Training of pathologists in the digital macroscopic photography

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Abstract


The pathology practice environment varies per healthcare setting. However, anatomic pathology is a visual applied science discipline and incorporation of high-quality images into a surgical pathology report is essential. Each specimen received for morphological examination is unique and variation in the description can exist between prosectors and they experience. That is why gross descriptions supported with digital photographs can eliminate the insufficiency of macroscopic examination. To form and strengthen pathologists’ competencies in digital macroscopic photography a problem-based learning approach is used for training. A problem-based learning ensures the strength of the acquired knowledge since it is obtained in an independent activity. The article discusses what type of problems a pathologist should solve when taking a macroscopic photograph of a surgical specimen. An analysis of literature on modern equipment for digital macroscopic photography was performed. Recommendations for step-by-step photographing, and schematic mapping for surgical specimen triaging are provided. An option is proposed for actively developing professional competencies including creation of digital photo archives of surgical gross specimens, as well as study sections and discussions by professionals at forums such as society meetings. It was concluded that pathologists’ competency in digital macroscopic photography is necessary to maintain a high standard of medical care.


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About the authors

Andrey I. Khramtsov

Ann & Robert H. Lurie Children’s Hospital of Chicago

Author for correspondence.
Email: akhramtsov@luriechildrens.org

United States, Chicago

MD, PhD, Senior Researcher, Department of Pathology and Laboratory Medicine

Ruslan A. Nasyrov

St. Petersburg State Pediatric Medical University of the Ministry of Healthcare of the Russian Federation

Email: ran.53@mail.ru

Russian Federation, Saint Petersburg

MD, PhD, Dr Med Sci, Professor, Head, Department of Anatomic Pathology and Forensic Medicine

Galina F. Khramtsova

The University of Chicago

Email: galina@uchicago.edu

United States, Chicago

MD, PhD, Senior Researcher, Department of Medicine, Section of Hematology and Oncology

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Supplementary files

Supplementary Files Action
1.
Fig. 1. Macroscopic photographs of the left femoral segmental resection specimen for osteosarcoma: a – a view of the intact specimen; b – the serial sections of the specimen; c – a map of the central slab of the bone resection

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2.
Fig. 2. A map for surgical specimens’ triage of segmental resection of the lung

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Copyright (c) 2020 Khramtsov A.I., Nasyrov R.A., Khramtsova G.F.

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