Dermatopathologists' concerns and challenges with clinical information in the skin biopsy requisition form: a mixed-methods study

Journal of Cutaneous Pathology
Nneka ComfereJon Tilburt

Abstract

Communication failures between clinicians and dermatopathologists are prevalent. Our primary objective was to characterize the concerns and challenges of dermatopathologists posed by incomplete or inaccurate clinical information in the skin biopsy requisition form. An explanatory sequential, mixed-methods study design comprised of a survey sent to 1103 members of the American Society of Dermatopathology (ASDP), followed by two focus group sessions. A total of 54% (598/1103) of dermatopathologists completed the questionnaire. Most dermatopathologists (80%; 436/548) viewed their roles to be providers of histopathological diagnosis and a report that is clinically meaningful. Paper or electronic requisition forms were the most common communication method (85%; 458/541) and were associated with the highest rates of dissatisfaction in 36% (193/537) of respondents. Inadequacy of specimens emerged as an important factor influencing judgment of the quality of provided clinical information. 44.7% (261/584) of dermatopathologists spent 30 minutes or more on average every day searching for relevant clinical information to assist with their histopathologic interpretation. ASDP dermatopathologists expressed significant dissatisfaction with t...Continue Reading

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Citations

Nov 18, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Amber K SabbatiniNneka I Comfere
May 3, 2016·Journal of the American Veterinary Medical Association·David M Pinson
Jul 30, 2016·Archives of Pathology & Laboratory Medicine·Martin J TrotterKaren A Naert
Oct 1, 2016·Journal of Pathology Informatics·Meredith A OlsonNneka I Comfere
Oct 26, 2016·International Journal of Dermatology·Yara AbdouNneka I Comfere
Dec 15, 2019·Journal of Cutaneous Pathology·Umar A SheikhClaudia I Vidal
Apr 8, 2020·Dermatology and Therapy·Stephanie ChanWilson Liao
Dec 29, 2016·American Journal of Clinical Pathology·Ryan C RomanoNneka I Comfere
Aug 3, 2020·Journal of Cutaneous Pathology·Margaret Cocks, Alejandro A Gru

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