To the Editor.—We have read the study by Domen et al1  on professionalism in pathology with interest, because at the moment, pathology residents in our country do not receive standardized and well-characterized training on professionalism and ethics in their residency program. They are expected to learn how to “behave” by living through the program and getting exposed to various good and bad examples. We have devised a variation of the 5 case scenarios presented by Domen et al1  as a questionnaire to assess the current situation in Turkey. The questionnaire was distributed freely to all individuals attending a major education event aimed at residents. The year of residency (PGY), years of experience in pathology (for faculty), and region of residence (South East, Inner East, etc) were asked. Residents and faculty were asked to choose the most appropriate course of action for each scenario. There were 18 residents and 18 faculty members who completed the questionnaire. On lack of sensitivity (case 1) and inappropriate social media use (case 2), residents and faculty tended to share a common attitude. In contrast to the findings of Domen et al,1  our rather limited resident population demonstrated a milder attitude than faculty on inappropriate senior-junior interactions (case 3). This may be due to a cultural feature of the East in which a subordinate may feel “favored” by the supervisor when he/she is somehow let into the private aspects of the superintendent's life. Suboptimal performance displayed by a resident due to health issues (case 4) was less strictly managed by the residents than faculty. Like in Domen et al,1  inappropriate resident behavior toward other residents/faculty (case 5) received a mix of responses with a lack of consensus. The Table depicts a summary of both sets of findings. Despite the presence of a generation gap creating gradual attitude changes in all aspects of social life, our current findings demonstrate a gap in our residency programs in terms of professionalism training. Eastern cultures rely on apprenticeship rather than standardized programs in higher education, which gives rise to a set of professionals with widely variable experience and often clashing social views. Maintaining a professionally safe and accomodating environment is of the utmost importance to enable a good basis for education and work performance in any institution. The case scenarios developed by Domen et al1  will provide a basis for developing a set of scenarios better tailored for our population and work environments.

A Summary of Our Findings and Those of Domen et al1  for Similar Case Scenarios

A Summary of Our Findings and Those of Domen et al1 for Similar Case Scenarios
A Summary of Our Findings and Those of Domen et al1 for Similar Case Scenarios
, et al.
Professionalism in pathology: a case-based approach as a potential educational tool
Arch Pathol Lab Med

Author notes

The authors have no relevant financial interest in the products or companies described in this article.