Review of Penner's criteria for proficiency testing in cytopathology: Implications for the redesign of the federally mandated proficiency testing in cytopathology

Nagy, George K.; Newton, S.C.T. Louise E.

doi:10.1002/dc.20586

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…As such, we incorporated real‐time video clips from actual ROSE cases that were recorded and then used in an online quiz. Our innovative design is in accordance with the original goals of PT, which state that PT should evaluate cytology as it is actually practiced . We utilised 20 cases to include a variety of cases, unlike Pap test PT which typically involves only 10 cases.…”

Section: Discussionmentioning

confidence: 99%

Assessing competency for remote telecytology rapid on‐site evaluation using pre‐recorded dynamic video streaming

et al. 2020

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Introduction Telecytology using real‐time microscopy has gained popularity for rapid on‐site evaluations (ROSE). Although proficiency testing is routinely used in cytopathology, no established means of competency assessment is currently available for telecytology. Our aim was to determine the feasibility of a dynamic (real‐time) platform to assess telecytology competency. Methods Remote Medical Technology dynamic (real‐time) video streaming platform for ROSE is used at our institution, and short video clips of telecytology cases were recorded using Camtasia Studio 8 software during different ROSE sessions. Selected MP4 videos (range 13‐88 seconds, mean 33 seconds), along with clinical histories, were used to build a multiple‐choice question test with one training case and 20 test cases, utilising Tutor (Philips) software to host the web‐based test. The test was voluntary for cytopathologists and cytotechnologists. Answers and feedback from test takers were analysed. Results Thirteen participants—four cytopathologists and nine cytotechnologists—previously trained to use telecytology, volunteered to take the test. Individual scores ranged from 10 (50%) to 19 (95%) with a median of 16 (80%). Most feedback received involved technical difficulties. Conclusions We present, to the best of our knowledge, the first tool to assess telecytology competency for ROSE using pre‐recorded dynamic streaming videos. Despite technical challenges related to incorporating videos into a web‐based test, the test was feasible and provided users with valuable feedback about their ROSE performance. Future effort will be devoted to establishing a more user‐friendly test platform and establishing a benchmark for passing scores.

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Section: Discussionmentioning

confidence: 99%

Assessing competency for remote telecytology rapid on‐site evaluation using pre‐recorded dynamic video streaming

et al. 2020

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“…ISO 15189:2012 constitutes an international accreditation standard, which can be used by medical laboratories wishing to improve their quality standards. Its requirements consist of a group of general guidelines that will help laboratories establish and enhance their quality systems [1][2][3][4]. According to ISO 15189:2012 requirements, one of the greatest challenges facing cytology laboratories is the design and implementation of a board certified external quality control program [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Its requirements consist of a group of general guidelines that will help laboratories establish and enhance their quality systems [1][2][3][4]. According to ISO 15189:2012 requirements, one of the greatest challenges facing cytology laboratories is the design and implementation of a board certified external quality control program [1][2][3][4]. The purpose of the adopted program should be to ensure that microscopic (cytological) findings are correctly identified and interpreted by laboratory personnel [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Implementation of Precaptured Videos of Thyroid Fine-Needle Aspiration Cytology Specimens for External Quality Control Purposes

Archondakis¹

2021

austinjpathollabmed

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Objective: The objective of this study was examine the feasibility of developing a proficiency testing scheme for cytology labs wishing to be accredited according to ISO 15189:2012, by using videos captured by static telecytological applications. Methods: The current study was carried out on 252 adequate specimens of 157 patients, retrospectively selected from the department’s registry. In all cases, surgical excision followed the initial cytological diagnosis. Three diagnostic categories of cytological reports were used. All cases were confirmed by histological diagnosis of surgical specimens. One representative video from each case was transferred via file transfer protocol to password-protected accounts for remote review by 3 independent cytopathologists. In addition to diagnosis, reviewers commented on overall digital video quality. Contributor’s and reviewer’s diagnoses were collected, recorded and statistically evaluated. Results: Statistical evaluation of cytological diagnoses detected no significant difference in diagnostic accuracy between the diagnoses proffered on the basis of precaptured videos and conventional slides. The overall interobserver agreement was ranging from substantial to almost perfect. Conclusions: Videos production by static telecytology applications can be used as an alternative method for cytological diagnosis validation. It is a prompt and valid method for quality assessment and proficiency testing and can be integrated into daily workflow. Pre-captured videos can improve significantly small cytology departments’ quality indices. Precaptured videos can also be used for teleconsultation and second opinion purposes and improve the performance of the already existing static telecytology stations.

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The dysfunctional federally mandated proficiency test in cytopathology

Nagy

Naryshkin

2007

Cancer

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Review of Penner's criteria for proficiency testing in cytopathology: Implications for the redesign of the federally mandated proficiency testing in cytopathology

Cited by 3 publications

References 5 publications

Assessing competency for remote telecytology rapid on‐site evaluation using pre‐recorded dynamic video streaming

Assessing competency for remote telecytology rapid on‐site evaluation using pre‐recorded dynamic video streaming

Implementation of Precaptured Videos of Thyroid Fine-Needle Aspiration Cytology Specimens for External Quality Control Purposes

The dysfunctional federally mandated proficiency test in cytopathology

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