Besides helping to elevate your knowledge of emerging science across the entire practice of pathology, CAP18 is a great way to gain practical ideas that will improve the day-to-day management of your practice.

  • “This meeting not only delivers top-notch education but covers diagnostics, management, and leadership—that is unique to the CAP’s annual meeting.”

    Jennifer L. Hunt, MD, FCAP

A sample of what you can learn:

M1821 The Real-time Anatomic Pathology Diagnostic Management Team Conference

Faculty: Timothy C. Allen, MD, JD, FCAP and Harpreet K. Talwar, MD


Pathologists have not traditionally discussed cases directly with patients, nor have pathologists traditionally sat with patients and examined the patients’ cases. However, in today’s molecular era there is a growing need for pathologists to directly discuss with patients their diseases and explain in layperson’s terms what those diseases are and what they entail, including the need for molecular testing. The real-time anatomic pathology diagnostic management team conference is a new concept in which the pathologist joins clinical and radiologic colleagues in real time, using HIPAA compliant Skype technology, to discuss with a patient (and possibly also the patient’s family) the patient’s disease process including diagnosis, current treatment, and future management.

You will learn to:

• Recognize the importance of the real-time anatomic pathology diagnostic management team conference and the extent to which it will benefit patients and pathologists

• Describe the specific technical requirements of a successful conference

• Differentiate the roles of the conference participants

• Identify the proscribed role of the pathologist as a member of the patient’s care team consulting with the patient via the conference

S1652 Hard and Soft Boiled: How to Succeed as Laboratory Director and Not Get Cooked

Faculty: Paul Bachner, MD, FCAP and David S. Wilkinson, MD, PhD, FCAP

Effective laboratory management not only benefits the staff, but improves patient safety and patient care. However, many laboratory directors grapple with serious issues related to budget constraints as well as responding effectively to demanding clinician colleagues, according to Dr. Paul Bachner, a professor and immediate past chairman of the University of Kentucky College of Medicine’s Department of Pathology and Laboratory Medicine.


All laboratory directors should master two major areas addressed by this course. The first area involves the implementation of new programs or procedures, including acquisition of major equipment, staffing, and other resources. Faculty will use the specific example of the implementation of next-generation sequencing; but the problems and solutions they discuss will be broadly applicable to other technologies and testing platforms. The second critical area covers the handling of difficult clinicians with an emphasis on strategies designed to respond to complaints, unreasonable requests, and abusive behavior toward laboratory staff.

You will learn to:
• Prepare a proposal and a business plan for new technology
• Build clinician and institutional support for new technology
• Use simple strategies to deal with demanding or abusive clinicians
• Encourage laboratory staff to better understand and relate to demanding clinicians

S1705 Get Tweeting—A Hands-On Interactive Twitter Primer for Pathologists

Faculty: Jerad M. Gardner, MD, FCAP and Xiaoyin (Sara) Jiang, MD, FCAP


Twitter use by physicians, especially pathologists, continues to rapidly grow. Twitter provides an easy-to-use communications platform for rapid education, news, and networking that helps busy pathologists stay engaged and informed without taking up much time. Many pathologists see the benefits of joining Twitter but are unsure about how to get started. This hands-on workshop will teach you everything you need to know: how to set up an account, how to use @ and #, and how to tailor Twitter to your professional goals and needs. Faculty will briefly discuss other types of social media as well. Attendees will receive personalized one-on-one assistance from experienced Twitter users during the workshop. If you have been interested in joining Twitter but have been dragging your feet, this course is for you!

You will learn to:
• Set up, configure, and use a professional Twitter account
• Identify and avoid privacy and ethical violations while using Twitter
• Identify and implement a variety of different ways Twitter can benefit pathologists

S1614 Can You Hear Me Now? Giving and Receiving Feedback Effectively

Faculty: Sarah M. Bean, MD, FCAP and Xiaoyin (Sara) Jiang, MD, FCAP


Effective feedback is crucial to engaging team members. Feedback is personalized information based on direct observation that is crafted and delivered so receivers can use the information to achieve their best potential. In the laboratory setting, feedback (or the lack thereof) extends beyond self-improvement and ultimately impacts patient care. The ability to give and receive feedback is an integral component of the communication sub competency and informs every human interaction in our professional and personal lives. This is true of everyone, including laboratory professionals, administrative assistants, residents, fellows, and pathologists; and it is true for pathologists in all practice settings and experience levels. The practice of giving good feedback is a learned communication skill. This interactive session will use case-based learning, audience response, and demonstrations of different feedback techniques and provide take-home tips on giving and receiving feedback to demonstrate four high-yield feedback techniques and to understand a range of ways feedback is commonly received. The session will give participants take-away job aids so they can immediately apply the techniques learned in their practice setting.
You will learn to:
• Describe how to provide effective feedback
• Explain how to effectively receive feedback
• Demonstrate feedback delivery methods

