{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:11:36Z","timestamp":1789992696006,"version":"4.0.1"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Surg Pathol"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Working conditions and training quality among pathologists in T\u00fcrkiye remain insufficiently characterized. This study assessed professional experiences, satisfaction, workload, burnout, academic engagement, and career outlook among pathology residents, specialists, and academic staff practicing in T\u00fcrkiye.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional, web-based survey was distributed to pathologists in T\u00fcrkiye. The questionnaire covered demographics, institutional characteristics, motivations for choosing pathology, workload and overtime, satisfaction, burnout indicators, academic activity, and career expectations. Responses were analyzed descriptively and compared across career stages using the Kruskal\u2013Wallis test for continuous or ordinal variables and the Chi-squared or Fisher exact test for categorical variables. Predictors of general job satisfaction were evaluated using multiple linear regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 232 pathologists responded; 229 reported career stage, including residents (43.2%), specialists (41.5%), and academic staff (15.3%). Most participants worked in training and research hospitals or public universities. The leading motivations for choosing pathology were limited patient contact, absence of night shifts, and interest in the field. Burnout within the previous 6 months was reported by 76.1% and constant fatigue by 84.7%. General job satisfaction was low across all groups, particularly regarding protected research time, workload, and work\u2013life balance. In regression analysis, overtime and administrative work predicted lower satisfaction, whereas diagnostic and research activities predicted higher satisfaction. Overtime was largely uncompensated and commonly expected by supervisors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pathology practice in T\u00fcrkiye is marked by pervasive burnout, chronic fatigue, uncompensated overtime, and low satisfaction, with residents disproportionately affected. Reforms are needed to improve workload distribution, training conditions, work\u2013life balance, and protected research time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10668969261474156","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:41:18Z","timestamp":1789738878000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The State of Pathology Training and Practice in T\u00fcrkiye: A Cross-Sectional Survey of Residents, Specialists, and Academic Staff"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8803-5468","authenticated-orcid":false,"given":"Nazif Alperen","family":"Yildirim","sequence":"first","affiliation":[{"name":"G\u00fclhane Research and Training Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6051-057X","authenticated-orcid":false,"given":"Ece","family":"Ozturk","sequence":"additional","affiliation":[{"name":"Ac\u0131badem University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6492-8172","authenticated-orcid":false,"given":"Raif Omer","family":"Kasap","sequence":"additional","affiliation":[{"name":"G\u00fclhane Research and Training Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7331-2492","authenticated-orcid":false,"given":"Duygu","family":"Turkbey","sequence":"additional","affiliation":[{"name":"G\u00fclhane Research and Training Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0537-3127","authenticated-orcid":false,"given":"Busra Yaprak","family":"Bayrak","sequence":"additional","affiliation":[{"name":"Kocaeli University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0929-0940","authenticated-orcid":false,"given":"Mahmut","family":"Akgul","sequence":"additional","affiliation":[{"name":"Brigham and Women's Hospital"},{"name":"Department of Pathology, Atlas University School of Medicine, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13000-024-01590-2"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anndiagpath.2009.02.007"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pathol.2021.08.003"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00428-020-02894-6"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00428-025-04277-1"},{"key":"e_1_3_2_7_2","volume-title":"Health statistics yearbook 2024","author":"Republic of T\u00fcrkiye, Ministry of Health","year":"2025","unstructured":"Republic of T\u00fcrkiye, Ministry of Health. Health statistics yearbook 2024. Ministry of Health of T\u00fcrkiye; 2025, Table 10.1, Number of health personnel by years, all sectors. Available from: https:\/\/dosyasb.saglik.gov.tr\/Eklenti\/52862\/0\/siy2024en31122025pdf.pdf (accessed 9 June 2026)."},{"key":"e_1_3_2_8_2","volume-title":"Regulation on specialty training in medicine and dentistry [T\u0131pta ve Di\u015f Hekimli\u011finde Uzmanl\u0131k E\u011fitimi Y\u00f6netmeli\u011fi]","author":"Republic of T\u00fcrkiye, Ministry of Health","year":"2022","unstructured":"Republic of T\u00fcrkiye, Ministry of Health. Regulation on specialty training in medicine and dentistry [T\u0131pta ve Di\u015f Hekimli\u011finde Uzmanl\u0131k E\u011fitimi Y\u00f6netmeli\u011fi]. Mevzuat Bilgi Sistemi; 2022, [updated 2022; accessed 9 June 2026]. Available from: https:\/\/www.mevzuat.gov.tr\/mevzuat?MevzuatNo=39700&MevzuatTur=7&MevzuatTertip=5."},{"issue":"2","key":"e_1_3_2_9_2","first-page":"98","article-title":"Pathology laboratories staff workload evaluation in Turkey: a survey study","volume":"27","author":"Usubutun A,","year":"2011","unstructured":"Usubutun A,, Uner S, Harorlu F, et al. Pathology laboratories staff workload evaluation in Turkey: a survey study. Turk Patoloji Derg. 2011;27(2):98\u2013105.","journal-title":"Turk Patoloji Derg"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.4103\/jdap.jdap_10_25"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/aqaa010"}],"container-title":["International Journal of Surgical Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10668969261474156","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10668969261474156","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10668969261474156","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:29:50Z","timestamp":1789990190000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10668969261474156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,18]]},"references-count":10,"alternative-id":["10.1177\/10668969261474156"],"URL":"https:\/\/doi.org\/10.1177\/10668969261474156","relation":{},"ISSN":["1066-8969","1940-2465"],"issn-type":[{"value":"1066-8969","type":"print"},{"value":"1940-2465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,18]]},"article-number":"10668969261474156"}}