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The Training Residents in Genomics (TRIG) Working Group is made up of experts in molecular pathology, residency directors as well as genetic counselors.  Current members of the TRIG workGroup include:

Richard L. Haspel, MD, PhD (Chair)
James Atkinson, MD
Elizabeth Azzato, MD PhD MPH
Frederic Barr, MD, PhD
Andrew Beck, MD
Karen Frank, MD, PhD
Madhuri Hegde, PhD
Karen Kaul, MD, PhD
Debra Leonard, MD, PhD
John Pfeifer, MD, PhD
Henry Rinder, MD
Iris Schrijver, MD
Mark E. Sobel, MD, PhD
VO Speights, MD
Liz Varga, MS, CGC

Scientific advisors:
Peter Tonellato, PhD; Dennis Wall, PhD; and Lauren Briere, MS, CGC


Training Residents in Genomics (TRIG) Working Group Cooperating Organizations

Academy of Clinical Laboratory Physicians and Scientists (ACLPS)
American College of Medical Genetics and Genomics (ACMG)
American Society for Clinical Pathology (ASCP)
American Society for Investigative Pathology (ASIP)
Association for Molecular Pathology (AMP)
Association of Pathology Chairs (APC)
Pathology Residency Program Directors Section (PRODS)
Undergraduate Medical Educators Section (UMEDS)
College of American Pathologists (CAP)
Intersociety Council for Pathology Information (ICPI)
National Coalition for Health Professional Education in Genetics (NCHPEG)
National Society of Genetic Counselors (NSGC)
United States and Canadian Academy of Pathologists (USCAP)


ASCP Staff

Suzanne Ziemnik, MEd
Shiwen Song, MD, PhD
Nancie Thompson
Lucy Beck
Eric Parks, PhD
Asma Ali, PhD
Karisa Munoz, MEd


ASIP Staff

Priscilla S. Markwood, CAE




In 2010, the Training Residents in Genomics (TRIG) Working Group was formed through the Pathology Residency Directors Section (PRODS) of the Association of Pathology Chairs (APC). The goals of this group, made up of experts in medical education, molecular pathology, and clinical genetics, are to develop teaching tools, and promote genomic pathology education. The TRIG Working Group represents a unique collaborative effort in pathology education with members from many major pathology organizations and representatives from the National Society of Genetic Counselors, American College of Medical Genetics and Genomics, and the National Coalition for Health Provider Education in Genetics.

View members of the TRIG Working Group

Through the TRIG Working Group, a series of four lectures has been created. First released in 2012, the topics covered include genomic methods, clinical interpretation of genomic testing, and communicating and reporting genomic test results to other clinicians and patients.

Based on their accomplishments, the TRIG Working Group received in 2012 an R25 grant from the National Cancer Institute. Providing approximately $1.3 million over five years, this funding will be used, with design support from ASCP, to develop additional educational resources such as online modules as well as assessment tools to determine curriculum efficacy. The specific aims of the grant are:

Aim #1
To develop a pathology resident genomic medicine curriculum, with a major focus on cancer care, as well as tools for national implementation.”

Aim #2

To evaluate the curriculum using a pre/post-test design at four pathology residency programs using validated assessment tools.”

Aim #3

To promote curriculum implementation using the resources of major national pathology organizations so that >90% of pathology residency programs nationwide have high-quality training in cancer genomics by the end of year 5.”

Aim #4

To assess the degree of nationwide implementation and efficacy of curricula in genomic medicine using the pathology resident in-service exam (RISE).”



With NIH providing approximately $1.3 million in funding over five years, this grant will allow the TRIG Working Group to create workshops and courses to further assist residency programs in educating their trainees in genomic pathology.

USCAP Annual Meeting
March 21-27, 2015
Hynes Convention Center
Boston, MA

Resident Workshop
ACLPS 2015 Annual Meeting
Lab Medicine 2015
May 29–30, 2015
University of Minnesota
Minneapolis, MN

Attendee Workshop
Association of Pathology Chairs 2015 Annual Meeting
July 13-17, 2015
Rancho Bernardo Inn
San Diego, California

Attendee Workshop
CAP '15 – THE Pathologists' Meeting™
October 4–7, 2015
Gaylord Opryland
Nashville, Tennessee

Attendee Course
ASCP 2015
Beyond the Lab
October 28–30, 2015
Long Beach, CA

Attendee Workshop

Testimonials from ASCP2013:
Over 90% of participants would recommend the workshop to other residents

[The workshop] improved my understanding of available tools for clinical evaluation.”

It [the workshop] has given me a better perspective on communicating the results with clinicians.”

[The workshop] deepened my perspective regarding genomic medicine.”

Keep up the good work! Please repeat!”

Excellent course. I am taking this back to my home institution.”
Testimonials from CAP 2013:
This was the best course so far that I have attended at CAP13.”

This is a constantly advancing field. Do this again next year with updates.”

This is one of the best presentations I have heard at any pathology meeting.”



The initial output from the TRIG Working Group was a series of four lectures released in 2012. The R25 funding allows for the creation of additional resources such as online modules.

Current Lecture Materials

The following represents the efforts of the Training Residents in Genomics (TRIG) Working Group of the Pathology Residency Directors Section (PRODS) of the Association of Pathology Chairs (APC).  Formed in 2010 to facilitate the education of pathology residents in genomics, the TRIG Working Group consists of experts in molecular pathology, genetic counseling, and medical education.

First released in 2012, these lectures and references cover genomic methods, clinical interpretation of genomic testing, and communicating and reporting genomic test results to other clinicians and patients.  

*Please note that the lectures and online materials are not specifically endorsed by any of the cooperating organizations listed on the website. The lectures have also not been updated since 2012 and the TRIG Working Group is actively working on new resources.

Reference Information (.pdf)
Lecture I: Genomic Pathology: An Introduction (.ppt)
Lecture II: Genomic Methods (.ppt)
Lecture III: Interpreting Genomic Information for Clinical Care (.ppt)
Lecture IV: Genomic Medicine: Communicating with the Patient (.ppt)


Measurement & Evaluation

Beginning in 2012, the TRIG working group has incorporated genomics-related survey and knowledge questions on the pathology resident in-service exam (RISE). Administered by the ASCP to almost all pathology residents in the United States, the RISE offers an opportunity to assess the national status of resident training in genomic pathology. The questions are currently ungraded but, following this pilot phase, there are plans to incorporate genomics topics as an official component of the RISE.

There are plans for the development of other assessment tools.