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  • 1
    Online Resource
    Online Resource
    The Pathologist Workforce in the United States: II. An Interactive Modeling Tool for Analyzing Future Qualitative and Quantitative Staffing Demands for Services
    Archives of Pathology and Laboratory Medicine ; 2015
    In:  Archives of Pathology & Laboratory Medicine Vol. 139, No. 11 ( 2015-11-01), p. 1413-1430
    Details
    In: Archives of Pathology & Laboratory Medicine, Archives of Pathology and Laboratory Medicine, Vol. 139, No. 11 ( 2015-11-01), p. 1413-1430
    Abstract: Pathologists are physicians who make diagnoses based on interpretation of tissue and cellular specimens (surgical/cytopathology, molecular/genomic pathology, autopsy), provide medical leadership and consultation for laboratory medicine, and are integral members of their institutions' interdisciplinary patient care teams. Objective To develop a dynamic modeling tool to examine how individual factors and practice variables can forecast demand for pathologist services. Design Build and test a computer-based software model populated with data from surveys and best estimates about current and new pathologist efforts. Results Most pathologists' efforts focus on anatomic (52%), laboratory (14%), and other direct services (8%) for individual patients. Population-focused services (12%) (eg, laboratory medical direction) and other professional responsibilities (14%) (eg, teaching, research, and hospital committees) consume the rest of their time. Modeling scenarios were used to assess the need to increase or decrease efforts related globally to the Affordable Care Act, and specifically, to genomic medicine, laboratory consolidation, laboratory medical direction, and new areas where pathologists' expertise can add value. Conclusions Our modeling tool allows pathologists, educators, and policy experts to assess how various factors may affect demand for pathologists' services. These factors include an aging population, advances in biomedical technology, and changing roles in capitated, value-based, and team-based medical care systems. In the future, pathologists will likely have to assume new roles, develop new expertise, and become more efficient in practicing medicine to accommodate new value-based delivery models.
    Type of Medium: Online Resource
    ISSN: 1543-2165 , 0003-9985
    URL: Article
    DOI: 10.5858/arpa.2014-0559-OA
    RVK:
    XA 10000
    RVK:
    XA 29700
    Language: English
    Publisher: Archives of Pathology and Laboratory Medicine
    Publication Date: 2015
    detail.hit.zdb_id: 2028916-9
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  • 2
    Online Resource
    Online Resource
    Turnaround Time for Large or Complex Specimens in Surgical Pathology: A College of American Pathologists Q-Probes Study of 56 Institutions
    Archives of Pathology and Laboratory Medicine ; 2015
    In:  Archives of Pathology & Laboratory Medicine Vol. 139, No. 2 ( 2015-02-01), p. 171-177
    Details
    In: Archives of Pathology & Laboratory Medicine, Archives of Pathology and Laboratory Medicine, Vol. 139, No. 2 ( 2015-02-01), p. 171-177
    Abstract: Turnaround time (TAT) for large or complex surgical pathology specimens is an indicator of efficiency in anatomic pathology and may affect coordination of patient care. Objective To establish benchmarks for TAT and to identify practice characteristics that may influence TAT. Design Participants in a 2012 Q-Probes quality improvement program of the College of American Pathologists retrospectively reviewed all surgical pathology cases from the prior 6 months to identify up to 50 cases coded as Current Procedural Terminology (CPT) code 88307 (excluding biopsies) or 88309. Participants reported the times and dates of accessioning and final sign-out. Results A total of 56 institutions reported on 2763 large or complex cases, which included 70% with CPT code 88307 and 30% with CPT code 88309. Cases requiring special handling comprised 51.5%, and 48.5% were routine. Among all institutions the median TAT was 2.72 calendar days (10th–90th percentile range, 6.23–1.22 days). Longer TAT occurred in governmental institutions (median, 6.06 versus 2.13 days; P & lt; .001) and in institutions that mandate overnight fixation for some specimen types (median, 3.83 versus 2.07 days; P = .03). Longer TAT was associated with CPT code 88309 (median, 3.99 versus 2.82 days; P & lt; .001), special handling (median, 4.13 versus 1.94 days; P & lt; .001), frozen section (median, 3.38 versus 2.92 days; P & lt; .001), radical cancer resection (P & lt; .001), and malignant cases (P & lt; .001). Turnaround time was not significantly affected by either pathology training programs or routine weekend sign-out. Conclusion This study provides benchmark data for TAT in large or complex surgical pathology specimens. Turnaround time was good overall, but the range among participating institutions was wide.
