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The grossing competency evaluation process in a pathology residency program: transitioning from paper to digital
Priyadharshini Sivasubramaniam1, Lauren Parsons1, Marisa Polley1
1Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI, 53226, United States.
American Journal of Clinical Pathology
|February 5, 2026
Summary
Transitioning from paper to a digital Laboratory Information System (LIS) significantly improves resident grossing competency evaluation. The LIS platform enhances documentation completion and constructive feedback, streamlining the assessment process.
Area of Science:
- Medical Education
- Pathology Informatics
- Digital Health
Background:
- Paper-based systems for resident grossing competency evaluation present significant documentation challenges.
- These challenges include incomplete records, delayed feedback, and resident dissatisfaction.
Purpose of the Study:
- To identify the specific challenges associated with paper-based documentation in resident grossing competency evaluation.
- To quantify the benefits of transitioning to a digital Laboratory Information System (LIS)-based platform for this evaluation.
Main Methods:
- A retrospective review of paper-based documentation was conducted.
- Surveys assessed resident satisfaction with the existing paper system.
- A digital LIS was implemented, followed by a 1-month crossover comparison and a 6-month follow-up evaluation.
Main Results:
- Paper system completion rates were low (37%), with frequent documentation omissions and delays in obtaining signatures.
- The LIS-based system showed higher competency completion (31 vs. 21) and more constructive comments (10 vs. 3) during the crossover period.
- Post-implementation, the LIS system averaged 97 competencies and 14 constructive comments per month.
Conclusions:
- Transitioning to a digital LIS significantly enhances competency completion capture and the quality of constructive feedback in resident grossing evaluations.
- The LIS system's success was attributed to its ease of use and integration into routine clinical workflows.
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