Comparing Perceptions of Pathology as a Medical Specialty Between Canadian Pathologists and Pre-Clinical Medical Students

Abstract

Medical student specialty selection is complex and multifactorial. Pathology is often not selected as a primary career choice, despite its importance to patient care. Previous studies identified negative pathologist stereotypes and pathologist “invisibility” as potential reasons for this. Our objective was to better understand students’ perceptions of pathologists and how these contrast to the reality of practicing pathologists. Medical students at Western University and Canadian pathologists participated in online surveys. Descriptive and mean comparisons were used to understand whether their perceptions were similar or different. Students found pathology interesting and clinically relevant. They felt that pathologists appeared more satisfied with their careers than other doctors, yet only one student intended to pursue a career in pathology. Although their estimation of pathologist workload was accurate, they did not understand what pathologists did on a daily basis and overestimated the time pathologists spent examining deceased persons. Although medical students see the value and benefits of pathology, it is not an attractive career option, perhaps in part due to lack of understanding. To maintain adequate staffing in pathology departments, misconceptions need to be addressed and schools should consider actively seeking applicants who may be interested in a diagnostic specialty.