Evidence map›Paper›PMID 41049715›Full record

ArticleAcademic pathology

Barriers to achieving graduated responsibility: preparing pathology residents for independent practice.

Bronwyn H Bryant, Balaram Puligandla, Hailey L Gosnell, Kristen Johnson, Stephanie Barak, Mary P Berg, Satyapal Chahar, John M Childs, Julie Katz Karp, Amanda Lofgreen and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Academic pathology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Bronwyn H BryantDepartment of Pathology and Laboratory Medicine, University of Vermont, Burlington, VT, USA.
Balaram PuligandlaDepartment of Pathology, Oregon Health & Science University, Portland, OR, USA.
Hailey L GosnellCleveland Clinic Foundation, Department of Pathology, Cleveland, OH, USA.
Kristen JohnsonCAP Learning, College of American Pathologists, Northfield, IL, USA.
Stephanie BarakDepartment of Pathology and Laboratory Medicine, Women and Infants Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Mary P BergUniversity of Colorado, Anschutz Medical Campus, Department of Pathology, Aurora, CO, USA.
Satyapal ChaharUniversity of Mississippi Medical Center, Department of Pathology, Jackson, MS, USA.
John M ChildsGeisinger Medical Center, Danville, PA, USA.
Julie Katz KarpDepartment of Pathology and Genomic Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Amanda LofgreenCAP Learning, College of American Pathologists, Northfield, IL, USA.
Cindy B McCloskeyThe Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Barbara E C Knollmann-RitschelDepartment of Pathology, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Kristie L WhiteDepartment of Laboratory Medicine, UCSF Medical Center, San Francisco, CA, USA.
W Stephen Black-SchafferDepartment of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allowing pathology residents to practice with high levels of autonomy helps prepare them for independent practice. The Accreditation Council for Graduate Medical Education (ACGME) recently added to the core requirements that residents must have opportunities to perform assigned clinical responsibilities under oversight supervision-defined as review and feedback after care is delivered. To understand the current state of resident autonomy, pathology residency programs were surveyed (32 responses) about the highest level of supervision achieved by senior residents for common pathology tasks, as well as the most significant barrier to achieving oversight supervision for each task. Each task was assigned a "supervision score" based on a weighted average of the supervision level achieved across programs. Barriers were grouped into common themes, such as "presumed patient impact," "billing/privileges," and "curricular structure." Although there was consensus around achievable supervision levels for some tasks (e.g., almost all programs allowed residents to gross with oversight supervision; none allowed residents to sign-out the final reports with oversight supervision), for most tasks, the level of supervision achieved and barriers to achieving oversight supervision varied widely across institutions. This study provides insights into the challenges programs face in providing opportunities for graduated responsibility to residents. The results also suggest programs can learn from each other to achieve oversight supervision in certain tasks. Opportunities to provide more graduated responsibility are explored to achieve the ACGME requirement of "oversight supervision" to better prepare residents for independent practice.

Indexed as

Graduated responsibilityMedical educationOversight supervisionPathology residency

Identifiers

PMID41049715
PMCPMC12493152

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.