Table 1.
Demographic and Practice Characteristics of Participants According to Estimates of Performance Gap (Perceived Agreement with Reference Diagnosis) All Diagnostic Groups Combined (Benign, Atypia, Ductal Carcinoma In Situ, Invasive) (n=92)
| Participant Characteristics | Performance Gap * | p-value† | |||
|---|---|---|---|---|---|
| Total n (col %) | Under Estimated Performance n (row %) | Closely Estimated Performance n (row %) | Over Estimated Performance n (row %) | ||
| Total | 92 (100.0) | 14 (15.2) | 64 (69.6) | 14 (15.2) | |
| Demographics | |||||
| Mean Age (standard deviation) | 49 ± 8.7 | 47 ± 6.4 | 48 ± 8.1 | 56 ± 9.9 | 0.32 |
| Gender | |||||
| Male | 56 (60.9) | 5 (8.9) | 42 (75.0) | 9 (16.1) | 0.095 |
| Female | 36 (39.1) | 9 (25.0) | 22 (61.1) | 5 (13.9) | |
| Training and Experience | |||||
| Fellowship training in surgical or breast pathology | |||||
| No | 47 (51.1) | 7 (14.9) | 30 (63.8) | 10 (21.3) | 0.32 |
| Yes | 45 (48.9) | 7 (15.6) | 34 (75.6) | 4 (8.9) | |
| Affiliation with academic medical center | |||||
| No | 67 (72.8) | 4 (6.0) | 52 (77.6) | 11 (16.4) | 0.001 |
| Yes | 25 (27.2) | 10 (40.0) | 12 (48.0) | 3 (12.0) | |
| Do your colleagues consider you an expert in breast pathology? | |||||
| No | 75 (81.5) | 7 (9.3) | 55 (73.3) | 13 (17.3) | 0.029 |
| Yes | 17 (18.5) | 7 (41.2) | 9 (52.9) | 1 (5.9) | |
| Breast pathology experience(yrs) | |||||
| < 10 | 35 (38.0) | 5 (14.3) | 24 (68.6) | 6 (17.1) | 0.90 |
| 10–19 | 28 (30.4) | 8 (28.6) | 20 (71.4) | 0 (0.0) | |
| ≥ 20 | 29 (31.5) | 1 (3.4) | 20 (69.0) | 8 (27.6) | |
| Breast specimen case load (%) | |||||
| < 10 | 48 (52.2) | 5 (10.4) | 37 (77.1) | 6 (12.5) | 0.092 |
| ≥ 10 | 44 (47.8) | 9 (20.5) | 27 (61.4) | 8 (18.2) | |
| No. Breast cases (per week) | |||||
| < 5 | 26 (28.3) | 5 (19.2) | 16 (61.5) | 5 (19.2) | 0.059 |
| 5–9 | 32 (34.8) | 2 (6.3) | 27 (84.4) | 3 (9.4) | |
| ≥ 10 | 34 (37.0) | 7 (20.6) | 21 (61.8) | 6 (17.6) | |
| Perceptions about Breast Interpretation | |||||
| How challenging is breast pathology? | |||||
| Easy (0,1,2) | 44 (47.8) | 5 (11.4) | 33 (75.0) | 6 (13.6) | 0.25 |
| Challenging (3,4,5) | 48 (52.2) | 9 (18.8) | 31 (64.6) | 8 (16.7) | |
| Beast pathology is enjoyable | |||||
| Agree | 71 (77.2) | 10 (14.1) | 50 (70.4) | 11 (15.5) | 0.69 |
| Disagree | 21 (22.8) | 4 (19.0) | 14 (66.7) | 3 (14.3) | |
| Breast pathology makes me more nervous than other types of pathology | |||||
| No | 48 (52.2) | 6 (12.5) | 33 (68.8) | 9 (18.8) | 0.98 |
| Yes | 44 (47.8) | 8 (18.2) | 31 (70.5) | 5 (11.4) | |
Note: low cutoff point is mean − 1 standard deviation (12.0) is −7.0 and high cutoff point is mean + 1 standard deviation is 18.0 where mean is 6.0 and standard deviation is 12.0
*
Performance Gap is the difference between actual agreement and the weighted average perceived agreement for four diagnostic classes (mapping 1) of breast cancer
†
p-value for cumulative logit model adjusted for actual agreement