Pathology resident perspectives about early autopsy experiences

Area of Science:

• Medical Education
• Pathology Training

Background:

• Autopsy performance is crucial for Anatomic Pathology residency training.
• A growing number of medical schools omit autopsy experience, leaving some residents unprepared.
• Resident perspectives on autopsy experiences are under-researched compared to student anatomy experiences.

Purpose of the Study:

• To explore pathology resident perspectives on their initial autopsy experiences.
• To identify common sources of discomfort among residents during their first autopsy.

Main Methods:

• A survey was distributed to 27 Anatomic Pathology residents.
• 13 residents completed the survey assessing their comfort levels and reasons for discomfort.
• Data analysis focused on Likert scale responses and qualitative reasons for discomfort.

Main Results:

• Ten of 13 residents reported discomfort (Likert scale 3-4) with their first autopsy.
• Common reasons included odors/body fluids (6 residents), fear of mistakes (5 residents), and uncertainty (4 residents).
• Six residents expressed a desire for a debriefing discussion about their first autopsy.

Conclusions:

• A significant subset of pathology residents experience discomfort during their initial autopsy.
• Acknowledging and addressing resident discomfort is essential for effective pathology residency education.
• Facilitating discussions about early autopsy experiences may help residents process concerns.