 104 Nevertheless, pathology continues to attract quality American and international medical graduates.…”

Section: Undergraduate and Graduate Medical Educationmentioning

confidence: 99%

The Texas Society of Pathologists: molded by the legacy of pathology and focused on excellence in medicine for 100 years and beyond

Buja

2020

Baylor University Medical Center Proceedings

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In 1921, 16 Texas pathologists gathered in Dallas, Texas, to found the Texas Society of Pathologists (TSP). The TSP is now the oldest state pathology society in the USA with continuity traced back to its founding 100 years ago. This article aims to both commemorate the TSP centennial and to provide context for the remarkable success of the society. The article takes a look back and a look forward from 1921. The look back focuses on the development of the field of pathology and the maturation of medicine and pathology in the USA and Texas. The look forward encompasses developments in science, technology, American health care policy, and medicine that have impacted Texas pathologists and influenced proactive initiatives of the TSP. The review of the life and times of the TSP highlights the importance of leaders and leadership in shaping outcomes. Complexities and uncertainties of the contemporary health care scene point to the need for continued strong leadership. The successful past century and hopeful future of the TSP are inextricably linked to the guiding principle of the TSP, which is a focus on continual striving for excellence in medicine. KEYWORDS Health care policy; history; Texas society of pathologists "I have great respect for the past. If you don't know where you've come from, you don't know where you are going."-Maya Angelou (1928-2014) "Of necessity an historical account must be largely biographical. Men and their books have built pathology. Yet without a point of view which takes account of the major social movements of general history, no real conception of the historical development of any subject is possible."-Esmond R. Long, MD (1890-1979) "If I have seen further than others, it is by standing upon the shoulders of giants."-Isaac Newton (1642-1726)

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Fewer seniors from United States allopathic medical schools are filling pathology residency positions in the Main Residency Match, 2008-2017

Cited by 35 publications

References 9 publications

Medical education today: all that glitters is not gold

Medical education today: all that glitters is not gold

The Importance of the Autopsy in Medicine: Perspectives of Pathology Colleagues

The Texas Society of Pathologists: molded by the legacy of pathology and focused on excellence in medicine for 100 years and beyond

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