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A single misspelled name created a duplicate medical record, hiding critical transfusion history and setting the stage for a serious delayed hemolytic transfusion reaction. In this installment of Horror Stories in Pathology Informatics, Alexis Carter, MD, FCAP, and Mandy O'Leary, MD, FCAP, examine how a patient registration error disrupted access to vital blood bank information for a patient with sickle cell disease. They discuss the importance of accurate patient identification, maintaining access to historical laboratory data, strategies for managing duplicate records and system downtime, and the safeguards laboratories use to protect patients from transfusion-related harm. The case highlights how even a seemingly minor data entry mistake can have major clinical consequences and offers practical lessons for laboratorians, informaticists, healthcare leaders, and patients alike.

What does it take to become a trusted expert consultant in pathology?  In this episode, academic pathologist Edward Gutmann, MD, AM, FCAP, sits down with Andrew Rosenberg, MD, FCAP, to reflect on a career spanning approximately 30,000 bone and soft tissue pathology consultations. Together, they discuss the path to expertise, the demands of a consultation practice, and the commitment to patient care that drives Dr. Rosenberg's work. Chapters 02:50 Choosing a Subspecialty 09:28 Becoming an Expert Consultant 15:30 The Responsibility of Being an Expert 20:18 Communicating with Patients 21:38 The Business Side of Consulting 30:01 Sharing Cases with Colleagues and Intradepartmental Consultations

In this episode of CIPI Connections, members of the CAP Informatics Committee, Alexis Carter, MD, FCAP, and Richard Davis, MD, MPH, BS, FCAP, discuss the mysterious case of a disappearing hypereosinophilic syndrome. For questions, feedback, or to learn how to submit your own idea, please email [email protected].

A. Joe Saad, MD, CPE, FCAP, and Carmen Gomez‑Fernandez, MD, FCAP, break down how payment pressures, visa challenges, and workforce shortages are putting pathology’s future at risk. They share how these policy hurdles directly affect patient access and how the next generation of advocates can drive meaningful change.

A strong financial footing for the CAP—how lower expenses and smart cost management are shaping the year ahead.   Alfred Wray Campbell, MD, MBA, FCAP, secretary-treasurer of the CAP, describes the financial outlook for the organization. Also, learn how a young man from small-town Texas charted a deliberate path to the career he always envisioned. 2025 Annual Report

AI is transforming pathology—but where can you safely experiment without the risk? M. E. (Doc) de Baca, MD, FCAP, chair of the CAP’s Council on Informatics and Pathology Innovation, shares how collaboration is shaping health care policy—and why her grandfather’s journey from traditional to modern farming offers a surprising roadmap for navigating innovation today. Council on Informatics and Pathology Innovation Annual Report

Genomics. Microlearning. The future of pathology education is evolving fast, but what’s really driving the shift? Raj C. Dash, MD, FCAP, chair of the CAP’s Council on Education, pulls back the curtain on what’s next—and shares how his early spark for innovation, designing video games as a kid, still shapes his vision today. Council on Education 2025 Annual Report

What do pathologists really need right now—and how is the CAP evolving to meet those needs? Guillermo G. Martinez-Torres, MD, FCAP, chair of the CAP’s Council on Membership and Professional Development, reveals a major membership milestone and shares why his daughter’s path into medicine makes the future of pathology more personal than ever. Council on Membership and Professional Development 2025 Annual Report

What's at stake as the CAP faces a critical federal review—and how accreditation has expanded to serve veterans. Earle S. Collum, MD, FCAP, chair of the CAP’s Council on Accreditation, discusses deemed status review by the CMS and review of non-traditional laboratory testing. Plus, a side you don’t expect: the COA chair reveals his favorite artist—a rapper from the South… any guesses? Council on Accreditation 2025 Annual Report

Laboratory testing is evolving fast and the CAP’s new proficiency testing programs are keeping pace.   Joel Todd Moncur, MD, PhD, MS, FCAP, chair of the CAP’s Council on Scientific Affairs, breaks down how smarter data is raising the bar and strengthening pathology. Also, find out what his military service taught him about being an effective leader. Council on Scientific Affairs 2025 Annual Report

From the state level to Capitol Hill, the CAP is advocating for payment reform, workplace issues, and access to care. A. Joe Saad, MD, CPE, FCAP, chair of the CAP's Council on Government and Professional Affairs, leads members in tackling Medicare payment reform and other key legislative issues impacting pathologists and patients. And on a personal note, Dr. Saad shares how his own background as an international medical graduate shapes his fight to keep visa pathways open for the next generation of pathologists. Council on Government and Professional Affairs 2025 Annual Report

In this episode of CIPI Connections, Jordan Olson, MD, FCAP, and Meredith Herman, DO, share practical insights and lessons learned from real-world digital pathology adoption. They also discuss the new Digital Pathology 101 Guide, created by the CAP's Digital & Computational Pathology Committee. Download the Digital Pathology 101 Guide: https://www.cap.org/member-resources/councils-committees/digital-pathology-topic-center Subscribe to CIPI Connections on Apple Podcasts, Spotify, or wherever you listen to podcasts.

In this episode, academic pathologist Edward Gutmann, MD, FCAP, speaks with Dean Joelson, MD, FCAP, a solo practitioner, about what it is like to practice pathology solo in a semi-rural area. They discuss the preparation needed to establish such a practice, the challenges and rewards of serving a community hospital alone, and how these experiences differ from group and academic settings.  Surprisingly, and for different reasons, both guests reject the long-held notion that pathologists are "the doctor’s doctor."  A byproduct of a chance encounter at the CAP's annual meeting, the conversation begins and ends with how the CAP supports pathologists across diverse practice environments.

In this episode of CIPI Connections, members of the CAP Informatics Committee, Alexis Carter, MD, FCAP, and Lauren Miller, MD, MLS(ASCP)cm, share a cautionary tale about how when it comes to point-of-care testing, sharing is not always caring. Informatics CommitteeCouncil on Informatics and Pathology Innovation (CIPI)For questions, feedback or to learn how to submit your own idea, please email [email protected].  Subscribe to CIPI Connections on Apple Podcasts, Spotify, or wherever you listen to podcasts.

In this episode of CIPI Connections, Nicholas Reder, MD, MPH, FCAP, joins M. E. de Baca, MD, FCAP, to discuss the shift from traditional 2D slides to whole tissue imaging, the expanding role of artificial intelligence in pathology, and the responsibility that innovators carry as medicine and technology evolve. Council on Informatics and Pathology InnovationSubscribe to CIPI Connections on Apple Podcasts, Spotify, or wherever you listen to podcasts. For questions or feedback, please email Viral Mehta at [email protected].