Save the Date: ASCP 103rd Annual Business Meeting

September 11, 2025

Learn about key updates from the past year and engage in the governance of the American Society for Clinical Pathology at the 103rd Annual Business Meeting, taking place on Thursday, November 20, 2025, in Atlanta, Georgia. 

Held in conjunction with the ASCP 2025 Annual Meeting (November 17–20), this session offers members an opportunity to stay informed and involved in the Society’s direction. 

Details regarding the ASCP Annual Business Meeting, including Board of Directors nominations and election information, are available here

ASCP Deepens Commitment to Pathologist Workforce Development

September 11, 2025

ASCP is developing a strategy that focuses on expanding exposure to pathology through education pathways, enhancing recruitment and retention, integrating innovation into practice, and leveraging workforce data to inform planning. Without timely investment and strategic coordination, the pathology workforce risks a critical shortfall that could compromise diagnostic care and patient outcomes. 

“Data show that we will need approximately 3,000 more pathologists by 2037,” says Edna Garcia, MPH, ASCP Director Scientific Engagement and Research, who is overseeing the pathology workforce initiative. “We only have about 600 pathologists entering the profession each year, and that is not sufficient.”  

In support of pathology workforce development, ASCP has created two new resources which includes an infographic showing data about the current status of the pathology profession in the United States, and a four-page document titled, What does a pathologist do? These materials are designed to support pathology residency program directors, medical school course directors, and ASCP members, including Ambassadors, to share when they give presentations to medical students and students interested in going to medical school.  

The infographic presents data on the number of pathologists in the United States, compensation, and projected demand, while the accompanying four-page document offers an in-depth look at the pathologist profession.    

Building awareness of the profession  

“The goal is to introduce the field of pathology to students early on,” says Savanah Gisriel, MD, MPH, Chair of the ASCP Resident Council. “While pathology courses are incorporated into the preclinical years of medical school, many medical students already know which specialty they are choosing before they get to this point (and they may have not even known pathology was an option before deciding on a specialty). That's why we need to raise visibility of pathology earlier, such as during undergraduate education or even high school."    

The workforce shortage has become critical in recent years. Baby boomers are retiring, there are ongoing supply deficits of individuals entering the profession, and limited public visibility, according to Anna Owczarczyk, MD, PhD, FASCP, Chair-elect of the ASCP Pathology Council. “Many of us acutely feel the short staffing in our day-to-day jobs. Young learners need to be made aware of the phenomenal opportunities in our field. Pathology no longer wants to be the “hidden gem” within medicine!”  

The Health Resources and Services Administration (HRSA) projects a 7 percent decline in the supply of pathologists and a 16-percent increase in demand by 2037. Rural areas are predicted to have only 20 percent supply adequacy. Although the number of pathology resident placements per year has fluctuated, it consistently hovers around 600—far below the projected demand of 700 to 840 additional pathologists in the near future.  

Meanwhile, rapid technological advancements are reshaping diagnostic practice, requiring pathologists to be adaptive and forward looking.  

Next steps  

“It all boils down to awareness of the profession,” Dr. Owczarczyk explains. “There is a common misconception that pathologists do not interact with patients,” she adds. “Our resources seek to dispel these misconceptions and make the public aware of the vital contributions that pathologists make in health care.”  

“The pathology workforce faces challenges that are distinct from the laboratory professional workforce,” says ASCP Interim CEO Ali Brown, MD, FASCP. “ASCP’s Blueprint for Action outlines targeted interventions for medical laboratory professionals, many of which are relevant to pathologists. However, a dedicated, data-driven strategy tailored specifically to pathology is essential to ensure a sustainable, diverse, and well-trained pathologist workforce.”  

Learn more about ASCP’s workforce initiatives here. 

Your Voice Counts! How ASCP will Address Pathologist and Pathologist-in-Training Members’ Top Concerns

September 10, 2025

ASCP members have identified their top 10 concerns within each of their professions, according to the results of the annual ASCP Hot Topics membership survey.    

The leaders of the ASCP Pathologist Council and the ASCP Resident Council recently talked about which concerns to prioritize and how they will address them.   

"We were pleased to get such a strong response from our members, and I know that the Resident Council, under the leadership of our incoming chair, will be tackling these issues in the coming year,” says Savanah D. Gisriel, MD, MPH , FASCP, Resident Council Chair. “The ASCP Resident Council's main goal is to amplify the voices of pathology residents and fellows. The best way for us to do that is by understanding their concerns and advocating for positive changes in our profession.” 

Resident Council concerns 

Top concerns among residents and fellows are job searches, salary benchmarks, and contract negotiations.   

Sri Bharathi Kavuri, MD, Chair-elect of the Resident Council, says the council is gearing up to address some of these issues in the coming year. “The top priorities are very clear. As a freshly graduated fellow navigating my own first job contract right now, I completely understand how overwhelming and important these steps can feel,” she says.   

To kick things off, the Resident Council will co-host a roundtable with the Pathologist Council in September, titled Navigating Your Career as a New-in-Practice Pathologist. The panelists, all of whom have recently made this transition, will share practical advice and lessons learned.   

Also in collaboration with the Pathologist Council, the Resident Council will be developing a “New in Practice” toolkit, covering everything from job transitions and contract guidance to CME maintenance for medical licenses.   

Another area of focus will be laboratory directorship, a much-overlooked skill that nearly every pathologist will need early in their career, according to Dr. Kavuri. “We hope to continue our Ask Me Anything sessions on the Resident Council community page in the ASCP Communities, giving residents a chance to connect directly with peers and mentors.”  

Later, the Council will address professional growth, including public speaking and teaching skills. The Resident Council has a full agenda in the year ahead so keep an eye on announcements via social media and the online community.  

Hot topics for pathologists 

Pathologists want to stay on top of advances in pathology and subspecialty areas as well as new research. Each year, the Pathologist Council develops a set of SMART goals, which means specific, measurable, achievable and relevant. “One of our SMART goals this past year evolved around creating educational content for pathologists, and to help them stay abreast of new developments,” says Pathologist Council Chair-elect Anna Owczarczyk, MD, PhD, FASCP. “The Pathologist Council, in collaboration with the Resident Council, is creating content for social media dissemination which will target individual pathology subspecialties. 

Another topic to address is leveraging digital pathology and artificial intelligence (AI) in clinical practice. The Council is hosting a roundtable on this topic for early February 2026, featuring a panel of digital pathology/AI experts.  

“We knew, as a group, that is important and the survey results indicate that as well. We cannot ignore AI. It is already here, and there are a lot of health institutions that are already using it. We need to embrace it to make our ever increasing workload more efficient and manageable,” Dr. Owczarczyk says. 

She emphasized that the results of the Hot Topics survey give the Pathologist council mission and purpose. “We are not undertaking these projects just for ourselves, but for our members who have indicated these are critical topics in their professions that really need to be addressed,” she says. 

For example, in the previous year, many of the identified hot topics revolved around matters critical to those who are early in their practices. This led to the council’s work on the “New in Practice” toolkit which they hope will go live soon. 

Watch for updates from the Pathologist Council and the Resident Council on social media and the ASCP Online Communities

 

Your Voice Counts! How ASCP Will Address Laboratory Professional Members’ Top Concerns

September 10, 2025

ASCP members have identified their top 10 concerns within each of their professions, according to the results of the annual ASCP Hot Topics membership survey.     

The leaders of the Council of Laboratory Professionals (CLP) and the CLMA Council, which focuses on laboratory management, recently talked about which concerns to prioritize and how they will address them.   

“It is very important that we get this timely feedback. It identifies how we, as a professional society, can better serve our members’ needs,” says Brittany Teeter, MS, CLS, MLS(ASCP)CM, Chair-elect of the CLMA Council.  

CLMA issues: Competency guidelines and team morale 

Ensuring that laboratory professionals, particularly new hires, meet competency guidelines is a top concern among most laboratory managers and supervisors, according to Ms. Teeter. Another is addressing laboratory team morale.    

“The first thing I do as a CAP laboratory inspector is pull all the files of new hires and randomly select 10 files to review and see if their documentation is complete. Were they assessed for competency? More often than not, no one signed off on it,” she says. “This is important because we want to make sure we are providing quality services.”   

