Pathology Trainees’ Experience and Attitudes on Use of Digital Whole Slide Images
Digital whole slide images are Food and Drug Administration approved for clinical diagnostic use in pathology; however, integration is nascent. Trainees from 9 pathology training programs completed an online survey to ascertain attitudes toward and experiences with whole slide images for pathologica...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-09-01
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| Series: | Academic Pathology |
| Online Access: | https://doi.org/10.1177/2374289520951922 |
| _version_ | 1827842278460227584 |
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| author | Joann G. Elmore MD, MPH Hannah Shucard MS Annie C. Lee PhD Pin-Chieh Wang PhD Kathleen F. Kerr PhD Patricia A. Carney PhD Trafton Drew PhD Tad T. Brunyé PhD Donald L. Weaver MD |
| author_facet | Joann G. Elmore MD, MPH Hannah Shucard MS Annie C. Lee PhD Pin-Chieh Wang PhD Kathleen F. Kerr PhD Patricia A. Carney PhD Trafton Drew PhD Tad T. Brunyé PhD Donald L. Weaver MD |
| author_sort | Joann G. Elmore MD, MPH |
| collection | DOAJ |
| description | Digital whole slide images are Food and Drug Administration approved for clinical diagnostic use in pathology; however, integration is nascent. Trainees from 9 pathology training programs completed an online survey to ascertain attitudes toward and experiences with whole slide images for pathological interpretations. Respondents (n = 76) reported attending 63 unique medical schools (45 United States, 18 international). While 63% reported medical school exposure to whole slide images, most reported ≤ 5 hours. Those who began training more recently were more likely to report at least some exposure to digital whole slide image training in medical school compared to those who began training earlier: 75% of respondents beginning training in 2017 or 2018 reported exposure to whole slide images compared to 54% for trainees beginning earlier. Trainees exposed to whole slide images in medical school were more likely to agree they were comfortable using whole slide images for interpretation compared to those not exposed (29% vs 12%; P = .06). Most trainees agreed that accurate diagnoses can be made using whole slide images for primary diagnosis (92%; 95% CI: 86-98) and that whole slide images are useful for obtaining second opinions (93%; 95% CI: 88-99). Trainees reporting whole slide image experience during training, compared to those with no experience, were more likely to agree they would use whole slide images in 5 years for primary diagnosis (64% vs 50%; P = .3) and second opinions (86% vs 76%; P = .4). In conclusion, although exposure to whole slide images in medical school has increased, overall exposure is limited. Positive attitudes toward future whole slide image diagnostic use were associated with exposure to this technology during medical training. Curricular integration may promote adoption. |
| first_indexed | 2024-03-12T08:06:09Z |
| format | Article |
| id | doaj.art-ae57fa213ef54a5a971439052d636106 |
| institution | Directory Open Access Journal |
| issn | 2374-2895 |
| language | English |
| last_indexed | 2024-03-12T08:06:09Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Academic Pathology |
| spelling | doaj.art-ae57fa213ef54a5a971439052d6361062023-09-02T19:32:40ZengElsevierAcademic Pathology2374-28952020-09-01710.1177/2374289520951922Pathology Trainees’ Experience and Attitudes on Use of Digital Whole Slide ImagesJoann G. Elmore MD, MPH0Hannah Shucard MS1Annie C. Lee PhD2Pin-Chieh Wang PhD3Kathleen F. Kerr PhD4Patricia A. Carney PhD5Trafton Drew PhD6Tad T. Brunyé PhD7Donald L. Weaver MD8 Department of Medicine, University of California, Los Angeles, Los Angeles, CA, USA Department of Biostatistics, University of Washington, Seattle, WA, USA Department of Medicine, University of California, Los Angeles, Los Angeles, CA, USA Department of Medicine, University of California, Los Angeles, Los Angeles, CA, USA Department of Biostatistics, University of Washington, Seattle, WA, USA Department of Family Medicine, Oregon Health and Science University, Portland, OR, USA Department of Psychology, University of Utah, Salt Lake City, UT, USA Department of Psychology, Tufts University, Medford, MA, USA Department of Pathology and Laboratory Medicine, University of Vermont, Larner College of Medicine, Burlington, VT, USADigital whole slide images are Food and Drug Administration approved for clinical diagnostic use in pathology; however, integration is nascent. Trainees from 9 pathology training programs completed an online survey to ascertain attitudes toward and experiences with whole slide images for pathological interpretations. Respondents (n = 76) reported attending 63 unique medical schools (45 United States, 18 international). While 63% reported medical school exposure to whole slide images, most reported ≤ 5 hours. Those who began training more recently were more likely to report at least some exposure to digital whole slide image training in medical school compared to those who began training earlier: 75% of respondents beginning training in 2017 or 2018 reported exposure to whole slide images compared to 54% for trainees beginning earlier. Trainees exposed to whole slide images in medical school were more likely to agree they were comfortable using whole slide images for interpretation compared to those not exposed (29% vs 12%; P = .06). Most trainees agreed that accurate diagnoses can be made using whole slide images for primary diagnosis (92%; 95% CI: 86-98) and that whole slide images are useful for obtaining second opinions (93%; 95% CI: 88-99). Trainees reporting whole slide image experience during training, compared to those with no experience, were more likely to agree they would use whole slide images in 5 years for primary diagnosis (64% vs 50%; P = .3) and second opinions (86% vs 76%; P = .4). In conclusion, although exposure to whole slide images in medical school has increased, overall exposure is limited. Positive attitudes toward future whole slide image diagnostic use were associated with exposure to this technology during medical training. Curricular integration may promote adoption.https://doi.org/10.1177/2374289520951922 |
| spellingShingle | Joann G. Elmore MD, MPH Hannah Shucard MS Annie C. Lee PhD Pin-Chieh Wang PhD Kathleen F. Kerr PhD Patricia A. Carney PhD Trafton Drew PhD Tad T. Brunyé PhD Donald L. Weaver MD Pathology Trainees’ Experience and Attitudes on Use of Digital Whole Slide Images Academic Pathology |
| title | Pathology Trainees’ Experience and Attitudes on Use of Digital Whole Slide Images |
| title_full | Pathology Trainees’ Experience and Attitudes on Use of Digital Whole Slide Images |
| title_fullStr | Pathology Trainees’ Experience and Attitudes on Use of Digital Whole Slide Images |
| title_full_unstemmed | Pathology Trainees’ Experience and Attitudes on Use of Digital Whole Slide Images |
| title_short | Pathology Trainees’ Experience and Attitudes on Use of Digital Whole Slide Images |
| title_sort | pathology trainees experience and attitudes on use of digital whole slide images |
| url | https://doi.org/10.1177/2374289520951922 |
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