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 informatics@cap.org.

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