Exploring the pathologists' assistant educational landscape in North America

Pathologists' assistants are physician extenders who play a critical role in anatomic pathology, specializing in surgical and autopsy pathology. Under the supervision of licensed pathologists, they primarily perform the macroscopic examination and dissection of surgical specimens to prepare tissues for microscopic analysis. They also take on responsibilities in autopsy, education, quality assurance, and laboratory management. They optimize pathology services by enhancing efficiency, reducing costs, and supporting the diagnostic process. Their role has grown to include significant contributions to academic and clinical settings. This study explores the educational landscape of pathologists' assistant programs in North America, with a focus on Canadian institutions, detailing the evolution of accredited training programs and certification processes. Currently, 16 National Accrediting Agency for Clinical Laboratory Sciences-accredited programs exist across North America. Through a program review, we found variations in class sizes, admission requirements, and tuition across North American programs. Despite differences, all programs boast high graduation, employment and certification rates, reflecting the growing demand for pathologists' assistants in pathology. Although the pathologists' assistant profession has grown significantly since its inception, many are still unaware of it. This review aims to serve as a comprehensive resource for prospective students who wish to learn more about the profession and its educational programs.