Factors Influencing US Allopathic Medical Students to Choose Pathology as a Specialty.
Identifieur interne : 000136 ( Main/Exploration ); précédent : 000135; suivant : 000137Factors Influencing US Allopathic Medical Students to Choose Pathology as a Specialty.
Auteurs : Cindy B. Mccloskey [États-Unis] ; Kristen Johnson [États-Unis] ; Mark Brissette [États-Unis] ; Richard Conran [États-Unis] ; John Childs [États-Unis] ; Melissa George [États-Unis] ; Dita Gratzinger [États-Unis] ; Victor G. Prieto [États-Unis] ; Amyn M. Rojiani [États-Unis] ; Irene Shyu [États-Unis] ; Charles Timmons [États-Unis] ; Robert Hoffman [États-Unis]Source :
- Academic pathology [ 2374-2895 ]
Abstract
The SARS-CoV-2 pandemic has highlighted the crucial role of pathologists in the health care system at a time of significant decline in the number of US medical students matching to pathology residency positions. To understand this decline, a national survey of fourth-year US allopathic medical students was conducted to assess experiences, knowledge, and attitudes of pathology and factors that impact specialty choice. Participating in a separate pathology course did not increase the probability of choosing pathology. Experiences significantly associated with choosing pathology included clinical or research opportunities in pathology during the last 2 years of medical school, autopsy observation/participation, and participation in pathology interest groups. Many respondents felt they were not sufficiently exposed to pathology to consider it as a specialty. Those who considered pathology but did not choose it were less likely to report understanding the activities of pathologists and being recruited by pathology faculty and more likely to express a preference for more direct patient contact as compared to those entering pathology. In general, respondents agreed that pathology has a good work-life balance and a satisfying degree of intellectual challenge. On the other hand, respondents generally agreed that information on social media and perception of the pathology job market do not seem to be positive and few agreed that pathology is a highly regarded specialty. We identify steps to address these issues and increase the number of US medical students choosing pathology as a specialty crucial to the future of medicine and public health.
DOI: 10.1177/2374289520951924
PubMed: 33110939
PubMed Central: PMC7557358
Affiliations:
- États-Unis
- Californie, Géorgie (États-Unis), Illinois, Maryland, Oklahoma, Pennsylvanie, Tennessee, Texas, Virginie
Links toward previous steps (curation, corpus...)
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Prieto</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Rojiani, Amyn M" sort="Rojiani, Amyn M" uniqKey="Rojiani A" first="Amyn M" last="Rojiani">Amyn M. Rojiani</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Augusta University-Medical College of Georgia, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Augusta University-Medical College of Georgia, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Shyu, Irene" sort="Shyu, Irene" uniqKey="Shyu I" first="Irene" last="Shyu">Irene Shyu</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Virginia Commonwealth University, Richmond, VA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Virginia Commonwealth University, Richmond, VA</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Timmons, Charles" sort="Timmons, Charles" uniqKey="Timmons C" first="Charles" last="Timmons">Charles Timmons</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, UT Southwestern Medical Center and Children's Health, Dallas, TX, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, UT Southwestern Medical Center and Children's Health, Dallas, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Hoffman, Robert" sort="Hoffman, Robert" uniqKey="Hoffman R" first="Robert" last="Hoffman">Robert Hoffman</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020 Jan-Dec</date><idno type="RBID">pubmed:33110939</idno><idno type="pmid">33110939</idno><idno type="doi">10.1177/2374289520951924</idno><idno type="pmc">PMC7557358</idno><idno type="wicri:Area/Main/Corpus">000218</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000218</idno><idno type="wicri:Area/Main/Curation">000218</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000218</idno><idno type="wicri:Area/Main/Exploration">000218</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Factors Influencing US Allopathic Medical Students to Choose Pathology as a Specialty.</title><author><name sortKey="Mccloskey, Cindy B" sort="Mccloskey, Cindy B" uniqKey="Mccloskey C" first="Cindy B" last="Mccloskey">Cindy B. Mccloskey</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, OK</wicri:regionArea><placeName><region type="state">Oklahoma</region></placeName></affiliation></author><author><name sortKey="Johnson, Kristen" sort="Johnson, Kristen" uniqKey="Johnson K" first="Kristen" last="Johnson">Kristen Johnson</name><affiliation wicri:level="2"><nlm:affiliation>College of American Pathologists, Northfield, IL, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>College of American Pathologists, Northfield, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Brissette, Mark" sort="Brissette, Mark" uniqKey="Brissette M" first="Mark" last="Brissette">Mark Brissette</name><affiliation wicri:level="2"><nlm:affiliation>The Joint Pathology Center, Silver Spring, MD, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Joint Pathology Center, Silver Spring, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Conran, Richard" sort="Conran, Richard" uniqKey="Conran R" first="Richard" last="Conran">Richard Conran</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology and Anatomy, Eastern Virginia Medical School, Norfolk, VA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology and Anatomy, Eastern Virginia Medical