Cytology of the Week Cases (COWs): Impact of a Longitudinal Educational Intervention on Cytopathology RISE Scores
Kristie White, Elham Khanafshar. University of California, San Francisco, CA
Background: The ACGME program requirements for anatomic pathology require that residents examine 1,500 cytology specimens over the course of residency training. In the era of duty-hour limitations and continually expanding medical knowledge, attainment of this goal is increasingly challenging for residency programs.
Design: To increase the number of cytology specimens for residents, our program instituted a longitudinal program, cytology of the week cases (COWs), in 2010. Images of 2-5 cases with a corresponding line of clinical information are sent to residents on a weekly basis by a cytopathologist. Cases are housed on a secure department server. In addition, a direct link to the cases is on the password-protected departmental website, to enable off-site access. Residents are given one week to respond via email with diagnoses. Correct answers to the cases are emailed to residents and published on the departmental website weekly. COWs participation is entirely voluntary. Collaboration and use of ancillary materials to arrive at a diagnosis is allowed. Rise scores were de-identified for analysis.
Results: An increase of 445% in mean points attempted (PA) was seen between the first and second year of the program (14.7 to 77.7).
|Academic Year||N = Participants||Mean Points Attempted (PA)||SD||Range (pts)|