S1748 Welcome to the REAL World: Crucial Survival Tips for the New Medical Director

Faculty: Gaurav Sharma, MD, FCAP and Christina M. Wojewoda, MD, FCAP

New laboratory directors are rarely prepared for regulatory and accreditation issues that face them. Even very seasoned pathologists and laboratory directors struggle to keep up with new regulatory requirements that pose high risk. Faculty will use stories of regulatory and accreditation challenges to engage the audience in a discussion on these complex issues. One speaker will focus on unexpected issues encountered in the first three to five years in practice as a laboratory director, including proficiency testing and inspection issues; the second speaker will focus on newer regulatory and accreditation issues that pose high risk, such as interlaboratory proficiency testing communication.

You will learn to:
• List regulatory issues that can adversely impact the laboratory
• Explain how the laboratory can optimize proficiency testing processes (eg, ordering, performance, reporting results, and investigation/response) to avoid accidental regulatory/compliance penalties
• Describe regulatory/compliance issues that recent graduates are not prepared to handle as a new laboratory director
• Define new regulatory/compliance trends or issues of which even experienced laboratory directors may not be aware

Learning Pavilion Presentations

Billing and Coding Basics for the New-in-Practice Pathologist

Pathologists who are new in practice are often thrown into the world of billing, learning nothing about billing in their medical training, finding themselves responsible for the accuracy of billing on all their cases with very few resources to turn to for help.
The Billing and Coding Basics for the New in Practice Pathologist workshop is intended to provide the new in practice pathologist with the basic skills necessary to ensure accurate reporting (coding) as well as foundational skills further contributing to the development of their leadership/lab management. Participants will learn the various methods of payment as well as where to find billing and coding resources. Payment methods to be reviewed include:

  • Coding
  • Fee for service (FFS)
  • Technical Component (TC)
  • Professional Component (PC)
  • Global Method
  • Part A
  • Private Insurance

How to Keep Your Practice Afloat While Reimbursement Rates Decline

A recent survey conducted by Laboratory Economics indicated 60% of laboratories will seek lower reagent prices from vendors as a result of lower reimbursement from payers. The next most commonly cited strategies included improving billing and collection efficiency (51%) and seeking lower send-out test prices from reference labs (48%).1

Pathologists attending this session will learn strategies and gain exposure to tools developed by the CAP exclusively for members that can be utilized for improving practice profitability.

Two of CAP’s Value Based Business Center Toolkits will be featured in this session:

Cost Analysis Toolkit
The Cost Analysis Toolkit assists pathologists in understaning practice cost structure with the ability to identify, analyze and control the various components driving costs. By understanding these costs a practice can create strategic initiatives to control or lower its cost structure.

Billing Assessment Toolkit
Appropriately maximizing a practice’s revenue calls for a comprehensive strategy to manage billing and collection operations. The Billing Assessment Toolkit is designed to help members and their staff navigate the complex processes involved in billing and collections, commonly referred to as the revenue cycle.

1. Labs Bracing for Private-Payer Cuts; Laboratory Economics, Volume 13, No. 2 February 2018

Ask the Experts—Improving Patient Care with the Updated HER2 Testing in Breast Cancer Guideline

Get the answers to your questions about the interpretation criteria, diagnostic categories, and rationale for changes in the Updated HER2 Testing in Breast Cancer Guideline, jointly published by the American Society of Clinical Oncology (ASCO) and the CAP, from renowned speaker and co-chair, M. Elizabeth H. Hammond, MD, FCAP.

This session will address the less common patterns observed when performing dual-probe ISH testing for breast cancer and the optimal algorithm for the diagnostic approach.

Dr. Hammond will review the definition for the IHC 2+ (equivocal) and explain the classification of ISH groups 2-4. She’ll present challenging case dilemmas with their optimal solutions to improve your ability to identify candidates for HER2 targeted therapy. Leave the session equipped with confidence to tackle even the most nuanced of test results.

The CAP is committed to keeping these guidelines as living documents that continually adapt to new evidence to improve patient outcomes, whether it is through improved accuracy in laboratory testing or improved communication among health care providers and patients.

Learn more about other practice tool CME/SAM opportunities.