Digital Pathology: Embracing It—or Avoiding It?
One of the more interesting divides we’re seeing involves digital pathology and remote sign-out.
Some pathologists have fully embraced digital pathology and view remote sign-out as an important part of the future of the profession. For them, flexibility and the ability to work remotely can be significant factors when considering a new opportunity.
Others feel very differently. They prefer traditional microscopy and an on-site practice environment and have little or no interest in remote sign-out.
And there’s another group somewhere in the middle—open to digital pathology and occasional remote sign-out, but still valuing the interaction that comes from being physically present in a hospital or practice.
For hospital-based practices, that presence can include working directly with surgeons and clinicians, participating in tumor boards, and becoming part of the broader patient-care team.

Are Academic Pathology Positions Changing?
We’re also hearing something interesting from some of the academic pathologists we speak with.
Several have told us that clinical case volumes and productivity expectations have increased, while responsibilities for teaching, research, and publishing haven’t necessarily decreased.
For some, that combination is making academic medicine more demanding and causing them to at least consider private-practice or hospital-based opportunities.
This certainly isn’t universal, but we’re hearing it often enough that we’re paying attention.

Productivity-Based Compensation
Another topic we’re hearing more about is productivity-based compensation.
Some pathology groups establish an expected level of productivity and then provide additional compensation when a pathologist exceeds that level.
Some pathologists like having the ability to increase their income by reading additional volume. Others prefer a more predictable workload and compensation structure.
We’d like to know what pathologists actually think.

hello! junior pathologist here!

do you know of any recent ihc worth having for your practice as a general pathologist?

it’s time to make requests at my hospital and would love to know if i’m missing something

thank you!

I have only 1 path LOR available and the other path LOR is 2 years ago (I'm switching specialties)

The rest of the LORs are from my prior surgery residency

Unfortunately, the writer who wrote my path LOR written 2 years ago is not available as he moved somewhere else, and no one knows where he went.

Is it ok to have only 1 path LOR? or should I just do something like tele path LOR and get a LOR that might just be generic

non-US IMG from surgery

I’m a pathologist and I’m seriously considering setting up my own diagnostic laboratory in the future. I’m also wondering whether it’s realistic for a pathologist to eventually start and run a hospital.
For those of you who have actually done this:
How much scope does a pathologist have to differentiate their lab from the hundreds of labs already out there?
What actually makes a diagnostic lab successful apart from pricing and location?
What are the biggest mistakes you made when setting up?
How much capital did you realistically need, and what expenses surprised you?
Is it better to start small and expand, or invest in a larger setup from the beginning?
How important are NABL accreditation, automation, home collection, corporate tie-ups, doctor referrals, etc.?
For a pathologist wanting to eventually start a hospital, what should I start learning/planning now?
Is owning a hospital significantly different from running a diagnostic lab from a business/management perspective?
What are the biggest regulatory, staffing, financial and operational challenges I should be aware of?
I’d especially love to hear from pathologists or doctors who have built their own labs/hospitals rather than people working purely in corporate setups.
Basically, if you could go back to the day you started your own lab/hospital, what would you tell yourself to keep in mind from day one?

Heya!

I'm a med school applicant and Cytologist who is very interested in pathology, and I had some questions about signing out cases. Both to hopefully ease some of my anxiety, and because I'm genuinely curious how you approach these situations.

As a Cytologist I'm used to signing out negative cases (and anything potentially atypical gets forwarded to the Path), but I've always wondered what the Pathologist does when they're 50/50 between a specimen being benign or malignant.

A few questions:

- Do you stress out over the possibility of being wrong? If so, how do you manage that stress?

- Have you ever been wrong and/or sued? What was the outcome?

- How do you sign out a case you're genuinely uncertain on & how do you cover your ass but make sure the patient gets the proper care?

Thank you very much in advance!

Pathology made the list based on data from Doximity. Stop taking those shitty 250K jobs guys!!!!! Stand up for yourselves and demand fair pay!