School, Norfolk, VA</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Childs, John" sort="Childs, John" uniqKey="Childs J" first="John" last="Childs">John Childs</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology and Laboratory Medicine Services, Walter Reed National Military Medical Center, Bethesda, MD, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology and Laboratory Medicine Services, Walter Reed National Military Medical Center, Bethesda, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="George, Melissa" sort="George, Melissa" uniqKey="George M" first="Melissa" last="George">Melissa George</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Penn State Health Hershey Medical Center, Hershey, PA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Penn State Health Hershey Medical Center, Hershey, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Gratzinger, Dita" sort="Gratzinger, Dita" uniqKey="Gratzinger D" first="Dita" last="Gratzinger">Dita Gratzinger</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Stanford University School of Medicine, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Stanford University School of Medicine, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Prieto, Victor G" sort="Prieto, Victor G" uniqKey="Prieto V" first="Victor G" last="Prieto">Victor G. Prieto</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Rojiani, Amyn M" sort="Rojiani, Amyn M" uniqKey="Rojiani A" first="Amyn M" last="Rojiani">Amyn M. Rojiani</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Augusta University-Medical College of Georgia, GA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Augusta University-Medical College of Georgia, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Shyu, Irene" sort="Shyu, Irene" uniqKey="Shyu I" first="Irene" last="Shyu">Irene Shyu</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Virginia Commonwealth University, Richmond, VA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Virginia Commonwealth University, Richmond, VA</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Timmons, Charles" sort="Timmons, Charles" uniqKey="Timmons C" first="Charles" last="Timmons">Charles Timmons</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, UT Southwestern Medical Center and Children's Health, Dallas, TX, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, UT Southwestern Medical Center and Children's Health, Dallas, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Hoffman, Robert" sort="Hoffman, Robert" uniqKey="Hoffman R" first="Robert" last="Hoffman">Robert Hoffman</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author></analytic><series><title level="j">Academic pathology</title><idno type="ISSN">2374-2895</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The SARS-CoV-2 pandemic has highlighted the crucial role of pathologists in the health care system at a time of significant decline in the number of US medical students matching to pathology residency positions. To understand this decline, a national survey of fourth-year US allopathic medical students was conducted to assess experiences, knowledge, and attitudes of pathology and factors that impact specialty choice. Participating in a separate pathology course did not increase the probability of choosing pathology. Experiences significantly associated with choosing pathology included clinical or research opportunities in pathology during the last 2 years of medical school, autopsy observation/participation, and participation in pathology interest groups. Many respondents felt they were not sufficiently exposed to pathology to consider it as a specialty. Those who considered pathology but did not choose it were less likely to report understanding the activities of pathologists and being recruited by pathology faculty and more likely to express a preference for more direct patient contact as compared to those entering pathology. In general, respondents agreed that pathology has a good work-life balance and a satisfying degree of intellectual challenge. On the other hand, respondents generally agreed that information on social media and perception of the pathology job market do not seem to be positive and few agreed that pathology is a highly regarded specialty. We identify steps to address these issues and increase the number of US medical students choosing pathology as a specialty crucial to the future of medicine and public health.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">33110939</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>29</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2374-2895</ISSN><JournalIssue CitedMedium="Print"><Volume>7</Volume><PubDate><MedlineDate>2020 Jan-Dec</MedlineDate></PubDate></JournalIssue><Title>Academic pathology</Title><ISOAbbreviation>Acad Pathol</ISOAbbreviation></Journal><ArticleTitle>Factors Influencing US Allopathic Medical Students to Choose Pathology as a Specialty.</ArticleTitle><Pagination><MedlinePgn>2374289520951924</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/2374289520951924</ELocationID><Abstract><AbstractText>The SARS-CoV-2 pandemic has highlighted the crucial role of pathologists in the health care system at a time of significant decline in the number of US medical students matching to pathology residency positions. To understand this decline, a national survey of fourth-year US allopathic medical students was conducted to assess experiences, knowledge, and attitudes of pathology and factors that impact specialty choice. Participating in a separate pathology course did not increase the probability of choosing pathology. Experiences significantly associated with choosing pathology included clinical or research opportunities in pathology during the last 2 years of medical school, autopsy observation/participation, and participation in pathology interest groups. Many respondents felt they were not sufficiently exposed to pathology to consider it as a specialty. Those who considered pathology but did not choose it were less likely to report understanding the activities of pathologists and being recruited by pathology faculty and more likely to express a preference for more direct patient contact as compared to those entering pathology. In general, respondents agreed that pathology has a good work-life balance and a satisfying degree of intellectual challenge. On the other hand, respondents generally agreed that information on social media and perception of the pathology job market do not seem to be positive and few agreed that pathology is a highly regarded specialty. We identify steps to address these issues and increase the number of US medical students choosing pathology as a specialty crucial to the future of medicine and public health.