Histopathology training in Europe: a lesson for other specialties?

Ruiter, Dirk J.; Roald, Borghild; Underwood, James; Prat, Jaime

doi:10.1007/s00428-003-0927-7

Cited by 11 publications

(12 citation statements)

References 11 publications

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“…This paper reports the results of a Europe‐wide survey on the current provision of mouse histopathology expertise in Europe, and the demands for diagnostic pathology expertise; this, to our knowledge, represents the first systematic targeted survey of this kind in Europe. Although our study is focused on Europe, the results highlight a worldwide manpower crisis in pathology and mirror results from previous published surveys of both veterinary and medical pathologists in the USA and Europe over the last two decades 14, 16, 19–22. It is clear that there is a need to overhaul recruitment and training into the speciality.…”

Section: Discussionsupporting

confidence: 77%

“…Due mainly to lack of a recognized subspecialty in GEM pathology, there is a lack of specific databases with information on those working in the field. However, the previous surveys of general medical pathology manpower in the UK and Europe 16, 17 and the USA 18–20 have found similar and consistent findings over the last two decades—namely, continuing attrition of qualified pathologists, a lack of trainees to fill the positions and an unwillingness of medical students to enter the field. Similar findings are echoed in studies on clinical academic medicine worldwide, with pathology being cited repeatedly as a speciality in particular decline 21–25.…”

Section: Introductionmentioning

confidence: 57%

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An impending crisis in the provision of histopathology expertise for mouse functional genomics

Warren¹,

Studley²,

Dubus³

et al. 2008

The Journal of Pathology

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The generation of new mouse models of human disease is accelerating rapidly, due to the completion of whole-genome sequencing efforts and technological advances in the manipulation of the mouse genome. We sought to investigate manpower issues in the provision of histopathology expertise for mouse functional genomics and compared this to the perceived demand from principal investigators (PIs). Through the European Commission (EC)-funded PRIME pathology training initiative, two questionnaires were devised to collect information from pathologists and EC-funded PIs on the current provision of mouse histopathology expertise in Europe and the demands for this service. We find that pathological analysis is being performed almost exclusively by professionally qualified pathologists, generally employed in clinical diagnostic posts, where the work is undertaken as collaboration outside of their contractual commitments but without previous training in veterinary or comparative pathology. The results indicate that there is a lack of both trainees and provision of specialist training in this field. Unsurprisingly, the availability of diagnostic expertise and advice falls far short of the number of genetically engineered mice (GEM) being generated for analysis. We analyse these results with reference to previous studies and discuss solutions for the future recruitment, training and funding for pathologists in mouse functional genomics in Europe.

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 57%

An impending crisis in the provision of histopathology expertise for mouse functional genomics

Warren¹,

Studley²,

Dubus³

et al. 2008

The Journal of Pathology

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“…Insufficient oncology training as well as insufficient physician and other health professionals is often voiced [10,[76][77][78]. CRC care is often delivered by a multitude of different specialist clinicians, positively reflecting the support of cancer care burden in those countries in addition to reflecting greater CRC speciality training and delivery.…”

Section: Access To Medical Treatmentmentioning

confidence: 99%

The dynamics of colorectal cancer management in 17 countries

Kanavos

Schurer

2009

Eur J Health Econ

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This paper discusses the current care management arrangements for colorectal cancer (CRC) in 16 OECD countries plus the Russian Federation by analysing data sources, the uptake of screening and surveillance, the available capacity in endoscopy services, the treatment pathways in medical treatment, as well as the type and availability of pharmaceutical care. The paper highlights significant variations in practice across the 17 countries. Common themes emerge from each of these practices and standards in terms of political interest in policies and awareness of CRC (both of which need to be enhanced), affordability (in terms of scarcity of resources in some countries and out-of-pocket payments for parts of the overall treatment process), access (in terms of the significant variation that has been observed within and across countries with regard to diagnostics, treatment and certain pharmaceuticals) and quality of CRC services (which may arise due to variations in treatment and pharmaceutical guidelines as well as minimal monitoring). When considering policy options for the future, it is important to, first, improve data collection both within as well as across countries through international co-operation; second, it is critical to have greater national and international support for cancer screening activities proven to be effective and cost-effective; third, endoscopy capacity in individual countries needs to be improved, also allowing more choice to ensure timely diagnosis, regardless of screening activities; fourth, public and political awareness needs to be enhanced as it is the key to improving CRC outcomes; fifth, where appropriate, to give consideration to the principles of equity, human dignity and disease severity, among others, when deciding on the uptake of new (targeted) treatments, rather than base decisions solely on cost-effectiveness criteria; and sixth, to firm up national guidelines including screening, diagnosis, treatment, pharmaceutical treatments and surveillance, with a view to enhancing their timeliness, evidence-base and free access to all.

