Document Type : Short Communication


1 Department of Pathology, Amir-Al-Momenin Hospital, Faculty of Medicine, Zabol University of Medical Sciences, Zabol, Iran

2 Department of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran


Background & Objective: Pathology education conventional methods have been disrupted by the Corona-Virus Disease 2019 (COVID-19) outbreak, compelling a re-evaluation of the means of educational interactions from the undergraduate to the postgraduate level. This commentary explores how the COVID-19 outbreak has challenged pathology education.
Methods: We reviewed the current challenges and determined the potential implications of virtual technologies on modern pathology education for the future of pathology competency learning and assessment.
Results & Conclusion: The challenges are partly due to transferring from in-person teaching to a virtual education. Other reasons are shifting away from discipline-based teaching to organ-system based in medical curriculum and additional pressures on pathology faculties, such as increased demand for pathology services, lack of time, and learning resources. Keeping the national standards in pathology education even in the constant disruptions from pandemic outbreaks are current challenges. Pathology expertise will need to use emergent technologies in providing educational material to ensure quality pathology education. However, virtualization of pathology education produces a value of digital pathology and web-based pathology training materials. Medical students could review clinical cases remotely with their supervisors and gain the pathology competencies necessary for clinical practice.
We need new innovative strategies, and we suggested the following steps to take advantage of the current opportunity to meet the challenges: evaluating the available digital training materials for formal pathology education, investing in the virtual infrastructure for competency-based pathology education, expanding student/residents exposure to pathology educational cases through virtual platforms; applying digital pathology solutions for virtual pathology education. 


Main Subjects

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  1. Tabatabai S. COVID-19 impact and virtual medical education. J Adv Med Educ Prof. 2020;8(3):140-3. [DOI:10.30476/jamp.2020.86070.1213] [PMCID] [PMID]
  2. Domizio P, Wilkinson M. Pathology teaching in the twenty-first century. The Clinical Teacher. 2006;3(1):53-9. [DOI:10.1111/j.1743-498X.2006.00073.x]
  3. Weedon D. Whither pathology in medical education? Med J Aust. 2003;178(5):200-2. [DOI:10.5694/j.1326-5377.2003.tb05161.x] [PMID]
  4. Danesh F, GhaviDel S, Piranfar V. Coronavirus: Discover the Structure of Global Knowledge, Hidden Patterns and Emerging Events. Journal of Advances in Medical and Biomedical Research. 2020;28(130):253-64. [DOI:10.30699/jambs.28.130.253]
  5. Yakhforoshha A, SamieeRad F. The Bright Side of COVID-19: Integrated Art-based and Virtual Learning in Medical Education. Iranian Journal of Pathology. 2021;16(3):343-5. [DOI:10.30699/ijp.2021.521015.2548]
  6. Morrison G, Goldfarb S, Lanken PN. Team training of medical students in the 21st century: would Flexner approve? Acad Med. 2010;85(2):254-9. [DOI:10.1097/ACM.0b013e3181c8845e] [PMID]
  7. Sadofsky M, Knollmann-Ritschel B, Conran RM, Prystowsky MB. National standards in pathology education: developing competencies for integrated medical school curricula. Arch Pathol Lab Med. 2014;138(3):328-32. [DOI:10.5858/arpa.2013-0404-RA] [PMID]
  8. Black-Schaffer WS, Morrow JS, Prystowsky MB, Steinberg JJ. Training Pathology Residents to Practice 21st Century Medicine: A Proposal. Acad Pathol. 2016;3:2374289516665393. [DOI:10.1177/2374289516665393] [PMID] [PMCID]
  9. Maley MAL, Harvey JR, Boer WBd, Scott NW, Arena GE. Addressing current problems in teaching pathology to medical students: blended learning. Medical Teacher. 2009;30(1):e1-e9. [DOI:10.1080/01421590701753575]
  10. Wood A, Struthers K, Herrington S. Modern pathology teaching and the internet. Med Teach. 2009;31(2):187. [DOI:10.1080/01421590802348135] [PMID]
  11. Case X: Online Med Ed. 2021. [Available from:
  12. Simforoosh N, Ziaee SA, Tabatabai SH. Growth trends in medical specialists education in Iran; 1979 - 2013. Arch Iran Med. 2014;17(11):771-5.
  13. Thakker A, Devani P. Is there a role for virtual reality in objective structured clinical examinations (OSCEs)? MedEdPublish. 2019;8. [DOI:10.15694/mep.2019.000180.1]
  14. Myers JL, Yousem SA, DeYoung BR, Cibull ML, Council of the Association of Directors of A, Surgical P. Matching residents to pathology fellowships: the road less traveled? Am J Clin Pathol. 2011;135(3):335-7. [DOI:10.1309/AJCPZA19TUVBXDJV] [PMID]
  15. Lagwinski N, Hunt JL. Fellowship trends of pathology residents. Arch Pathol Lab Med. 2009;133(9):1431-6. [DOI:10.5858/133.9.1431] [PMID]
  16. Browning L, Colling R, Rakha E, Rajpoot N, Rittscher J, James JA, et al. Digital pathology and artificial intelligence will be key to supporting clinical and academic cellular pathology through COVID-19 and future crises: the PathLAKE consortium perspective. Journal of clinical pathology. 2021;74(7):443-7. [DOI:10.1136/jclinpath-2020-206854] [PMID] [PMCID]
  17. Carter L. Report of the review of NHS pathology services in England. Chaired by Lord Carter of Coles http://www dh gov uk/prod_consum_dh/groups/dh_digitalassets/@ dh/@ en/documents/digitalasset/dh_4137607 pdf. 2006.