    Type of Medium: Online Resource
    ISSN: 1543-2165 , 0003-9985
    URL: Article
    DOI: 10.5858/arpa.2013-0671-CP
    RVK:
    XA 10000
    RVK:
    XA 29700
    Language: English
    Publisher: Archives of Pathology and Laboratory Medicine
    Publication Date: 2015
    detail.hit.zdb_id: 2028916-9
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  • 3
    Online Resource
    Online Resource
    Pathology Informatics Essentials for Residents: A Flexible Informatics Curriculum Linked to Accreditation Council for Graduate Medical Education Milestones
    Archives of Pathology and Laboratory Medicine ; 2017
    In:  Archives of Pathology & Laboratory Medicine Vol. 141, No. 1 ( 2017-01-01), p. 113-124
    Details
    In: Archives of Pathology & Laboratory Medicine, Archives of Pathology and Laboratory Medicine, Vol. 141, No. 1 ( 2017-01-01), p. 113-124
    Abstract: Context.—Recognition of the importance of informatics to the practice of pathology has surged. Training residents in pathology informatics has been a daunting task for most residency programs in the United States because faculty often lacks experience and training resources. Nevertheless, developing resident competence in informatics is essential for the future of pathology as a specialty. Objective.—To develop and deliver a pathology informatics curriculum and instructional framework that guides pathology residency programs in training residents in critical pathology informatics knowledge and skills, and meets Accreditation Council for Graduate Medical Education Informatics Milestones. Design.—The College of American Pathologists, Association of Pathology Chairs, and Association for Pathology Informatics formed a partnership and expert work group to identify critical pathology informatics training outcomes and to create a highly adaptable curriculum and instructional approach, supported by a multiyear change management strategy. Results.—Pathology Informatics Essentials for Residents (PIER) is a rigorous approach for educating all pathology residents in important pathology informatics knowledge and skills. PIER includes an instructional resource guide and toolkit for incorporating informatics training into residency programs that vary in needs, size, settings, and resources. PIER is available at http://www.apcprods.org/PIER (accessed April 6, 2016). Conclusions.—PIER is an important contribution to informatics training in pathology residency programs. PIER introduces pathology trainees to broadly useful informatics concepts and tools that are relevant to practice. PIER provides residency program directors with a means to implement a standardized informatics training curriculum, to adapt the approach to local program needs, and to evaluate resident performance and progress over time.
    Type of Medium: Online Resource
    ISSN: 0003-9985 , 1543-2165
    URL: Article
    DOI: 10.5858/arpa.2016-0199-OA
    RVK:
    XA 10000
    RVK:
    XA 29700
    Language: English
    Publisher: Archives of Pathology and Laboratory Medicine
    Publication Date: 2017
    detail.hit.zdb_id: 2028916-9
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  • 4
    Online Resource
    Online Resource
    Fifteen Years' Experience of a College of American Pathologists Program for Continuous Monitoring and Improvement
    Archives of Pathology and Laboratory Medicine ; 2014
    In:  Archives of Pathology & Laboratory Medicine Vol. 138, No. 9 ( 2014-09), p. 1150-1155
    Details
    In: Archives of Pathology & Laboratory Medicine, Archives of Pathology and Laboratory Medicine, Vol. 138, No. 9 ( 2014-09), p. 1150-1155
    Type of Medium: Online Resource
    ISSN: 0003-9985 , 1543-2165
    URL: Article
    DOI: 10.5858/arpa.2014-0148-OA
    RVK:
    XA 10000
    RVK:
    XA 29700
    Language: English
    Publisher: Archives of Pathology and Laboratory Medicine
    Publication Date: 2014
    detail.hit.zdb_id: 2028916-9
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  • 5
    Online Resource
    Online Resource
    The State of the Job Market for Pathologists: Evidence From the College of American Pathologists Practice Leader Survey
    Archives of Pathology and Laboratory Medicine ; 2020
    In:  Archives of Pathology & Laboratory Medicine Vol. 144, No. 4 ( 2020-04-01), p. 420-426
    Details
    In: Archives of Pathology & Laboratory Medicine, Archives of Pathology and Laboratory Medicine, Vol. 144, No. 4 ( 2020-04-01), p. 420-426