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“…Ancak Avrupa ülkelerinde 100 000 nüfusa 2,7 patolog düşerken, Türkiye tüm Avrupa'da en az patolog sayısına sahip ülkedir. 19 Avrupa ortalamasına göre Türkiye'de 2000'in üzerinde patolog olması beklenmektedir. Erişkin otopsisinin hemen hemen hiç yapılmaması, servikal sitolojik tarama programlarının yaygın olmaması ve alınan örneklerin tümünün patolojiye gönderilmemesi nedeniyle ülkemizde patoloji uzmanlarının iş yükünün daha az olduğu bir gerçek-tir.…”

Section: Discussionunclassified

A Study of Need Recognition with Workload Based Staffing Need Estimation Method: Efficcacy and Distribution of Pathologists in Turkey

Üner¹,

Usubütün²

2012

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışmanın temel amacı, sağlık personeli ihtiyacını belirlemede, iş yüküne dayalı personel ihtiyacı belirleme yönteminin, Türkiye'de kamu hastanelerinde çalışan patoloji uzmanları örneğinde uygulanmasıdır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmada, üniversite ve Sağlık Bakanlığına bağlı 248 hastanenin 2009 yılında patoloji laboratuvarlarında ürettikleri hizmetlerin verileri, iş yü-küne dayalı personel ihtiyacı belirleme yöntemi uygulanarak hizmet ve ayarlama standartları oluşturulmuş ve gerekli patoloji uzmanı sayısı hesaplanmıştır. B Bu ul lg gu ul la ar r: : Çalışmada, 190'ı üniver-sitelerde çalışan 711 patoloji uzmanının yaptıkları işlerle ilgili veri toplanmıştır. Patolog sayısı toplamda yeterli olarak görünürken, 248 hastanenin ¼'ünden fazlasında patoloji uzmanı eksikliği ve yaklaşık yarısında patoloji uzmanı fazlalığı vardır. Hesaplanan insan gücüne göre üniver-site hastaneleri için oran "1"in altında, buna karşın hizmet hastanesi grubu için "1"in üzerindedir ve patoloji uzmanı fazlalığı bulunan 117 hastanenin 107'si hizmet hastanesidir. S So on nu uç ç: : Patoloji uzmanlarının çalışma sonuçlarına göre sayıları yeterli, ancak dağılımları dengesizdir. Üniversite hastanelerinde patoloji uzmanı eksikken, hizmet hastanelerinde gereğinden fazla personel olduğu saptanmıştır. İş yüküne dayalı personel ihtiyacı belirleme yöntemi, insan kaynaklarının planlanması ve yönetiminin geliştirilmesi için kullanılan birçok araçtan birisidir. Bu yöntemin insan kaynakları ile ilgili diğer araçlarla birlikte kullanılması, çok daha güçlü insan kaynakları sistemlerinin oluşmasını sağlayacaktır.A An na ah ht ta ar r K Ke el li im me el le er r: : Sağlık insan gücü; iş yükü; patoloji; hastaneler A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The basic purpose of this study was to apply the workload based staffing need estimation method to detect the need for healthcare workers in a sample of pathologists who work in state hospitals in Turkey. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In this study, service and adjustment standards were developed employing the workload based staffing need estimation method using data regarding services produced in pathology laboratories of 248 university hospitals or state hospitals of the Ministry of Health and the number of required pathologists was estimated. R Re es su ul lt ts s: : Data on the work produced by 711 pathologists (190 working in universities) were collected. While the total number of pathologists seemed adequate, it was lower than required in more than ¼ of 248 hospitals and was in excess than needed in approximately half of the included hospitals. According to estimated human power, the ratio was below 1 for university hospitals and above 1 for state hospitals. Of the 117 hospitals with excessive number of pathologists, 107 were state hospitals. C Co on nc cl lu us si io on n: : This study suggests that although the number of pathologists is adequate for the work produced, their distribution is disp...

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Histopathology training in Europe: a lesson for other specialties?

Cited by 11 publications

References 11 publications

An impending crisis in the provision of histopathology expertise for mouse functional genomics

An impending crisis in the provision of histopathology expertise for mouse functional genomics

The dynamics of colorectal cancer management in 17 countries

A Study of Need Recognition with Workload Based Staffing Need Estimation Method: Efficcacy and Distribution of Pathologists in Turkey

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