Some institutions address this by assigning a staff member to ensure competency assessments are conducted. Also, laboratories need to use a software system that effectively tracks competency requirements. Ms. Teeter says the CLMA Council can begin to address this by discussing this topic with members via the ASCP online community and during CLMA roundtables.   

As for laboratory team morale, Ms. Teeter says, “I now teach the next generation of laboratory professionals and team morale is critical. I have seen these guys get really down on themselves, and they need a boost to get through the day. They approach things as a group; they lean on one another as a group and they expect to continue that group approach when they enter the workforce.” 

Addressing that issue may involve providing opportunities for laboratory teams to come together for snack breaks during the day, which helps break down barriers that can help new hires and others feel like they are part of the team, or bringing in therapy animals to interact with the team during short breaks. Even providing the Gen Z staff members with the opportunity to take the lead in planning annual Laboratory Week activities, with mentorship and guidance, can help them feel more involved, she says.     

Laboratory professionals’ hot topics 

Demonstrating their value on the healthcare team to other healthcare professionals and patients is the top concern among laboratory professionals. They also want to improve workplace culture; address the workforce shortage; advocate for commensurate compensation; and identify opportunities for career growth.  

CLP Chair-elect Melody Boudreaux Nelson, DCLS, CC(NRCC), MS, MLS(ASCP)CM, commented on the importance of demonstrating the value of the laboratory profession. “Comprehensive and coordinated care emphasizes teamwork and a shared responsibility for the health and well-being of patients. Now is the time for laboratories to study our value in healthcare—what it means, how to apply it, and where we, as laboratory professionals, intersect with other care models.” 

CLP Chair Laura Severs, MHA, MLS(ASCP), QLS, CLHP, appreciates the robust feedback that the Council of Laboratory Professionals has received from the Hot Topics survey.  

“The voice of our members is central to everything that ASCP does,” she says. “Specifically, the Council of Laboratory Professionals represents a broad and multifaceted community. We use this survey as a tool to give us direct insight into the issues and trends that matter most to laboratory professionals across all specialties.”  

From this data, the CLP will craft a roadmap identifying where to focus its energy and resources. “By listening carefully to our members, we are able to design initiatives that are responsive. This includes creating relevant and timely educational opportunities, developing best practice resources, or amplifying awareness around a pressing issue in our field,” says Ms. Severs.  

“Our goal is to ensure that every laboratory professional feels supported, heard, and equipped with the tools they need to succeed, no matter their specialty or practice setting,” she adds. “With our updated Hot Topic list, be on the lookout in the coming year for innovative Round Table series, tools and resources for advocacy, and much more.”   

Watch for updates from the CLMA Council and CLP Council on social media and the ASCP Online Communities

ASCP 2025 Named Lecture Speakers Delve Deep to Create Positive Change

September 10, 2025

ASCP 2025, to be held Nov. 17-20 in Atlanta, GA, will host renowned experts in their fields who will share their insights and challenge us to reshape conventional wisdom during the named lectures. These visionaries will equip you with the skills to make a difference in serving your profession.  

Paul Farmer Lecture: Around Laboratories of the World in 60 Minutes 

  • Tuesday, Nov. 18, 9 a.m. EST 

  • Jeannette Guarner, MD, FASCP 

Having diagnostic capability is imperative to be able to treat patients. However, not all countries have the same diagnostic capabilities that healthcare professionals are accustomed to in developed nations. Understanding the underpinnings of what happens in laboratories around world is paramount to advocating for improvements. The presentation will 1) Compare the diagnostic capabilities as they happen in different countries based on prevalence of diseases; 2) Evaluate vertical and horizontal programs that funding agencies provide; and 3) Consider the World Health Organization essential diagnostics list and its importance for different countries.  

Dr. Guarner is vice chair of Faculty Affairs and Development at the Emory University School of Medicine, where she is also a professor in the Department of Pathology and Laboratory Medicine.  

The late Dr. Paul Farmer founded Partners in Health, a nonprofit that serves impoverished areas around the globe. He was a strong advocate for pathology and laboratory medicine and believed the laboratory was the linchpin to advancing care in underserved populations. 

 

Barbara M. Castleberry Lecture for Laboratory Professionals: My Journey in Advocacy—Why OUR Voices Matter! 

  • Tuesday, Nov. 18, 10:30 am EST 

  • Rodney E. Rohde, PhD, MS, SM (ASCP)CM, SVCM, MBCM, FACSc 

Dr. Rohde will share his personal path from microbiologist to global public health and medical laboratory advocacy, revealing how one voice can spark change and how many voices together can transform communities. Drawing from his lengthy experience in public health, education, and science communication, Dr. Rohde will offer lessons learned and strategies for using one’s own expertise to influence policy.   

Dr. Rohde is the Regents' Professor and chair of the Medical Laboratory Science program at Texas State University and the associate director for the Texas State University Translational Health Research Center. He is also a clinical assistant professor (joint appointment) in the Clinical Laboratory Science program at the Texas Tech University Health Sciences Center, School of Allied Health Sciences.  

This lecture is named for Barbara M. Castleberry PhD, MT(ASCP) former longtime vice president of the Board of Registry, now the ASCP Board of Certification (BOC). Through her leadership, Dr. Castleberry strategically positioned the BOC for the competitiveness of the 21st century. 

 

Michele D. Raible Lecture for Residents: Preclinical Medical Education: A Low-Power Approach 

  • Wednesday, Nov. 19 at 9:45 am EST 

  • Husain Sattar, MD, FASCP 

This lecture reviews the history of pre-medical education in the United States and highlights how Dr. Sattar intersected with these historical trends to develop a pathology textbook and video series (Pathoma) that are commonly used by medical students across the globe. Emphasis is placed on key themes in hopes of inspiring attendees to identify opportunities and make contributions in their respective areas of expertise. 

Dr. Sattar is a surgical pathologist at the University of Chicago Medicine, with a particular expertise in breast and gynecologic pathology. He is the associate director of the clinical pathophysiology and therapeutics course at the Pritzker School of Medicine, where he serves as a dedicated instructor, advisor and mentor to second-year medical students. He also teaches a pathology review course that he developed.   

The Michele D. Raible Lecture honors Dr. Raible’s commitment to delivering superior medical education and creating a lasting impact on the lives of medical students during her career. 


Cindy Johns Lecture: Artificial Intelligence Versus Laboratory Instinct: What will the Future Hold? 

  • Wednesday, Nov. 19, at 4 pm EST 

  • Donna Castellone, MS, MLS(ASCP)SH   

Laboratory personnel have many strengths, including a strong instinct regarding sources of error in testing. Will the implementation of artificial intelligence (AI) in patient care impact how diagnosis is determined? Ms. Castellone will explore whether implementation of AI in patient care will impact how diagnosis is determined. This session will explore laboratory issues and problem solving using possible AI versus laboratory professionals’ “gut feeling” approaches.    

Ms. Castellone is the supervisor of special coagulation and the quality assurance manager for specialty testing at New York Presbyterian Hospital-Columbia and an adjunct professor at SUNY Stony Brook, New York.   

The late Cindy Johns, MSA, MASCP, MLS(ASCP)CMSHCM, a longtime ASCP member who passed away in 2017 after a lengthy battle with cancer. A champion for laboratory medicine, Ms. Johns worked tirelessly as an ASCP volunteer for more than 30 years.   

 

Arthur Purdy Stout for Pathologists: Diagnostic Challenges and Pitfalls in Prostrate Pathology: From Selected Subtypes of Prostrate Cancer to Secondary Tumors 

  • Friday, Nov. 20 at 10:45 a.m. EST 

  • Adeboye Osunkoya, MD, FASCP 

Prostate specimens (biopsies and resections/prostatectomies) are frequently encountered in both academic and community practices and continue to pose diagnostic challenges. A systematic approach will be used to analyze a select group of prostate cancer cases with unusual morphologic features. In addition, a subset of secondary tumors involving the prostate will be reviewed with emphasis on potential diagnostic pitfalls. Historical insights, literature review, and differential diagnoses will also be discussed. 

An internationally recognized expert, Dr. Osunkoya specializes in urological and genitourinary pathology and the diagnosis of bladder, kidney, testicular and prostate cancers at Winship Cancer Institute of Emory University in Atlanta. Dr. Osunkoya is a professor in the Department of Pathology and Laboratory Medicine, and Urology at Emory University School of Medicine.  