I know i’m capable with forensic pathology, I’ve been wanting this for years however I also want to be in the military. I want to serve and actually do combat, shoot guns and possibly be in war serving as a woman. I’m stuck between the two because I don’t know which screams me. I want to be intelligent but also be serving. I want to do autopsies but also shooting guns. I know forensic pathology is a very long road. 13 years plus doing two majors at once and graduating high school early, but also wanting to fit in the military but still have time for love, to have children in the possible future. I don’t know how I will have time for either and as someone who’s in high-school and has two people in her family that went to the military suggest I do college/university first so I can become an officer in ranking. Mainly the two branches I truly want is the Marine corps and Air force. I know that forensic pathology is very unpleasant and it seems strange but i’m truly fascinated by it. Any suggestions on what to do? Do I do both or do I do one singular one?

"The screenings and other habits doctors recommend as early-onset cancers rise"

https://www.washingtonpost.com/health/2026/08/31/some-cancers-are-being-detected-too-late-heres-what-experts-advise/

Maybe an angiosarc?

Hi everyone,

I’ve built a Windows app that does real-time microscope feed stitching to create high-resolution images and exports them directly to BigTIFF format. I’m looking for beta testers to try it out and give feedback on how it handles different hardware and samples!

**What you need:**

* A microscope with a digital camera feed.

* A Windows PC.

You can download it from the Microsoft Store here: https://apps.microsoft.com/store/detail/9NVD64N8L7BS?cid=DevShareMCLPCS

The app currently has a 14-day free trial. If you try it out and are interested in helping test long-term, let me know in the comments or via DM—I can add you as a permanent tester so you get free access to all future updates.

Would love to hear your thoughts!

I have an offer and now I am feeling very unsure of my skills If I will be able to do general sign out. I wish passing the boards gave me some confidence but they do not. I am now thinking if I should do another surgical fellowship. My residency was mid tier general sign out. Stuff that is keeping me up at night, will I know when to take deeper levels? Will I be able to see high grade on a full tray of a tubulur adenoma. In residency I would fly through those because my name would not be on it. I never really missed a high grade on those usually... So yeah I don't know what to do..

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I am supposed to map those specimens while grossing. The question is: why? I have asked several people in my department, but I have no answer other than “they like to see it”

Like, if you could only have one on a desert island?

Someone was on here a few days ago impugning my beloved 4x.

Hi all. I’m looking for advice. I am a pathology resident and I have realized over the last several years that going into medicine was probably a mistake for me in that I don’t loooove it and would be just as happy doing a lot of other things that don’t take 13 years of school/training. Anyway, I am in a fortunate position that I don’t need to work to survive and could realistically just not work as an attending.
I am thinking I still want to do something in pathology/medicine but I’m not sure I want to grind through 50+ biopsies a day and missing my kids childhood when I don’t even need the money. I’ve considered looking at part time work if it’s even available but I’m afraid if I don’t work full time that I wouldn’t be proficient enough to do well by my patients and I would feel guilty for not working at all because I 1. could be contributing to medicine and patient care/making a difference etc and 2. I essentially took a spot in medical school and residency that someone else could have had that would have worked full time. I know there’s probably not a simple answer but if anyone has any advice I’d be happy to receive it.

Hello guys I m a second year md pathology resident. Currently my main study material for Histopathology is rosai Ackerman and who books pdfs. Because you know Patho books r very costly & so I can’t buy individual books. But I hv been saving money and want to buy a hard copy of sternberg surgical pathology. What’s ur opinion about this guys? Do u think I can cover my residency Histopathology curriculum from sternberg & WHO ?

Sincerely,

A really hardworking person in need of a pathology related job

So i am a disabled person and got my degree in Computer Science and Philosophy. I like data quite a bit. Just began a new job in Data Entry billing (Pathology). Just got my 30 day review. I basically was doing well or average in all aspects EXCEPT number of cases per day. The location i work at said 200 cases is minimum but I just started and still learning the system they are learning too. In 8 hours I get to 150 usually so far. In first 2 week was at like 75-90 case in 8 hours depending on day. Is 200 cases (minimum) too much or general considered average. Based on review paper, getting to 250 is above average and 300+ is exceeding.

I’m a MS4 applying path this cycle. I have been told by many medical examiners that residency programs don’t like and will treat you different if you are interested in forensics. Is this true?