Survey of medical training in cytopathology carried out by the journal Cytopathology |
| |
| Authors: | Anshu A Herbert B Cochand‐Priollet P Cross M Desai R Dina J Duskova A Evered A Farnsworth W Gray S S Gupta K Kapila I Kardum‐Skelin V Kloboves‐Prevodnik T K Kobayashi H Koutselini W Olszewski B Onal M B Pitman Ž Marinšek T Sauer U Schenck F Schmitt I Shabalova J H F Smith E Tani L Vass P Vielh H Wiener |
| |
| Institution: | 1. Mahatma Gandhi Institute of Medical Sciences, Sevagram, India;2. Department of Cellular Pathology, Guy’s & St Thomas NHS Foundation Trust, St Thomas’ Hospital, London, UK;3. Service d’Anatomie et Cytologie Pathologiques, H?pital Lariboisière, Paris, France;4. Department of Pathology, Queen Elizabeth Hospital, Gateshead, UK;5. Manchester Cytology Centre, Manchester Royal Infirmary, Manchester, UK;6. Histopathology Department, Imperial College NHS Trust, Hammersmith Hospital, London, UK;7. Institute of Pathology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic;8. Cervical Screening Wales and University of Wales Institute, Cardiff, Wales;9. Douglass Hanly Moir Pathology Cytology, Macquarie Park, New South Wales, Australia;10. John Radcliffe Hospital, Oxford, England;11. Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sewagram, India;12. Cytopathology Unit, Department of Pathology, Faculty of Medicine, Kuwait University, Kuwait;13. Laboratory for Cytology and Haematology, Merkur University Hospital, Zagreb, Croatia;14. Department of Cytopathology, Institute of Oncology, Ljubljana, Slovenia;15. Pathology Department, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc, Shiga, Japan;16. Department of Cytopathology, Aretaieion University Hospital, University of Athens Medical School, Athens, Greece;17. Department of Pathology, Institute of Oncology, Warsaw, Poland;18. Department of Cytology &Pathology, Ankara Diskapi Training & Research Hospital, Ankara, Turkey;19. Institute of Pathology, Technical University of Munich, Germany;20. IPATIMUP and Medical Faculty of Porto University, Porto, Portugal;21. General Institute of Advanced Medical Studies, Moscow, Russia;22. Department of Histopathology & Cytology, Royal Hallamshire Hospital, Sheffield, UK;23. Department of Pathology and Cytology, Karolinska University Hospital, Solna, Stockholm, Sweden;24. Department of Pathology/Cytopathology, Flór F. University Hospital of Pest County, Kistarcsa, Hungary;25. Department of Pathology, Institut Gustave Roussy, Villejuif, France;26. Clinical Department of Pathology, Medical Unversity Vienna, Vienna, Austria |
| |
| Abstract: | Anshu, A. Herbert, B. Cochand‐Priollet, P. Cross, M. Desai, R. Dina, J. Duskova, A. Evered, A. Farnsworth, W. Gray, S. S. Gupta, K. Kapila, I. Kardum‐Skelin, V. Kloboves‐Prevodnik, T. K. Kobayashi, H. Koutselini, W. Olszewski, B. Onal, M. B. Pitman, ?. Marin?ek, T. Sauer, U. Schenck, F. Schmitt, I. Shabalova, J. H. F. Smith, E. Tani, L. Vass, P. Vielh and H. Wiener Survey of medical training in cytopathology carried out by the journal Cytopathology This report of the Editorial Advisory Board of Cytopathology gives the results of a survey of medical practitioners in cytopathology, which aimed to find out their views on the current situation in undergraduate and postgraduate training in their institutions and countries. The results show that training in cytopathology and histopathology are largely carried out at postgraduate level and tend to be organized nationally rather than locally. Histopathology was regarded as essential for training in cytopathology by 89.5% of respondents and was mandatory according to 83.1%. Mandatory cytopathology sections of histopathology were reported by 67.3% and specific examinations in cytopathology by 55.4%. The main deficiencies in training were due to its variability; there were insufficient numbers of pathologists interested in cytology and a consequent lack of training to a high level of competence. Pathologists without specific training in cytopathology signed out cytology reports according to 54.7% of responses, more often in centres where training was 3–6 months or less duration. Although 92.2% of respondents thought that specialist cytology should not be reported by pathologists without experience in general cytopathology, that practice was reported by 30.9%, more often in centres with small workloads. The survey report recommends that 6–12 months should be dedicated to cytopathology during histopathology training, with optional additional training for those wanting to carry out independent practice in cytopathology. Formal accreditation should be mandatory for independent practice in cytopathology. When necessary, temporary placements to centres of good practice should be available for trainees intending to practise independently in cytopathology. There should be adequate numbers of pathologists trained in cytopathology to a high level of competence; some of their time could be released by training cytotechnologists and trainee pathologists to prescreen cytology slides and assess adequacy of fine‐needle aspiration samples when immediate diagnosis was not required. The survey demonstrated a clear need for European and international guidelines for training in cytopathology. |
| |
| Keywords: | medical training in cytopathology international survey accreditation postgraduate training cytopathology examinations |
|
|