Arthur Purdy Stout (1885-1967) was an American surgeon and pathologist. He was a pioneer in developing the science of relating the tissues removed during surgery to the expected course of an illness, especially tumor pathology.  

Learn about the ASCP 2025 Annual Meeting and register at www.ascp.org/2025.  

 

ASCP 2025 Offers Actionable Learning for You to Use on the Job and Enhance Your Career

August 21, 2025

Next-generation sequencing methods and multi-gene panels have entered clinical practice. Learn how genomic pathology impacts your career as a pathologist or laboratory professional during the TRIG Workshop: Genomics 101: Practical Information for Patient Care on Monday, November 17. 

The TRIG Workshop is one of several workshops that will take place the day before the ASCP 2025 Annual Meeting kicks off, Nov. 18-20, in Atlanta. As you plan your schedule for the ASCP 2025 Annual Meeting, be sure to check out these additional “Deep Dive” Workshops which offer a valuable opportunity to enhance your knowledge and put into immediate use when you return home to your laboratory.  

This additional programming will be available to anyone who is registered for the ASCP 2025 Annual Meeting and will offer 4 CME/CMLE credits upon completion. Below is an overview of these Deep Dive Workshops: 

The TRIG Workshop 

Presenters Bijal Parikh, MD, FASCP, and Richard Haspel, MD, FASCP, use a case-based, interactive small-group approach, allowing participants to learn introductory principles related to the use of genomic assays and interpretation of results. The workshop will also include practical hands-on instruction with the use of online genomic pathology tools. Drs. Parikh and Haspel are both members of a national committee made up of experts in molecular pathology, medical education, and medical genetics. Learn more and register here.  

NAACLS Fall 2025 Hybrid Workshop 

This session, titled Accreditation Accelerator: Fast Track Your Compliance Confidence, will take place from 7 a.m. to 4 p.m. EST on Monday, Nov. 17. This presentation will focus on the individual accreditation standards and offer practical advice and examples for creating the Self-Study Report and hosting the Site Visit. Presenters Jennifer Knight, MLS(ASCP)CM and James March Mistler, MLS(ASCP)CM will provide recommendations on how to avoid common mistakes and citations and highlight awards and follow-up reports.  

The objectives will be for participants to 1.) recognize the rationale of each standard and how it impacts program accreditation; 2.) Review frequently cited standards, identifying common areas of non-compliance and best practices for adherence; and 3.) Identify proactive strategies and resources available to comply with the 2024 Standards. Please note, this workshop is separate from the ASCP Annual Meeting. Registration must be processed through NAACLS here.  

This event, from 1-5 p.m. EST, Monday, Nov. 17, will celebrate voices from across the global pathology and laboratory medicine community. Renowned scientists, practitioners, and changemakers will come together to explore shared experiences, collective challenges, and cross-continental solutions within the field. The keynote address, “Resilience Over Resources – Thriving Beyond Challenges,” will set the tone by reframing limitations as opportunities. Learn how pathology professionals across the diaspora are driving innovation, even in under-resourced environments.  

Later, hear from trailblazers who are making real progress on disparities in pathology and laboratory medicine. These 15-minute oral spotlights will showcase research, strategic projects, and on-the-ground efforts happening across multiple sectors of the diaspora.  

The objectives will be for participants to 1.) Explore how culture and context shape medical practice across the diaspora; 2.) Engage in meaningful discussions about health equity and global collaboration; 3.) Build relationships with colleagues from around the world; and 4.) Leave energized and equipped with actionable insights for your organization and community. 

Additional Deep Dive Workshops 

Two other Deep Dive Workshops include “Turning Laboratory Data into Insights: Introduction to the R Programming Language” and “Everyone is a Leader and Even Leaders Need Coaches.” You’ll find information on all of these Nov. 17 sessions here.  

There will also be 10 virtual pre-meeting sessions included in all registrations as well as on-demand recorded sessions that are available as add on options for an additional fee.  

Learn more about all ASCP 2025 Annual Meeting sessions, lodging, events and registration by clicking here! 

Colorado Hospital Named Leading Laboratory for Exemplary Service and Management

August 21, 2025

Colorado Mental Health Hospital in Pueblo (CMHHIP) laboratory is the first laboratory to achieve the Leading Laboratories recognition since the program’s recent relaunch. The Leading Laboratories program, originally open only to laboratories that pass inspection by The Joint Commission, now allows all laboratories to apply for recognition. CMHHIP is the sixth laboratory in the nation to achieve this designation.   

The Leading Laboratories designation recognizes laboratory teams for exemplary leadership, mentorship, and innovative best practices. The designation supports a positive, patient-centric mission, increasing visibility for laboratories and their vital role in a patient’s healthcare journey.   

“We are deeply gratified that national accreditation has recognized the excellence of this laboratory, that was apparent to me from the start,” says A.O. Singleton, III, MD, chief of medical staff at the Colorado Mental Health Hospital in Pueblo.   

Blair Presti, MD, medical director of the laboratory, notes, “This is a well-deserved accreditation recognizing the excellence of the laboratory, its personnel, and its leadership.”  

CMHHIP is a 516-bed acute care psychiatric hospital with a fully functioning laboratory of 12 staff members.   

Christina Bazanele-Sabatka, MLS(ASCP)CM, CMHHIP director of laboratory service, adds, “This designation allows our team to show the laboratory’s success. Throughout this application process, we motivated and lifted one another up to achieve that goal.” 

The impetus to apply for the Leading Laboratories designation began last fall, following an inspection of the laboratory by The Joint Commission. During that time, the auditor expressed high praise for the laboratory department and recommended to the hospital leadership that they apply for Leading Laboratories status.  

“We worked as a team and were put in touch with ASCP, which informed us that we met the criteria to move forward with the application,” Ms. Bazanele-Sabatka explains. “We began the process in December and worked together to finish by May. Throughout the application process, the laboratory team collaborated on group projects and  incorporated staff input on key outcomes, indicators, and metrics in the areas of quality outcomes, professional development, trusted leadership, and laboratory visibility.”   

The CMHHIP Laboratory fosters a collaborative and transparent environment by partnering with medical providers, hospital leadership, community organizations, and staff to enhance quality outcomes. It actively supports employees' professional growth by providing resources and encourages open communication and idea-sharing to facilitate process improvement. Additionally, the laboratory emphasizes visibility and community engagement, aiming to shift perceptions by highlighting the vital role of scientists in patient care, thereby encouraging a deeper understanding and appreciation of their contributions in a clinical setting.  

Leading Laboratories, developed and refined by laboratory leaders, provides a set of criteria that is designed to quantify and exhibit excellence in the areas of elevating quality outcomes, supporting professional development, cultivating trusted leadership, and promoting laboratory visibility.    

 This designation sets the gold standard for laboratory excellence, providing:  

  • Public recognition of a laboratory’s meaningful achievements in improving patient outcomes;  

  • Evidence of a laboratory’s commitment to the ongoing professional development of its team; and,  

  • Proof of laboratory leadership’s dedication to their team and to their patients.   

Ms.  Bazanele-Sabatka says her laboratory team checked off many of those criteria. “Our laboratory team creates an environment where they are empowered to make decisions, whether solving complex diagnostic issues or looking at managing daily operations,” she says. “We encourage open dialogue, we seek feedback, and we provide support to our staff. As a result, we work to promote laboratory visibility. We also value education. If there is something we expect from the department or hospital, we do our best to extend that education.”  

The following laboratory staff also worked on the Leading Laboratories application process: Blair Presti, MD, medical director of the laboratory; Erika Montoya, MLS(ASCP)CM, laboratory manager, Stephen Chapel, MLT(ASCP)CM, Audrey Cambren Dowen, MLS(ASCP)CM, Lauren Gage, MLS(ASCP)CM, Leslie Gemma, MLS(ASCP)CM, Sheena Medina, MLS(ASCP)CM, Peggy Pechek, MLS(ASCP), Kristen Reeves, MLS(ASCP)CM, Darcy Harrison, phlebotomist, and Crystal Trujillo, phlebotomist. 

