Objective:

To advocate for the licensure of pathologists’ assistants (PAs) to ensure standardized training, accountability in gross examination, and enhanced patient safety within anatomic pathology.

Key Findings:

• Errors in grossing can lead to misdiagnoses and unnecessary procedures, placing pathologists at legal risk due to accountability for grossing errors.
• Licensure does not expand PA scope of practice but ensures accountability and standardized qualifications.
• The demand for PAs remains strong, with an increase in accredited programs and graduates, stabilizing the workforce.

Interpretation:

Licensure of PAs is essential for enhancing the quality and safety of pathology services, aligning with broader healthcare regulatory standards.

Limitations:

• Concerns about hiring limitations have not been substantiated in states with PA licensure, and evidence suggests that licensure has not negatively impacted employment opportunities.

Conclusion:

Licensure is a necessary evolution for the PA profession, ensuring reliable and safe handling of specimens, ultimately benefiting patients and pathologists alike by enhancing accountability and safety.