Development of a Web Based Testing Interface for Pathology Trainees Using Digital Slide Sets.
Bryan Dangott, Guarav Sharma, Thomas Harper, Trevor MacPherson, Liron Pantanowitz, Anil Parwani. University of Utah, Salt Lake City; University of Pittsburgh, PA
Background: Training in anatomical pathology requires the development of finely tuned visual pattern recognition skills that can best be obtained by experience. However, without the guidance of a faculty mentor it may be difficult for trainees to determine what histopathology is relevant and where the diagnostic pitfalls occur. The goal of this project was to build an internet deployed whole slide imaging testing interface that provides a pre-rotation assessment, a rotation study set, and a post-rotation test using digital slides.
Design: Digital slides (DS) and ancillary testing data such as flow cytometry, cytogenetic, and molecular reports were provided to pathology trainees via hyperlink in a Microsoft Access database (Microsoft, Redmond, WA). Each case could accommodate associated text (e.g. clinical history), an unlimited number of DS, and test questions (multiple choice or free text). A ColdFusion (Adobe, San Jose, CA) application was used to present the data in an organized webpage. Pathology residents and fellows begin their virtual rotation by taking the pre-rotation assessment. Their answers are automatically emailed to the rotation coordinator, who accordingly tailors which cases get selected for the subsequent rotation study set.
Results: A virtual test site employing digital slides has been successfully implemented at our institute. Multiple digital slide study sets have been generated to date including over 1500 digital slides. These efforts have permitted digital slide teaching sets to be generated for several subspecialty areas (genitourinary, head & neck, bone soft tissue, hematopathology, and pediatric) fields in anatomical pathology.
Conclusions: Creation of multiple DS teaching sets that are accessible via the internet can be leveraged to support a virtual rotation for pathology trainees. This solution also allows trainees to gauge their knowledge and permits faculty mentors to tailor training materials in response to the trainee's performance. Substantial content such as clinical case data and ancillary test results (e.g. flow cytometery histograms) can be linked with DS to enhance trainee education.
Tuesday, March 1, 2011 9:30 AM
Poster Session III # 136, Tuesday Morning