“Ultimately, our goal is to ensure better patient outcomes,” Ms. Bazanele-Sabatka says. “We never lose sight of the fact that behind every sample is a life, a family and a story.”   

Learn more about the Leading Laboratories program here.  

 

ASCP Basic Medical Laboratory Skills Package Bolsters Training for New Hires and Students

August 21, 2025

Faced with a growing workforce shortage, many laboratory directors nationwide are hiring new employees who may  need guidance on foundational laboratory literacy.  

“Many new hires come in with various levels of knowledge and recall about working in the clinical laboratory. It requires time for laboratory directors and preceptors to train them,” says Kristen Pesavento, EdD, MS, MLS(ASCP)CMMBCM, graduate program director of Medical Laboratory Science, Loyola University Parkinson School of Health Sciences and Public Health. “It is even harder for laboratories in rural settings to hire people to fill vacancies and reinforce these basic concepts. The current workforce gap is not just affecting clinical laboratories, but also public health laboratories that are trying to keep up with the demand for testing.”  

To support laboratories and scientists or technicians facing this challenge, ASCP has launched the ASCP Basic Medical Laboratory Skills training package —free virtual education that equips laboratory professionals and future laboratory professionals with foundational skills for working in a medical laboratory.   

This set of six eLearning courses was developed with funding through ASCP’s Cooperative Agreement with the Centers for Disease Control and Prevention (CDC), in service of the CDC’s OneLabTM initiative. The six-part series can be taken as an entire package or as individual eLearning courses.  

Members of the ASCP Workforce Steering Committee developed the basic curriculum for this education; individual eLearning courses were developed by numerous ASCP member subject matter experts who hold active medical laboratory roles.    

“The series offers six modules created by ASCP to provide a primer for essential skills, or to serve as a refresher for those already working in the laboratory,” explains Dr. Pesavento, who created the laboratory mathematics and the basic operations of laboratory equipment courses.    

Course topics address laboratory safety, laboratory terminology, laboratory math, basic operations of laboratory equipment, routine procedures, and quality control. The series is available in the ASCP Store and provides 1.0 CMLE credit per course.  

Dr. Pesavento says the workforce shortage was already occurring before the COVID-19 pandemic began in early 2020. As generations of laboratory professionals naturally reached retirement age or sought to leave health care, the demand for scientists and technicians has only increased.   

Though intended to help onboard hires new to the clinical laboratory, this training package would also be ideal for other members of the healthcare team looking to learn core principles of the clinical laboratory, refresher trainings for in-service lab team members, program directors interested in leveraging the course content to supplement their existing training programs, and international laboratory scientists wanting to build additional exposure and confidence in core clinical laboratory concepts in English.   

“If you are working in a clinical laboratory, your work impacts lives. People working in the laboratory need to understand why they are doing certain things, and the ASCP Basic Medical Laboratory Skills series helps to remind us of the fundamental theories behind the testing,” Dr. Pesavento says.   

Access the ASCP Basic Medical Laboratory Skills here.   

ePolicy News—August 2025

August 21, 2025

In this issue: 

  • Senate Appropriations Committee Restores NIH, CDC Funding  

  • ASCP Opposes Pharmacist SOP Bill 

  • We Want to Hear from You: Share Your Experience with Effective Test Utilization Recommendations in Practice

  • ICYMI: New Job Aid Assists Laboratory Professionals in Using AI 

  • Where Lab Science Leads: ASCP’s New Career Resource and National Outreach 

  • ICYMI: ASCP and PLUGS Design Education to Enhance Diagnostic Testing of Celiac Disease 

 

Senate Appropriations Committee Restores NIH, CDC Funding 

The Senate Appropriations Committee approved its FY 2026 spending bill, proposing significant funding increases for key health agencies, including a $400 million boost to the NIH budget and the reversal of proposed cuts to indirect research grant costs. The bill also preserves funding for global health initiatives at the CDC and NIH, rejecting the administration’s proposed eliminations and reductions. Read more.  

 

ASCP Opposes Pharmacy SOP Bill 

ASCP is urging Congress to reconsider the Ensuring Community Access to Pharmacist Services Act, which would authorize pharmacists to perform evaluation and management services for certain common illnesses. In a letter to lawmakers, the groups warned that such services exceed pharmacists' training and could compromise patient safety, especially if expanded during public health emergencies. Read more.  

 

We Want to Hear from You: Share Your Experience with Effective Test Utilization Recommendations in Practice 

ASCP has launched a first-of-its-kind survey to explore how the Effective Test Utilization (ETU) recommendations (formerly known as Choosing Wisely) are being applied in practice. We want to hear from you. Whether you’ve encountered any barriers to implementation, have success stories to share, or built meaningful collaborations through ETU efforts, your experience in practice is important to us! 

Your vital feedback will help us assess which recommendations remain pertinent, identify those that may require revision, and shape new resources to better support your vital work in the laboratory.  

Take the Survey, by September 3, 2025, and help guide the future of ASCP’s ETU program. 

 

 

ICYMI: New Job Aid Assists Laboratory Professionals in Using AI 

Artificial intelligence is becoming increasingly prevalent in laboratory administration, offering solutions to ease workloads and address staff shortages. To guide the laboratory team in using these tools effectively and ethically, ASCP has developed a job aid that outlines best practices and suggests specific AI applications for common administrative tasks. Read more. 

 

Where Lab Science Leads: ASCP’s New Career Resource and National Outreach 

ASCP’s Workforce Steering Committee and Board of Certification launched a new career resource, Where Can Medical Laboratory Science Take You?, highlighting the wide variety of career paths available to laboratory professionals. This tool can help engage hundreds of school counselors and educators to promote lab science careers and inspire the next generation of professionals. Read more.  

 

ICYMI: ASCP and PLUGS Design Education to Enhance Diagnostic Testing of Celiac Disease

Celiac disease is frequently underdiagnosed or mistaken for other conditions. To address this, ASCP is partnering with Patient-Centered Laboratory Utilization Guidance Services (PLUGS) to create educational resources that clarify which laboratory tests are most appropriate—and when to use them—for accurate diagnosis and effective management of celiac disease. Read more.  

ASCP Opposes Pharmacy SOP Bill

August 21, 2025

  • ASCP is opposing federal legislation that would authorize pharmacists to practice medicine 

The American Society for Clinical Pathology (ASCP) joined a host of other medical societies in raising concern in Congress about the Ensuring Community Access to Pharmacist Services Act. This legislation would allow pharmacists to perform Evaluation and Management services for influenza, COVID-19, respiratory syncytial virus (RSV), or streptococcal pharyngitis (strep throat).  

In a letter developed by the American Medical Association (AMA), ASCP joined almost 80 other medical societies in raising concerns with Congressional leaders that evaluation and management services “constitute the practice of medicine and fall well beyond the scope of training of a pharmacist.”  Another concern is that the legislation would allow the U.S. Department of Health and Human Services to authorize pharmacists to conduct testing and treatment for any services that “address[es] a public health need related to [a] public health emergency declared under Section 319 of the Public Health Service Act.” The legislation, the letter warned, puts patient safety at risk.  

 

 

Where Lab Science Leads: ASCP’s New Career Resource and National Outreach

August 21, 2025

  • ASCP unveils new career resource highlighting the laboratory profession 
  • ASCP promotes laboratory profession at American School Counselor Association convention 

In alignment with its ongoing mission to elevate and expand the medical laboratory workforce, the ASCP Workforce Steering Committee (WSC), in collaboration with the ASCP Board of Certification (BOC), has launched a new career resource titled: “Where Can Medical Laboratory Science Take You?”  

This engaging tool offers a comprehensive look at the diverse range of career settings available to medical laboratory professionals, from hospitals and public health agencies to research institutions, biotech, industry, and academia. Designed to complement existing and updated outreach tools, such as ASCP’s Laboratory Career Roadmap and Laboratory Career one-pagers, this resource can help students, educators, and counselors visualize real-world applications of laboratory science and understand the versatility and long-term value of careers in the field. This new tool has been shared with ASCP’s network of Ambassadors to increase their ability to inform and inspire the next generation of laboratorians across all engagement settings. 

