Περίληψη:
This report of the Editorial Advisory Board of Cytopathology gives the
results of a survey of medical practitioners in cytopathology, which
aimed to find out their views on the current situation in undergraduate
and postgraduate training in their institutions and countries. The
results show that training in cytopathology and histopathology are
largely carried out at postgraduate level and tend to be organized
nationally rather than locally. Histopathology was regarded as essential
for training in cytopathology by 89.5% of respondents and was mandatory
according to 83.1%. Mandatory cytopathology sections of histopathology
were reported by 67.3% and specific examinations in cytopathology by
55.4%. The main deficiencies in training were due to its variability;
there were insufficient numbers of pathologists interested in cytology
and a consequent lack of training to a high level of competence.
Pathologists without specific training in cytopathology signed out
cytology reports according to 54.7% of responses, more often in centres
where training was 3-6 months or less duration. Although 92.2% of
respondents thought that specialist cytology should not be reported by
pathologists without experience in general cytopathology, that practice
was reported by 30.9%, more often in centres with small workloads. The
survey report recommends that 6-12 months should be dedicated to
cytopathology during histopathology training, with optional additional
training for those wanting to carry out independent practice in
cytopathology. Formal accreditation should be mandatory for independent
practice in cytopathology. When necessary, temporary placements to
centres of good practice should be available for trainees intending to
practise independently in cytopathology. There should be adequate
numbers of pathologists trained in cytopathology to a high level of
competence; some of their time could be released by training
cytotechnologists and trainee pathologists to prescreen cytology slides
and assess adequacy of fine-needle aspiration samples when immediate
diagnosis was not required. The survey demonstrated a clear need for
European and international guidelines for training in cytopathology.
Συγγραφείς:
Anshu
Herbert, A.
Cochand-Priollet, B.
Cross, P.
Desai,
M.
Dina, R.
Duskova, J.
Evered, A.
Farnsworth, A. and
Gray, W.
Gupta, S. S.
Kapila, K.
Kardum-Skelin, I. and
Kloboves-Prevodnik, V.
Kobayashi, T. K.
Koutselini, H. and
Olszewski, W.
Onal, B.
Pitman, M. B.
Marinsek, Z.
Sauer,
T.
Schenck, U.
Schmitt, F.
Shabalova, I.
Smith, J. H. F.
and Tani, E.
Vass, L.
Vielh, P.
Wiener, H.
