Faculty Evaluations by Medicine Residents Using Known versus Anonymous Systems.
This study examined the extent to which faculty evaluation results differed, based on whether residents were required to submit ratings anonymously or not. METHOD: We used a retrospective analysis of existing records representing Internal Medicine residents' evaluation of 51 faculty members in an anonymous and known (non-anonymous) rater system on an inpatient medicine service. RESULTS: Mean scores for 48 of 51 individuals were lower for anonymous than non-anonymous evaluations. The mean scores were as follows: Anonymous = 5.4 (95 % CI, 5.2-5.6); Nonanonymous = 6.1 (95 % CI, 5.9-6.3). Regression analysis of mean scores for non-anonymous evaluations against those for anonymous evaluations revealed a significant relationship (r = 0.83, p
Current Trends in Neuropathology
Kirk D. Jones
JASON L. HORNICK, MD, PhD
SURGICAL PATHOLOGY CLINICS
This article provides a review of cystic lung disease and its gross and histologic mimics.
Patients with connective tissue diseases may have pulmonary involvement, including interstitial lung disease. Various patterns of interstitial lung disease have been classically described in certain connective tissue diseases. It is now recognized that there is significant overlap between patterns of interstitial lung disease observed in the various connective tissue diseases. Differentiating idiopathic from connective tissue disease-related interstitial lung disease is challenging but of clinical importance. New concepts in the diagnosis of connective tissue disease related interstitial lung disease may prove useful in making the diagnosis.
Transbronchial cryobiopsy, a new diagnostic procedure in patients with diffuse lung disease, provides larger and better-preserved lung specimens compared to forceps biopsy. The diagnostic yield of cryobiopsy is much better than that of forceps biopsy and slightly lower than that of surgical lung biopsy, but with a lower complication rate compared to the latter. Literature suggests that in the multidisciplinary approach to patients with diffuse lung disease cryobiopsy provides diagnostic and prognostic information similar to surgical lung biopsy. Cryobiopsy can also be performed in some patients unsuitable for surgical biop...
Alloimmune reactions are, besides various infections, the major cause for impaired lung allograft function following transplant. Acute cellular rejection is not only a major trigger of acute allograft failure but also contributes to development of chronic lung allograft dysfunction. Analogous to other solid organ transplants, acute antibody-mediated rejection has become a recognized entity in lung transplant pathology. Adequate sensitivity and specificity in the diagnosis of alloimmune reactions in the lung can only be achieved by synoptic analysis of histopathologic, clinical, and radiological findings together with serol...
This article discusses the molecular characteristics of the main lung cancer subtypes and discusses the current guidelines and novel targeted therapies, including checkpoint immunotherapy.