ASCP also recently participated in the 2025 American School Counselor Association (ASCA) Annual Conference in Long Beach, California, which drew more than 4,700 attendees. In collaboration with Commission on Laboratory Accreditation (COLA), the American Society for Microbiology (ASM), and ASCP Career Ambassadors, the team engaged with nearly 400 school counselors and education professionals, using a robust suite of resources to promote careers in medical laboratory science. Materials such as the Laboratory Career Roadmap, Where Can Medical Laboratory Science Take You?,  Save Lives Tomorrow (stories from Patient Champions), Dr. Alvin Ring Empowerment Scholarship information, and Lab Drawers™ classroom kits served as key touchpoints in these conversations. Through informative discussions, ASCP and its partners effectively showcased the depth, purpose, and accessibility of laboratory careers, positioning the profession as a vital and inspiring pathway for students nationwide. 

Senate Appropriations Committee Restores NIH, CDC Funding

August 21, 2025

  • The powerful Senate Appropriations Committee approved a bill maintaining FY 2025 funding for NIH and some CDC global health programs 

  • The spending blueprint reverses plans to eliminate HRSA and CDC Cancer Center 
  • Planned cuts to some global programs at NIH and CDC would also be reversed. 

In a solid bipartisan vote of 29-3, the Senate Appropriations Committee recently approved its FY 2026 spending bill for the U.S. Departments of Labor, Health and Humans Services, and Education. In doing so, the spending committee proposed restoring funding to critical healthcare agencies and programs that had been targeted for significant cuts. Included among them are the Centers for Disease Control and Prevention (CDC)’s Division for Cancer Prevention and Control (DCPC) and the Health Resource and Services Administration (HRSA), responsible for most federal workforce development initiatives. Both the DCPC and HRSA were targeted for elimination in President Trump’s budget proposal.

The spending blueprint would increase funding for the National Institutes of Health’s (NIH’s) budget by $400 million, increasing funding to $48.7 billion. The Trump administration had proposed cutting NIH funding by $18 billion, approximately 40 percent less than for the current fiscal year. The Committee also voted to reverse the administration’s proposal to cap indirect research grant costs at 15 percent, a move that, if included in the final bill, should alleviate some of the financial pressure on medical schools, universities, and other research centers. 

The Committee’s spending draft would also restore some of the global health funding the Trump Administration has proposed cutting from the federal budget. While most global health programs are funded through a separate spending bill for the State Department, the measure recently approved includes funds for the Centers for Disease Control and Prevention’s (CDC’s) global health programs and the National Institutes of Health’s global health research initiatives. The Committee’s bill would provide $693 million to CDC and $95 million for NIH for these initiatives—the same amounts as provided for FY 2025. The Senate bill rejects the administration’s plan to eliminate CDC’s Global Health Center. 

The U.S. House of Representatives is expected to begin work on their appropriations bills in September.  ASCP will be monitoring Congress’s FY 2026 spending bills and be will be working to ensure vital healthcare programs are adequately funded.

Discover the Behind-the-Scenes Work that Contributes to ASCP Awards Selection

July 17, 2025

Anyone who has ever received an award from ASCP is keenly aware of how meaningful it is to be recognized by one’s peers. Yet few know about the enormous amount of time, care, and attention that goes into the selection process.  

Anne Walsh-Feeks, MS, MASCP, PA(ASCP)CM, and Stephanie Whitehead, MBA, MPH, MLS(ASCP)CM, both past honorees and current chairs, respectively, of the ASCP Annual Awards and ASCP 40 Under Forty selection committees, share a glimpse into the process.   

“Receiving an award is a career-defining moment. I was so incredibly honored, some years ago, to receive an Annual Award for Excellence in Management and a Mastership,” says Ms. Walsh-Feeks, now in her third year as chair of the ASCP Annual Awards Selection Committee.   

Her goal is to encourage more people to apply for the awards and to appreciate the impact they can have on an honoree’s career. She notes some honorees say they feel awkward asking a mentor to nominate them for an award. After some discussion, her committee successfully sought permission from ASCP’s leaders to allow individuals to nominate themselves for an award.  

“This option allows individuals to nominate themselves. They have to include a CV and a letter of nomination from another individual. We began that last year, and the number of submissions rose dramatically,” Ms. Walsh-Feeks says. 

To boost awareness that self-nomination is now an option, she promoted the concept at the spring ASCP Leadership Forum, a gathering of ASCP volunteer leaders and senior staff. 

“During breakout sessions, I met with each of the commissions, membership, residents, education, and I talked in depth about the self-nomination process,” she explains. “I also invited the chairs of each of the ASCP commissions to join the award selection committee in order to increase representation of the different constituent groups. It definitely made a difference!”    

Her counterpart, Ms. Whitehead, feels similarly about the value of the 40 Under Forty recognition program. Ms. Whitehead notes that “ASCP goes out of its way” to ensure that the honorees’ employers know of an individuals’ recognition, which is deeply meaningful to the honoree.   

“As a person who has received the 40 Under Forty recognition, I know that it shines a spotlight on the next generation of changemakers in the field,” she says, adding, “It actually strengthened my career.” 

Ms. Whitehead assumed the position as chair of the 40 Under Forty Selection Committee this year, after completing her term as chair of the Council of Laboratory Professionals.   

“Our committee has a rubric that is as concise, equitable, and objective as possible,” she explains. “There is a strong commitment to ensuring inclusion and representation of professionals from academia, rural, and urban environments, and all the various specialties and subspecialties within pathology and laboratory medicine. Representation of all our members from across the spectrum matters. We hope to ensure our future generation of laboratory professionals can see themselves represented in this group of honorees.”   

From a practical standpoint, both women are aware of the time constraints of reading all of the nominations. They are both very deliberate in taking only a handful of nominations to read per day. They encourage their fellow committee members to do the same.  

After narrowing down the initial lists, robust discussion becomes part of the decision-making process. The important thing for all nominees to know is that, if they are not selected one year, they can certainly apply again the following year. Ms. Walsh-Feeks’ committee retains the applications of individuals who were not selected and they will be automatically considered for selection next year.   

Learn more about the ASCP Annual Awards here, and the ASCP 40 Under Forty recognition program here. 

ASCP Joins Global Effort to Make Patient Navigation a Standard of Cancer Care

July 17, 2025

ASCP has joined more than 50 cancer organizations from 25 countries as a member of the Global Alliance for Cancer Patient Navigation (the Alliance), a collaborative effort spearheaded by the American Cancer Society (ACS) to advance sustainable patient navigation worldwide. Its mission is to develop a unified framework and shared principles for implementing sustainable, evidence-based patient navigation models across all resource settings.  

“ASCP is honored to join the Alliance as a Steering Committee member to ensure that laboratory medicine is represented in this global dialogue,” says Ken Landgraf, MS, Executive Director of ASCP’s Center for Global Health. “Accurate, timely pathology is foundational to patient navigation, and our voice is essential as these frameworks take shape.”  

Patient navigation goes global 

Patient navigation refers to a patient-centered approach to guiding individuals through the often complex journey of cancer diagnosis, treatment, and survivorship. While the concept has been embraced for years in the United States, there is growing momentum to make navigation a standard of care across health systems worldwide. Navigators help patients overcome barriers, such as lack of transportation, language obstacles, or confusion about treatment regimens. 

Recognizing the global rise in cancer incidence, particularly in medically underserved areas, the Alliance seeks to build adaptable navigation models that can be applied in a variety of health systems, from highly resourced to more limited environments. 

“ASCP has played a key role in patient navigation for a long time. It also understands the environment of working in other countries, as well as with policymakers,” said Anu Agrawal, MD, ACS’s Vice President of Global Cancer Support.  

ASCP’s contributions: Global experience, local insight 

ASCP brings more than two decades of global health experience to the Alliance, having worked extensively in Sub-Saharan Africa and other regions to strengthen diagnostics and care coordination through the President’s Emergency Plan for AIDS Relief program. Through its leadership in the Coalition for Implementation Research in Global Oncology (CIRGO), ASCP has provided grant funding to researchers from several low- and lower-middle income countries (LMICs) to research approaches to patient navigation. These have included: 

  • In Côte d’Ivoire, a CIRGO-funded project connected clinicians and patient advocates to oncologists via WhatsApp to improve coordination and communication. 

