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'There is no place for pathology in modern medical curricula' Discuss

'There is no place for pathology in modern medical curricula' Discuss

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Us<strong>in</strong>g new methods to teach <strong>pathology</strong> <strong>in</strong> such an imag<strong>in</strong>ative way are<br />

laudable, but, as with all computer-dependent teach<strong>in</strong>g, they are very reliant on the<br />

computer-literacy of the academic staff, and on the IT <strong>in</strong>frastructure of the <strong>medical</strong><br />

school. In addition, one must <strong>no</strong>t <strong>for</strong>get that, <strong>for</strong> all the wonders of computers, there <strong>is</strong><br />

little compensation <strong>for</strong> be<strong>in</strong>g able to d<strong>is</strong>cuss a query with a tra<strong>in</strong>ed patholog<strong>is</strong>t.<br />

Effects on the d<strong>is</strong>cipl<strong>in</strong>e<br />

Whatever the current <strong>place</strong> of <strong>pathology</strong> <strong>in</strong> <strong>modern</strong> <strong>medical</strong> curricula, research from<br />

the Guy’s, K<strong>in</strong>g’s and St Thomas’ (GKT) School of Medic<strong>in</strong>e suggests that it <strong>is</strong> <strong>no</strong>t<br />

e<strong>no</strong>ugh. A detailed series of <strong>in</strong>terviews with new PRHOs found that, while a new f<strong>in</strong>al<br />

year programme of close work<strong>in</strong>g with cl<strong>in</strong>ical teams gave junior doctors greater<br />

confidence with cl<strong>in</strong>ical skills, ‘they reported lack of k<strong>no</strong>wledge <strong>in</strong> <strong>pathology</strong> and<br />

therapeutics’ 10 . While it <strong>is</strong> commendable if new approaches to <strong>medical</strong> education can<br />

better prepare junior doctors <strong>for</strong> the tasks that they will face day-to-day, it would be a<br />

great pity if th<strong>is</strong> apparent competence came at the expense of an understand<strong>in</strong>g of the<br />

pathological processes underly<strong>in</strong>g the d<strong>is</strong>eases they spend their time treat<strong>in</strong>g.<br />

Professor David Weedon, Former-President of the Royal College of<br />

Patholog<strong>is</strong>ts of Australasia, has similarly expressed concern that ‘the role of<br />

<strong>pathology</strong> has been downgraded and marg<strong>in</strong>al<strong>is</strong>ed with the ascendancy of problembased<br />

learn<strong>in</strong>g <strong>in</strong> Australian <strong>medical</strong> schools’ 11 . Of particular concern to him <strong>is</strong> the<br />

dim<strong>in</strong><strong>is</strong>h<strong>in</strong>g number of academic patholog<strong>is</strong>ts – he cites the example of an un-named<br />

Australian <strong>medical</strong> school which has <strong>no</strong> <strong>in</strong>dependent <strong>pathology</strong> department, and of<br />

a<strong>no</strong>ther with only one half-time <strong>pathology</strong> academic. The Royal College of

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