Development and use of a genitourinary pathology digital teaching set for trainee education

Abstract

Background: Automated, high-speed, high-resolution whole slide imaging (WSI) robots are becoming increasingly robust and capable. This technology has started to have a significant impact on pathology practice in various aspects including resident education. To be sufficient and adequate, training in pathology requires gaining broad exposure to various diagnostic patterns through teaching sets, which are traditionally composed of glass slides.

Methods: A teaching set of over 295 glass slides has been used for resident training at the Division of Genitourinary Pathology, Department of Pathology, University of Pittsburgh Medical Center. Whole slide images were prepared from these slides using an Aperio ScanScope CS scanner. These images and case-related information were uploaded on a web-based digital teaching model.

Results: THE WEB SITE IS AVAILABLE AT: https://www.secure.opi.upmc.edu/genitourinary/index.cfm. Once logged in, users can view the list of cases, or search cases with or without diagnoses shown. Each case can be accessed through an option button, where the clinical history, gross findings are initially shown. Whole slide images can be accessed through the links on the page, which allows users to make diagnoses on their own. More information including final diagnosis will display when the diagnosis-button is clicked.

Conclusion: The web-based digital study set provides additional educational benefits to using glass slides. Residents or other users can remotely access whole slide images and related information at their convenience. Searching and sorting functions and self-testing mode allow a more targeted study. It would also prepare residents with competence to work with whole slide images. Further, the model can be expanded to include pre-rotation and post-rotation exams, and/or a virtual rotation system, which may potentially make standardization of pathology resident training possible in the future.

Keywords: Digital teaching set; pathology education; whole slide imaging.

Figure 1

The list of cases is shown. The search function allows searching by diagnosis or ICD-O site. The diagnoses can be shown or hidden

Figure 2

Once an option button is clicked, the ICD-O site, disease category, clinical history, gross findings and the link to whole slide images are shown. More information including microscopic findings, ancillary study result, final diagnosis, and discussion will display when the diagnosis-button is clicked

Figure 3

A whole slide image is displayed via spectrum webscope in a pop-up window. A tool bar (shown at the bottom of the screen) can be used to change the power and to move the display field