  • In Malawi, a mobile “friendship intervention” provided peer support for women with cervical cancer and depression. 

  • In multiple countries, ASCP has supported applications of the Project ECHO model to improve early diagnosis of cancer and link local providers to specialist expertise. 

This on-the-ground knowledge gives ASCP a practical and policy-relevant lens as it works with fellow Alliance members to shape scalable and sustainable solutions.  

Looking ahead: A global call to action 

The Alliance was officially launched in February to coincide with World Cancer Day, and the Steering Committee held its first meeting in June.  

“One of our first goals is to develop a Call to Action to create awareness around patient navigation,” Dr. Agrawal says. “We are additionally planning to analyze national cancer control plans (NCCPs) as to their current inclusion of patient navigation as a baseline step.”  

Dr. Agrawal says he is very pleased with all the positive energy among the participants thus far.  

“The Alliance’s goal is to amplify diverse voices and identify best practices to make patient navigation a global standard of care,” says Mr. Landgraf. “ASCP is proud to represent the laboratory and pathology community in that effort.” 

 

 

New Laboratory Recruitment Guidebook Offers Recipe for Success for ASCP Ambassadors

July 17, 2025

ASCP Ambassadors have a new tool to use when they go to schools and career fairs to promote medical laboratory careers: the Laboratory Recruitment Guidebook, developed by Lauren Schiefelbein, MLS(ASCP)CM , under the auspices of the ASCP Workforce Steering Committee.  

The guidebook came about after Ms. Schiefelbein spoke about recruitment during a virtual panel presentation at the 2024 Road to Chicago in August. She was approached by ASCP staff, who asked if she would create a guidebook with directions on how to create the materials she uses for her presentations to elementary, high school, and college students about careers in the medical laboratory.  

“I make craft projects relating to the laboratory and that is what my presentation was about,” says Ms. Schiefelbein, education coordinator at the University of Nebraska Medical Center, in Omaha. “I do the recruitment for our Medical Laboratory Science program. My position is unique, and I create the materials I use in my presentations.” 

For younger audiences, for example, she paints two-inch plastic balls in different colors, so they look like cells with a nucleus. For college students, she presents a specific science experiment or gives a lecture. The majority of her presentations are for high schools.  

The guidebook is divided into four big laboratory topics: hematology, immunohematology, chemistry, and microbiology. Each section has a selection of activities that lists the materials needed to present a topic, the cost of the materials, and instructions on how to construct it. 

“It’s like a cookbook,” she says, proudly. “It is humbling that people are interested in this and none of the materials are difficult to make. I am excited to share this with others who want to promote laboratory careers to the next generation!”  

ASCP Roundtables Help Pathologists Hone their Skills

July 17, 2025

The next ASCP Pathologist Council Roundtable will be held on September 25 and will focus on the topic, Navigating Your Career. It is designed for pathologists who are relatively new in practice.  

Pathologist Council Member Aadil Ahmed, MD, FASCP, will serve as a panelist for the upcoming Roundtable. “One tip I will share with listeners is to be confident of their diagnosis,” he explains. “They cannot expect to know everything there is to learn, but it is important to be confident. They should also be aware of what they don’t know and be comfortable asking a mentor for advice.”  

Having a mentor is important not just to answer day to day questions that arise, but also to help younger pathologists as they navigate their career development, he adds. 

Dr. Ahmed also moderated the Pathologist Council Roundtable in June titled, Effective Communication and Legal Challenges in Pathology. It featured ASCP Immediate Past President Robert A. Goulart, MD, MASCP, professor of Pathology, and director of the Cytopathology Service and Cytopathology Fellowship Program at the University of Massachusetts Memorial Health and the University of Massachusetts Chan Medical School; Jon H. Ritter, MD, professor of Pathology and Immunology at Washington University in St. Louis, Missouri; and attorney Mary J. Street, a partner in Wicker Smith’s Miami, Florida, office whose practice largely focuses on medical malpractice litigation.   

“The June Roundtable was really designed to support pathologists who are new in practice,” Dr. Ahmed explains. “The discussion centered on how to optimize their pathology reporting and make sure their diagnosis is as precise as possible for the benefit of clinicians and patients.” 

He adds, “In some instances, the diagnosis may be not as clear, and it is 

important to proactively reach out to clinicians in discussing the impact of 

such diagnosis. Pathologists play an important role as part of the care team, and we need to take the lead and make our voices heard. A clear and timely communication also helps avoid any future malpractice scenarios.”  

Don’t miss the September 25 Pathologist Council Roundtable and learn to make your voice heard!  Watch your emails for upcoming invitations to the Roundtable.  

ASCP’s Member Roundtables, established in 2023, offer engaging discussions on hot topics that are led by panelists who are leaders in their fields. The Member Roundtables are free, but registration is required. They are a member benefit and are open to ASCP members only. 

Meet the ASCP 2025 Faculty Whose Insights Will Spark Discussion, Collaboration, and Innovation

July 16, 2025

The ASCP 2025 Annual Meeting is only four months away, Nov. 17-20 in Atlanta, GA. Renowned for its distinguished faculty, whose knowledge and expertise help prepare pathologists and clinical laboratory professionals to make a significant impact on patient care, the ASCP 2025 Annual Meeting is your chance to elevate your knowledge for better patient care.  

Here is a preview of some key presentations and their faculty.   

Laboratory-Developed Tests (LDTs)—Future Directions and Lessons Learned 

With the recent federal court ruling vacating the Food and Drug Administration’s (FDA) LDT Final Rule, many in the laboratory community wonder what is next. 

Presenters Jonathan R. Genzen, MD, PhD, MBA, and Michelle Campbell, MS, MLS(ASCP)CMMBCMSCCM, will reflect on recent events and what the laboratory community has learned from its experiences in preparing for the now-vacated FDA LDT Final Rule.  What are the lessons learned and best practices as the laboratory community prepares to move forward? How can laboratories better prepare for future regulatory oversight frameworks? 

Dr. Genzen is the chief medical officer and senior director of government affairs at ARUP Laboratories, and professor of pathology at the University of Utah, and Ms. Campbell is the senior developer for the Translational Research, Innovation and Test Development Office at Mayo Clinic, and adjunct assistant professor at the University of North Carolina at Chapel Hill.  

Emerging and Reemerging Pathogens: An Update  

Rodney Rohde, PhD, MS, SM(ASCP)CMSVCMMBCM, will focus on current and evolving threats in infectious diseases, including pathogens, such as SARS-CoV-2, mpox, pertussis, and antimicrobial-resistant organisms. He will also highlight global trends, diagnostic innovations, and the implications of public health challenges such as vaccine hesitancy and misinformation. 

This session is intended for medical laboratory scientists, pathologists, infectious disease specialists, and public health professionals, essentially anyone working at the intersection of diagnostics and disease prevention. His goal is to equip attendees with practical knowledge and a broader understanding of how these pathogens are reshaping our workflows, biosafety protocols, and the role of the laboratory in early detection and response. 

“It’s a timely topic, and I aim to both inform and empower laboratory professionals as frontline defenders in global and community health,” says Dr. Rohde, associate director for the Translational Health Research Initiative at Texas State University, in San Marcos, TX, where he is also the College of Health Professions chair and Distinguished Regents' Professor of Clinical Laboratory Science. 

Cancer Biomarker Testing Navigation: Bridging Gaps to Achieve Optimal Patient Outcomes 

This session focuses on a novel new Biomarker Testing Navigation (BTN) role and ASCP's online certificate program for cancer biomarker navigation. The expert panel, which includes Lynnette Pineault, MBA, SCT(ASCP), manager of Laboratory Operations and Genetic Counseling Services HealthPartners – Regions Hospital in St. Paul, MN, will highlight how biomarker navigation can enhance laboratory workflows to ensure patients get timely access to life-saving targeted therapies. The session is intended for individuals who currently work in this space—laboratory professionals, pathologists, leaders and support staff—who are eager to optimize cancer biomarker testing.   

“This topic is incredibly relevant today, as we navigate the rapid acceleration of precision medicine in cancer diagnosis and treatment,” Ms. Pineault says. “As the complexity of cancer biomarker testing increases, critical workflow gaps often emerge that can delay patient care. Biomarker navigation directly addresses these challenges, improving test turnaround, reducing errors, and ensuring patients receive personalized treatments quickly. It's a proactive solution to a pressing need in modern pathology.”   

