College of American Pathologists

  Processing-Grossing Personnel
  Requirement Modification That
  May Impact Lab Staffing


Posted April 9, 2010

Attention Anatomic Pathology Laboratories:

In preparation for the release of the 2010 CAP Checklist Edition in June of this year, CAP is notifying all accredited anatomic pathology laboratories of a revised checklist requirement that may have an impact on your laboratory’s staffing.

The revisions will require that all non-pathologist individuals who perform macroscopic tissue examinations must meet the personnel requirements for high complexity testing in accordance with CLIA.

Previously, the Anatomic Pathology checklist differentiated two levels of macroscopic examination, “processing” and “grossing.” In this context, “processing” means macroscopic examination of small specimens not requiring knowledge of anatomy, which are entirely submitted for microscopic examination, while “grossing” means macroscopic examination of more complex specimens. Unlike individuals who performed grossing, individuals who performed “processing” were not required to be qualified as high complexity testing personnel. In the 2010 checklist edition, the concept of macroscopic tissue “processing” will no longer be recognized. All macroscopic tissue examinations will be considered to be “grossing.”

Therefore, any individual who performs macroscopic tissue examinations must be a pathologist, pathology resident, or an individual qualified to perform high complexity testing under the supervision of a pathologist (refer to ANP.11610, below).

Please contact the Laboratory Accreditation Program at (800) 323-4040, option 1, then 4, or 1-847-832-7000, or by email if you have any questions.