</AbstractText><CopyrightInformation>© The Author(s) 2020.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McCloskey</LastName><ForeName>Cindy B</ForeName><Initials>CB</Initials><AffiliationInfo><Affiliation>Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Johnson</LastName><ForeName>Kristen</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>College of American Pathologists, Northfield, IL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brissette</LastName><ForeName>Mark</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>The Joint Pathology Center, Silver Spring, MD, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Conran</LastName><ForeName>Richard</ForeName><Initials>R</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-4053-1784</Identifier><AffiliationInfo><Affiliation>Department of Pathology and Anatomy, Eastern Virginia Medical School, Norfolk, VA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Childs</LastName><ForeName>John</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Pathology and Laboratory Medicine Services, Walter Reed National Military Medical Center, Bethesda, MD, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>George</LastName><ForeName>Melissa</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Pathology, Penn State Health Hershey Medical Center, Hershey, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gratzinger</LastName><ForeName>Dita</ForeName><Initials>D</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-9182-8123</Identifier><AffiliationInfo><Affiliation>Department of Pathology, Stanford University School of Medicine, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Prieto</LastName><ForeName>Victor G</ForeName><Initials>VG</Initials><AffiliationInfo><Affiliation>Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rojiani</LastName><ForeName>Amyn M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Department of Pathology, Augusta University-Medical College of Georgia, GA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shyu</LastName><ForeName>Irene</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Pathology, Virginia Commonwealth University, Richmond, VA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Timmons</LastName><ForeName>Charles</ForeName><Initials>C</Initials><Suffix>Jr</Suffix><Identifier Source="ORCID">https://orcid.org/0000-0002-5274-8569</Identifier><AffiliationInfo><Affiliation>Department of Pathology, UT Southwestern Medical Center and Children's Health, Dallas, TX, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hoffman</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Acad Pathol</MedlineTA><NlmUniqueID>101698648</NlmUniqueID><ISSNLinking>2374-2895</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">career choices</Keyword><Keyword MajorTopicYN="N">medical student</Keyword><Keyword MajorTopicYN="N">pathology</Keyword><Keyword MajorTopicYN="N">pathology residency</Keyword><Keyword MajorTopicYN="N">specialty choice</Keyword></KeywordList><CoiStatement>Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>06</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>07</Month><Day>13</Day></PubMedPubDate><PubMedPubDate 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IdType="pubmed">23738764</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>Géorgie (États-Unis)</li><li>Illinois</li><li>Maryland</li><li>Oklahoma</li><li>Pennsylvanie</li><li>Tennessee</li><li>Texas</li><li>Virginie</li></region></list><tree><country name="États-Unis"><region name="Oklahoma"><name sortKey="Mccloskey, Cindy B" sort="Mccloskey, Cindy B" uniqKey="Mccloskey C" first="Cindy B" last="Mccloskey">Cindy B. Mccloskey</name></region><name sortKey="Brissette, Mark" sort="Brissette, Mark" uniqKey="Brissette M" first="Mark" last="Brissette">Mark Brissette</name><name sortKey="Childs, John" sort="Childs, John" uniqKey="Childs J" first="John" last="Childs">John Childs</name><name sortKey="Conran, Richard" sort="Conran, Richard" uniqKey="Conran R" first="Richard" last="Conran">Richard Conran</name><name sortKey="George, Melissa" sort="George, Melissa" uniqKey="George M" first="Melissa" last="George">Melissa George</name><name sortKey="Gratzinger, Dita" sort="Gratzinger, Dita" uniqKey="Gratzinger D" first="Dita" last="Gratzinger">Dita Gratzinger</name><name sortKey="Hoffman, Robert" sort="Hoffman, Robert" uniqKey="Hoffman R" first="Robert" last="Hoffman">Robert Hoffman</name><name sortKey="Johnson, Kristen" sort="Johnson, Kristen" uniqKey="Johnson K" first="Kristen" last="Johnson">Kristen Johnson</name><name sortKey="Prieto, Victor G" sort="Prieto, Victor G" uniqKey="Prieto V" first="Victor G" last="Prieto">Victor G. Prieto</name><name sortKey="Rojiani, Amyn M" sort="Rojiani, Amyn M" uniqKey="Rojiani A" first="Amyn M" last="Rojiani">Amyn M. Rojiani</name><name sortKey="Shyu, Irene" sort="Shyu, Irene" uniqKey="Shyu I" first="Irene" last="Shyu">Irene Shyu</name><name sortKey="Timmons, Charles" sort="Timmons, Charles" uniqKey="Timmons C" first="Charles" last="Timmons">Charles Timmons</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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