The panel comprises members of the current BTN Project Advisory Committee, which Ms. Pineault chairs. “We'll unveil the rationale and innovative design of the BTN role, share compelling real-world success stories from our own experiences, and provide practical insights into how BTNs improve coordination and diagnostic stewardship.” Ms. Pineault says.    

The group will also introduce ASCP’s new virtual certificate program, Mastering Cancer Biomarker Testing Navigation.   

Why ASCP 2025 is the premier annual meeting 

The ASCP Annual Meeting stands out because of its unique integration of laboratory medicine, pathology, and public health, creating a truly interdisciplinary environment. It brings together not just scientists and clinicians, but also educators, policymakers, and innovators who are shaping the future of diagnostics and laboratory science. 

“What I find especially compelling is ASCP’s deep commitment to both cutting-edge science and professional advocacy,” Dr. Rohde says. “The meeting doesn’t just focus on technical advances—it also highlights workforce development, health equity, global health, and the critical role of medical laboratory professionals in patient care.” 

Unlike many other meetings, ASCP creates space for strategic conversations that bridge clinical practice with real-world implementation. Whether it’s antimicrobial resistance, diagnostic stewardship, or mentoring the next generation of laboratory professionals, ASCP is future-facing in a very actionable way. 

Additionally, the energy and engagement of the attendees—particularly students and early-career professionals—is exceptional. It’s a community that values both legacy and innovation. 

“Every year, I leave the meeting reenergized and proud to be part of this profession.” Dr. Rohde says. “It feels like a family reunion each and every time I’m working with ASCP and the outstanding experts and passionate laboratory professionals that compose the organization!” 

Learn more and register here.  

CMS Outlines Major Changes in How it Will Pay for Physician Services

July 16, 2025

On July 14, the Centers for Medicare and Medicaid Services (CMS) released its Physician Fee Schedule (PFS) Proposed Rule for CY 2026. The proposed PFS, the first released under new U.S. Health and Human Services Secretary Robert F. Kennedy, Jr., outlines major changes in the methodology used by CMS to reimburse physicians for their services. In addition, CMS is proposing the creation of a new MIPS Value Pathway for pathology. The proposal includes a modest increase in payment rates.  

CMS proposes to make several significant changes to its payment methodology for physician services, including:   

  • Reducing the PFS work relative value units via a new efficiency adjustment based on the cost of the Medicare Economic Index 

  • Increasing indirect practice expense costs for practitioners in office-based settings 

  • Utilizing the Medicare Outpatient Prospective Payment System to set relative rates and inform cost assumptions for some technical services.  

These changes will likely reduce the Medicare Relative Value Units used to calculate some physician payment rates.   

As required by the Medicare Access and CHIP Reauthorization Act (MACRA), CMS is proposing two conversion factors, the multiplier used to adjust payment rates each year. Physicians who are qualifying participants (QPs) in advanced alternative payment models will receive a slightly higher conversion factor update of 0.75 percent, and hence a bigger increase in payment rates. Physicians who are not QPs will receive an update of 0.25 percent.  The CY 2026 conversion factor also includes the 2.5 percent update just approved by Congress (see July ePolicy article, “President Signs Massive Tax and Budget Bill”) and an estimated +0.55 percent adjustment necessary to account for proposed changes in work RVUs for certain services. As a result, the total conversion factor increases 3.83 percent for QPs and 3.62 percent for non-QPs.  

The proposed rule’s impact table, which provides a specialty-specific breakdown of the impacts on each specialty’s overall payments, projects that overall payments for pathologists will decline approximately 2 percent; however, CMS has made site of service data available indicating that overall payments will decline by 3 percent in facilities such as hospitals, and 2 percent in non-facilities, such as physician’s offices. Independent laboratories fared similarly, with a 3 percent reduction in overall payments, almost all of which CMS indicates is provided in non-facility settings. Depending on the services performed, pathologists may see a slight increase in overall payments of approximately 1percent.  

Efficiency Adjustment: CMS is proposing to adopt a newly proposed “efficiency adjustment” as part of the PFS update process. CMS states in the rule that it has frequently relied on AMA Relative Value Scale Update Committee (AMA RUC) survey data to estimate practitioner time, work intensity, and practice expense, which are often reflected in the valuation of codes paid under the PFS. CMS maintains that AMA’s surveys have low response rates and that providers may have inherent conflicts of interest in responding (since their responses are used in setting their payment rates). As a result, the agency is proposing to reduce work relative value units equal to the sum of the past five years of the Medicare Economic Index (MEI) productivity adjustment. For CY 2026, this number would be 2.5 percent. In addition, CMS is proposing to make corresponding changes to the intraservice physician time for codes describing non-time-based services. According to the proposed rule, CMS is proposing to apply this to pathology, radiology, and surgical specialties; overall the impact on these specialties will be about -1 percent. The efficiency update would be applied every three years under CMS’s proposal.  

Practice Expenses: In addition, CMS is proposing, for the same reason as the efficiency adjustment, a series of changes to how it calculates PFS Practice Expense costs. The Agency is proposing to reject the practice expense data or cost shares from the AMA’s most recent PPI and Clinician Practice Information (CPI) Survey data. Instead, CMS has “modeled estimated payment impacts of the data’s implementation,” which it has included in the proposed rule for public comment and consideration for future rulemaking.   

In addition, CMS is proposing significant updates to its PE methodology. It is proposing to recognize greater indirect costs for practitioners in office-based settings compared to facility settings. CMS is also proposing to utilize data from “auditable, routinely updated hospital data (i.e., from the Medicare Outpatient Prospective Payment System to set relative rates and inform [its] costs assumptions for some technical services paid under PFS.” For CY 2026, CMS is proposing to start by using this data in setting rates for radiation treatment services, and for some remote monitoring services.   

MIPS Value Pathways: CMS is proposing to adopt a new Merit-based Incentive Payment System (MIPS) Value Pathways (MVP) for pathology. The new pathway includes measures for quality, performance improvement and cost.  

Quality: The Quality category utilizes existing MIPS Quality and Qualified Clinical Data Registry measures to create this part of the pathology MVP pathway.   

The quality measures are as follows:   

  • Q249: Barretts Esophagus 

  • Q250: Radical Prostatectomy Pathology Reporting 

  • Q395: Lung Cancer Reporting (Biopsy/Cytology Specimens) 

  • Q396: Lung Cancer Reporting (Resection Specimens) 

  • Q397: Melanoma Reporting 

  • Q440: Skin Cancer: Biopsy Reporting Time – Pathologist to Clinician 

  • Q491: Mismatch Repair (MMR) or Microsatellite Instability (MSI) Biomarker Testing Status 

  • CAP30: Urinary Bladder Cancer: Complete Analysis and Timely Reporting 

  • CAP34: Molecular Assessment: Biomarkers in Non-Small Cell Lung Cancer 

  • CAP40: Squamous Cell Skin Cancer: Complete Reporting 

  • QMM21: Incorporating results of concurrent studies into Final Reports for Bone Marrow Aspirate of patients with Leukemia, Myelodysplastic syndrome, or Chronic Anemia 

  • QMM25: Use of Structured Reporting for Urine Cytology Specimens 

  • QMM29: Use of Appropriate Classification System for Lymphoma Specimen 

  • QMM30: Appropriate Use of Bethesda System for Reporting Thyroid Cytopathology on Fine Needle Aspirations (FNA) of Thyroid Nodule(s).  

