Abstract
Hematology-oncology (HO) fellows receive limited instruction in the process of establishing a diagnosis for hematologic neoplasms, and learning neoplastic hematology often occurs in limited encounters. In the current study, we developed a web-based interactive pathology tutorial in neoplastic hematologic disorders for HO fellows to work up simulated cases and establish the diagnosis. An online system (“Pathology Playground”) was utilized to load case materials including microscopic images and ancillary studies. Twelve high-yield simulated cases of common leukemias and lymphoma were included. At the beginning of each case, trainees review the clinical history and slide images, and then, they are given the option to request additional pathology work-up. Based on the results, they can enter their diagnostic impression. If the diagnosis is correct, the user is shown a short educational presentation. If the diagnosis is not correct, the user gets notified by the message “Incorrect.” The tutorial was integrated in the educational curriculum of our HO fellowship program, and bimonthly teaching sessions were held to review two cases each time. During the sessions, trainees request ancillary studies to complete the diagnostic work-up using the software and interpret the findings. As the case is being worked up by the trainee, the hematopathologists and HO fellowship program director discuss the findings, the appropriate work-up tools, and the implications on management. All of our six HO fellows attended the sessions, and a survey from the trainees showed high ease of use of the system and they viewed it as a very useful educational tool. A pre-test and post-test were administered for one of the sessions, and the result showed improvement in the average from 62 to 73%. Expanding the use of this online interactive tutorial and incorporating additional cases would enhance its value as a learning resource.
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References
Magid MS, Cambor CL (2012) The integration of pathology into the clinical years of undergraduate medical education: a survey and review of the literature. Hum Pathol 43:567–576
ACGME program requirements for graduate medical education in hematology and medical oncology. (accessed 4/10/2023). https://www.acgme.org/globalassets/pfassets/programrequirements/155_hematologyandmedicaloncology_2022v2.pdf
Hematology and medical oncology milestones The Accreditation Council for Graduate Medical Education: Second revision 2019 (accessed 4/10/2023). https://www.acgme.org/globalassets/pdfs/milestones/hematologyandmedicaloncologymilestones2.0.pdf
Aziz-Bose R, Wertheim G, Kersun L (2021) Active learning for fellows: the hematopathology “unknown case.” Pediatr Blood Cancer 68(4):e28895
Nasca TJ (2020) ACGME’s Early adaptation to the COVID-19 Pandemic: principles and lessons learned. J Grad Med Educ 12(3):375–378
Singhi EK, Dupuis MM, Ross JA et al (2020) Medical hematology/oncology fellows’ perceptions of online medical education during the COVID-19 pandemic. J Canc Educ 35:1034–1040
Velazquez AI, Durani U, Weeks LD et al (2022) Impact of COVID-19 on hematology-oncology fellowship programs: a quantitative and qualitative survey assessment of fellowship program directors. JCO Oncol Pract 18(4):e551–e563
Birkness-Gartman JE, White MJ, Salimian KJ et al (2022) Web-based pathology modules with virtual slides are effective for teaching introductory gastrointestinal pathology concepts. Acad Pathol 9(1):100059
Ruiz JG, Mintzer MJ, Leipzig RM (2006) The impact of E-learning in medical education. Acad Med 81:207–212
Jwayyed S, Stiffler KA, Wilber ST et al (2011) Technology-assisted education in graduate medical education: a review of the literature. Int J Emerg Med 4(1):51
Naritoku WY, Vasovic L, Steinberg JJ et al (2014) Anatomic and clinical pathology boot camps: filling pathology-specific gaps in undergraduate medical education. Arch Pathol Lab Med 138(3):316–321
Baskovich B, Desai K, Gopinath A et al (2023) Pathology playground: an interactive web-based system for pathology unknowns with immunohistochemistry and molecular studies. Arch Pathol Lab Med 147(4):492–495
Alaggio R, Amador C, Anagnostopoulos I et al (2022) The 5th edition of the World Health Organization classification of haematolymphoid tumours lymphoid neoplasms. Leukemia 36:1720–1748
Khoury JD, Solary E, Abla O et al (2022) The 5th edition of the World Health Organization classification of haematolymphoid tumours: myeloid and histiocytic/dendritic neoplasms. Leukemia 36:1703–1719
Arber DA, Orazi A, Hasserjian RP et al (2022) International consensus classification of myeloid neoplasms and acute leukemias: integrating morphologic, clinical, and genomic data. Blood 140(11):1200–1228
Campo E, Jaffe ES, Cook JR et al (2022) The international consensus classification of mature lymphoid neoplasms: a report from the Clinical Advisory Committee. Blood 140(11):1229–1253
Thandra KC, Barsouk A, Saginala K et al (2021) Epidemiology of non-Hodgkin’s lymphoma. Med Sci (Basel) 9(1):5
Moore ME, Courville EL, Prakash S, Brown LE, Beck RC, Qualtieri JN, Siddon AJ, Wake LM (2023) An interactive e-learning module on peripheral blood smear analysis is an effective option for teaching pathology trainees. Am J Clin Pathol 160(2):150–156
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Alkhasawneh, A., Baskovich, B., Gopinath, A. et al. Interactive Pathology Tutorial in Neoplastic Hematology Disorders for Medical Hematology-Oncology Fellows. J Canc Educ (2024). https://doi.org/10.1007/s13187-024-02427-8
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DOI: https://doi.org/10.1007/s13187-024-02427-8