November 8, 2014
Notes: Brewer, Ann Chang
Endly, Dawnielle C
Sampson, Blake P
Moreau, Jacqueline F
Dellavalle, Robert P
JAMA Dermatol. 2013 Nov;149(11):1300-4. doi: 10.1001/jamadermatol.2013.5517.
Author Address: College of Medicine, University of Arizona, Phoenix.
Reference Type: Journal Article
Record Number: 4389Author: Brick, K. E., Sluzevich, J. C., Cappel, M. A., DiCaudo, D. J., Comfere, N. I. and Wieland, C. N.
Title: Comparison of virtual microscopy and glass slide microscopy among dermatology residents during a simulated in-training examination
Journal: J Cutan Pathol
Short Title: Comparison of virtual microscopy and glass slide microscopy among dermatology residents during a simulated in-training examination
Alternate Journal: Journal of cutaneous pathology
ISSN: 1600-0560 (Electronic)
Accession Number: 23808673
*Education, Medical, Continuing
Abstract: BACKGROUND: Virtual microscopy is increasingly being used in dermatopathology educational settings. OBJECTIVE: The objective is to evaluate diagnostic accuracy and attitudes between virtual microscopy and traditional glass slide microscopy among dermatology residents. METHODS: A 48-question dermatopathology examination was administered to 35 dermatology residents at three different dermatology residency training sites during the 2011-2012 academic year with half (n = 24) of the questions using the gold standard of glass slide microscopy and half (n = 24) using whole, scanned virtual slides. Correct number of questions using glass slides and virtual slides was evaluated. Participants were surveyed regarding previous experience with digital slide imaging; quality, ease of use, and speed of slide review; and overall microscopy preferences. RESULTS: Overall, diagnostic accuracy was better with glass slides than virtual slides (p = 0.01). However, no statistically significant difference was found in diagnostic accuracy of first-year trainees (p > 0.99) or trainees with exposure to virtual microscopy greater than two times per month (p = 0.27). There was no overall personal preference for glass slide vs. virtual microscopy. LIMITATIONS: Different cases and questions were used for glass slides and virtual microscopy. CONCLUSIONS: Diagnostic accuracy with virtual microscopy is dependent on year of residency training and prior experience with virtual microscopy.