Performance Improvement: For this category, CMS is proposing including 13 improvement activities that reflect actions and processes undertaken by clinicians who specialize in pathology, as well as activities that promote advancing health and wellness, patient engagement and patient-centeredness, shared decision making, and care coordination. These measures are as follows:  

  • IA_BE_6: Regularly Assess Patient Experience of Care and Follow Up on Findings  

  • IA_BE_15: Engagement of Patients, Family, and Caregivers in Developing a Plan of Care  

  • IA_BE_X: Promote Use of Patient-Reported Outcome Tools  

  • IA_BMH_12: Promoting Clinician Well-Being  

  • IA_CC_9: Implementation of practices/processes for developing regular individual care plans  

  • IA_CC_12: Care coordination agreements that promote improvements in patient tracking across settings  

  • IA_CC_19: Tracking of clinician’s relationship to and responsibility for a patient by reporting MACRA patient relationship codes  

  • IA_MVP: Practice-Wide Quality Improvement in MIPS Value Pathways  

  • IA_PSPA_1: Participation in an AHRQ-listed patient safety organization  

  • IA_PSPA_2: Participation in MOC Part IV  

  • IA_PSPA_12: Participation in private payer CPIA  

  • IA_PSPA_13: Participation in Joint Commission Evaluation Initiative  

  • IA_ PSPA_X: Adopt Certified Health Information Technology for Security Tags for Electronic Health Record Data  

Cost Measures: CMS has proposed to include one MIPS cost measure within the cost performance category of this MVP:  

  • MSPB_1: Medicare Spending Per Beneficiary (MSPB) Clinician (This MIPS cost measure applies to clinicians providing pathology care in inpatient hospitals).  

In addition, CMS proposed to maintain the threshold to avoid a MIPS penalty of up to 9 percent at 75 points for the CY 2026 performance year/2028 MIPS payment year and through the CY 2028 performance year/2030 MIPS payment year.   

ASCP is still in the process of reviewing the nearly 2,000-page regulation and will soon begin the process of developing a formal response to the agency’s proposals. ASCP will be reaching out to its advocacy partners on the rule, such as the American Medical Association and various pathology and clinical laboratory organizations with the hope of developing a coordinated, more impactful response to the Agency.   

To access the Medicare Payment Advisory Commission’s “basics” on the three Medicare fee schedules mentioned in this article, see below:  

  • Physician Fee Schedule (click here

  • Clinical Laboratory Fee Schedule (click here

  • Outpatient Prospective Payment System (click here

 

ePolicy News—July 2025

July 14, 2025

Supreme Court Decision on USPSTF Produces Uncertainty 

The Supreme Court upheld the constitutionality of the Affordable Care Act’s preventive services mandate and the U.S. Preventive Services Task Force (USPSTF) appointments, securing continued access to preventive care for patients. However, the ruling also gave the HHS Secretary the authority to remove USPSTF members and reject their recommendations, raising concerns about political interference and the Task Force’s scientific independence. ASCP and partner organizations are now evaluating the ruling’s implications for future preventive service recommendations and access. Read more. 

 

President Signs Massive Tax and Budget Bill 

President Trump’s One, Big Beautiful Bill Act (OBBB) has been signed into law, bringing sweeping changes to healthcare, student financial aid, and artificial intelligence policy. While the bill includes positive provisions like a Medicare Physician Fee Schedule increase and expanded 529 fund usage for credentialing programs, it also introduces concerning cuts to Medicaid, CHIP, and federal student loan programs, potentially impacting healthcare workforce development. ASCP and other medical societies have raised alarms about the bill’s potential to worsen healthcare access, student debt burdens, and physician shortages. Read more.  

 

State of Science Address Calls for Radical Reform of STEM in the U.S. 

In her State of Science address, National Academy of Sciences President Marcia McNutt warned that the U.S. is losing ground in global scientific leadership due to declining STEM investment, outdated policies, and regulatory burdens. She and fellow panelists called for major reforms, including streamlined regulations, modernized funding, and education initiatives to restore American competitiveness. ASCP supports these efforts through advocacy, workforce outreach, and its Institute for Science, Technology and Policy, promoting evidence-based policy and advancing laboratory medicine as a pillar of U.S. scientific leadership. Read more. 

 

CMS Outlines Major Changes in How it Will Pay for Physician Services 

CMS released the CY 2026 Physician Fee Schedule (PFS) Proposed Rule, introducing major changes to how physicians are reimbursed. Key proposals include adjusting work relative value units using a new efficiency metric, not updating practice expense data per the AMA survey, and revising reimbursement assumptions using outpatient payment systems. These changes are projected to reduce overall payments for pathologists by 2 to 3 percent. Read more.

 

 

ASCP’s Leading Laboratories Recognition Program is Now Open to More Laboratories! 

ASCP’s Leading Laboratories recognition program has expanded to include all hospital-based accredited laboratories in the U.S., beyond just those accredited by The Joint Commission. The program celebrates laboratories for leadership, mentorship, innovation, and their essential role in improving patient care, while also supporting recruitment and investment through public recognition of excellence. ASCP aims to raise awareness of the laboratory community and promote diagnostic excellence by offering more labs the opportunity to showcase their achievements and commitment to quality. Read more.  

 

ASCP Voices Concern Over Disbanding of ACIP 

On June 9, 2025, HHS Secretary Robert F. Kennedy Jr. dismissed all 17 members of the Advisory Committee on Immunization Practices (ACIP), raising serious concerns among health organizations, including ASCP, about the spread of misinformation and damage to public trust in vaccine science. The decision comes amid rising cases of preventable diseases and the appointment of some new committee members who lack relevant expertise or hold vaccine-skeptical views, risking a loss of scientific rigor and institutional memory. In response, ASCP joined a coalition of medical organizations in supporting an emergency AMA resolution demanding the reversal of the dismissals and a Senate investigation, underscoring its leadership in advocating for evidence-based vaccine policy. Read more.  

 

Launching the Future of Laboratory Science: ASCP Campaign Targets Next-Gen Talent 

ASCP and the Medical and Public Health Laboratory Workforce Coalition launched a national campaign to promote medical laboratory careers to students, educators, and counselors through email, social media, and educator publications. Centered around the message “Save Lives with Science,” the campaign aims to address critical lab staffing shortages by raising awareness of career pathways in laboratory medicine. Read more.  

 

Ring Scholarship Expands Access Through Varied Outreach 

ASCP recently closed the second year of applications for the Dr. Alvin Ring Empowerment Scholarship, which supports students from medically underserved or rural areas pursuing education in medical laboratory sciences. This year ASCP implemented targeted outreach strategies—such as engaging with science teachers, school counselors, and promoting the scholarship on public websites—which led to a 55% increase in eligible applications and 10 submissions from high school students. Read more.  

Addressing Workforce Challenges: ASCP at the 2025 CMSS Workforce Summit 

ASCP joined more than 20 medical societies at the 2025 CMSS workforce summit to address physician workforce challenges, including rural shortages, healthcare consolidation, and reliance on international medical graduates. ASCP reaffirmed its commitment to strengthening the pathology workforce through data-driven advocacy and career pathway development, led by the Institute for Science, Technology, and Policy. Read more.  

Empowering New Lab Staff with Foundational Skills 

ASCP has launched a free eLearning series, “Basic Medical Laboratory Skills,” offering beginner-friendly, CMLE-accredited courses on foundational laboratory topics such as safety, terminology, math, equipment, procedures, and quality control. Designed by ASCP experts to support lab directors and new team members, the series helps ease the burden of on-the-job training and provides practical, case-based learning for those entering or refreshing their knowledge in medical laboratory work. Read more.  

 

 

 

State of Science Address Calls for Radical Reform of STEM in the U.S.

July 14, 2025

On June 3, National Academy of Sciences President Marcia McNutt, PhD, delivered the second annual State of Science address, calling attention to the urgent need for reform in U.S. science and technology policy. Amid historic declines in federal STEM investment, international talent inflow and researcher support, Dr. McNutt emphasized that the U.S. is falling behind in global scientific leadership. Key challenges included excessive regulatory compliance standards, outdated funding processes, and the lack of a cohesive national research strategy. Panelists echoed the need for change, calling for pro-innovation policy, education reform and cultural shifts to restore American competitiveness and inspire the next generation of U.S. scientists.  

ASCP remains a strong advocate for evidence-based policy that supports laboratory professionals and patients. From defending quality patient care from excessive regulatory costs and burdens to championing educational workforce outreach, ASCP is leading efforts to support the pathology and laboratory medicine community and promote diagnostic excellence (click here to see ASCP’s 2025-2026 Public Policy Priorities). Through its Institute for Science, Technology and Policy (ISTP), ASCP will continue driving research-informed policy that ensures U.S. laboratory medicine remains a cornerstone of global scientific leadership. 

View the full State of the Science address here and explore ASCP's current policy and advocacy efforts here.  


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