    Abstract: Disagreement exists within the pathology community about the status of the job market for pathologists. Although many agree that jobs in pathology were harder to come by earlier this decade, recent evidence suggests improvement is occurring. Objective.— To assess the state of the job market for pathologists. Design.— We analyzed data from the 2018 College of American Pathologists Practice Leader Survey. This survey contains data from 253 practice leaders on practices' hiring (and retrenchments) in 2017, the skills and level of experience being sought, success in filling those positions, and expectations for hiring in the next 3 years. Results.— Among the surveyed practice leaders, 115 (45.5%) sought to hire at least 1 pathologist in 2017, and together tried to fill 246 full-time equivalent positions that year, of which 93.5 full-time equivalents (38%) were newly created. This hiring was not limited to larger, academic-based practices, but also occurred among smaller practices and practices based in nonacademic hospitals, independent laboratories, and other settings. Although some practices retrenched (60 full-time equivalents in 2017), the net increase was a healthy 187 full-time equivalents. Practices most frequently sought pathologists who had at least 2 years of experience, but the level of experience identified with the “optimal” candidate varied by desired areas of subspecialty expertise. Practice leaders also reported expected growth in hiring, with the number of positions they hope to fill in the next 3 years exceeding those vacated by retirement. Conclusions.— Our findings support the proposition that the demand for pathologists is strong, at least at the current time.
    Type of Medium: Online Resource
    ISSN: 0003-9985 , 1543-2165
    URL: Article
    DOI: 10.5858/arpa.2019-0356-CP
    RVK:
    XA 10000
    RVK:
    XA 29700
    Language: English
    Publisher: Archives of Pathology and Laboratory Medicine
    Publication Date: 2020
    detail.hit.zdb_id: 2028916-9
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  • 6
    Online Resource
    Online Resource
    Strong Job Market for Pathologists: Results From the 2021 College of American Pathologists Practice Leader Survey
    Archives of Pathology and Laboratory Medicine ; 2023
    In:  Archives of Pathology & Laboratory Medicine Vol. 147, No. 4 ( 2023-04-01), p. 434-441
    Details
    In: Archives of Pathology & Laboratory Medicine, Archives of Pathology and Laboratory Medicine, Vol. 147, No. 4 ( 2023-04-01), p. 434-441
    Abstract: There has long been debate about whether and when there may be a shortage of pathologists in the United States. One way to assess this is to survey the hiring experiences of pathology practices. A 2018 survey revealed a strong demand for pathologists, with expectations of continued strength. This study updates that prior analysis using data from a 2021 survey of pathology practice leaders. Objective.— To assess the US pathologist job market and examine implications. Design.— We analyzed data from the 2021 College of American Pathologists Practice Leader Survey. This survey queried practice leaders, including regarding the hiring of pathologists, the level of experience being sought, success in filling positions, and expectations for hiring in the next 3 years. Results.— Among the 375 surveyed practice leaders (about one-third of all US pathology practices), 282 provided information about pathologist hiring in 2021. A total of 157 of these 282 practices (55.7%) sought to hire at least 1 pathologist in 2021, up from 116 of 256 practices (45.3%) in 2017; the mean number of pathologists hired per practice also increased. In 2021, a total of 175 of 385 positions (45.5%) were to fill new positions, compared with 95 of 249 positions (38.2%) in 2017. Most practice leaders were comfortable hiring pathologists with less than 2 years of posttraining experience. Practice leaders anticipated continued strong demand for hiring pathologists during the next 3 years. Conclusions.— Our analysis confirms that the demand in pathologist hiring is strong and much increased from 2017. We believe, in combination with other job market indicators, that demand may outstrip the supply of pathologists, which is limited by the number of trainees and has remained constant during the past 20 years.
    Type of Medium: Online Resource
    ISSN: 1543-2165 , 0003-9985
    URL: Article
    DOI: 10.5858/arpa.2022-0023-CP
    RVK:
    XA 10000
    RVK:
    XA 29700
    Language: English
    Publisher: Archives of Pathology and Laboratory Medicine
    Publication Date: 2023
    detail.hit.zdb_id: 2028916-9
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