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Comprehensive Autopsy Program for Individuals with Multiple Sclerosis

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Published on: July 19, 2019

The autopsy as a performance measure and teaching tool.

Richard E Horowitz¹, Wesley Y Naritoku

¹Department of Pathology and Laboratory Medicine, West Los Angeles Veterans Affairs Medical Center, Los Angeles, CA 90073, USA. rehorwtz@ucla.edu

Human Pathology

|March 23, 2007

Summary

The autopsy is underused in medical education and research. Reestablishing the autopsy requires recognition, funding, and integration into healthcare performance measures and clinical trials.

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Area of Science:

Medical Education
Pathology Practice
Healthcare Administration

Background:

The autopsy is currently underutilized in pathology training programs for medical students and residents.
Existing autopsy practices suffer from inadequate reporting, lack of dedicated faculty, and insufficient championing by pathologists and clinicians.
The autopsy is not valued as a performance measure or utilized for medical research.

Purpose of the Study:

To assess the current state and attitudes towards autopsy practices in pathology training.
To identify barriers to autopsy utilization and propose strategies for its reestablishment.
To highlight the potential of the autopsy as a teaching tool, performance measure, and research resource.

Main Methods:

Survey of pathology training programs regarding current operations and attitudes towards autopsies.
Analysis of survey data to identify trends in autopsy underuse and perceived value.
Literature review and expert opinion synthesis to propose methods for autopsy reestablishment.

Main Results:

Autopsies are significantly underused in teaching medical students and pathology residents.
Autopsy reporting is inadequate, and dedicated faculty oversight is often missing.
The autopsy is undervalued as a performance metric and research tool.

Conclusions:

The autopsy can be reestablished as a valuable teaching tool and performance measure through recognition and funding.
New funding streams, including payment schedules and pay-for-performance initiatives, are crucial.
Pathologists and specialty societies must lead innovations like centralization and molecular techniques to revive the autopsy's role.