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How consultants determine diagnostic competence in histopathology trainees
  1. Daniel J Brierley1,
  2. Paula M Farthing1,
  3. Sandra Zijlstra-Shaw2
  1. 1 Unit of Oral and Maxillofacial Pathology, University of Sheffield, Sheffield, UK
  2. 2 Academic Unit of Oral Health, Dentistry and Society, University of Sheffield School of Clinical Dentistry, Sheffield, UK
  1. Correspondence to Dr Daniel J Brierley, Unit of Oral and Maxillofacial Pathology, University of Sheffield, Sheffield S10 2TN, UK; d.j.brierley{at}sheffield.ac.uk

Abstract

Aims This is a qualitative study exploring how consultant histopathologists determine diagnostic competence in their trainees.

Methods Semi-structured interviews were conducted with consultants and trainees and analysed using the Framework Method.

Results Five major themes emerged from the data: process, person, stage of training, trust and time. Within these major themes, there were multiple subthemes which reflect the complex, longitudinal nature of the judgement, as well as the knowledge, skills and attitudes which are most relevant to diagnostic competence. A conceptual framework is proposed to illustrate the judgement ecology, which is supported by anonymised quotes from interview participants.

Conclusions Our study is the first to explore in depth how consultant histopathologists determine diagnostic competence in their trainees. This is particularly important as histopathology is a unique medical specialty for which there is little evidence to support the current assessment strategies during training. The resulting conceptual model and findings from this study may help to form an evidence base to inform future assessment tools in histopathology.

  • medical education
  • histopathology
  • oral pathology
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Footnotes

  • Handling editor Runjan Chetty.

  • Contributors DJB: research design, conducted interviews, analysis of results, writing of the article. PMF: research design, analysis of results, proof-reading of the article. SZ-S: research design, analysis of results, proof-reading of the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval The study had ethical approval from the University of Sheffield Ethics Committee (ref 008042).

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Data availability statement Data are available upon reasonable request.

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