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Survey Shares Barriers to Employment for Non-U.S. Citizen Pathologists

09/23/2026
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September 23, 2026

From Residency to Practice: Overcoming Employment Obstacles for Non–US Citizen Pathologists in the United States 

Test Ordering Program – CAP

Can AI Help Solve the Peer-Review Crisis? Here Are its Promises and Pitfalls | Science | AAAS

AGENDA – CAP26

Elizabeth McMahon

Coming

up,

a

stark

look

at

the

barriers

facing

visa

holders

seeking

their

first

pathology

jobs.

Plus,

how

labs

can

be

smarter

stewards

of

a

costly

and

specialized

test

that

analyzes

abnormal

blood

counts.

This

is

Path

News

Network

Daily

Edition

from

the

College

of

American

Pathologists.

I'm

Elizabeth

McMahon.

It's

Wednesday,

September

23rd.

For

years,

graduates

of

U.S.

medical

schools

who

held

visas

have

said

they

had

more

difficulties

finding

their

first

jobs

than

their

U.S.

citizen

counterparts.

A

recent

survey

of

more

than

400

people

provides

fresh

evidence

of

the

barriers

they

encounter.

Dr. Bronwyn Bryant

They

had

to

spend

more

money

because

they

had

maybe

had

lawyer

fees

around

getting

their

visa

status

taken

care

of.

Elizabeth McMahon

That's

Dr.

Bronwyn

Bryant,

a

member

of

the

CAP

Graduate

Medical

Education

Committee

and

one

of

the

study's

authors.

She

said

that

given

a

persistent

shortage

of

pathologists,

the

data

can

help

employers

better

understand

the

steps

they

can

take

to

hire

qualified

staff.

For

program

directors

prepping

international

residents

and

fellows

for

the

market,

Dr.

Bryant

says

strategizing

may

be

key.

Dr. Bronwyn Bryant

They

are

likely

going

to

need

to

start

a

little

earlier.

And

that

if

they

are

considering

what

specialty

they

should

want

to

go

into,

we

know

that

there

is

some

more

commonality

in

more

frequency

in

seeing

some

of

the

ACGME

accredited

fellowships,

um,

such

as

heme

path

and

cytopathology

among

this

population

of

folks

who

were

able

to

achieve

jobs.

Elizabeth McMahon

Find

the

full

study

in

the

August

issue

of

the

Archives

of

Pathology

and

Laboratory

Medicine.

Last

year,

there

were

more

than

8

million

scientific

paper

submissions,

double

the

amount

just

five

years

earlier.

While

AI

is

driving

the

surge

in

submissions,

the

skyrocketing

load

is

overwhelming

editors

and

delaying

publications.

Can

robots

also

sub

in

as

peer

reviewers?

A

new

article

in

the

journal

Science

explores

whether

AI-assisted

review

can

relieve

the

burden.

Though

AI

has

flaws,

scientific

journals

and

conferences

are

evaluating

its

use.

Quote,

I

think

the

norms

are

shifting,

said

one

deputy

editor

of

NEJMAI,

an

affiliate

of

the

New

England

Journal

of

Medicine.

If

a

patient

has

an

abnormal

blood

count,

labs

turn

to

flow

cytometric

testing,

which

counts

subsets

of

cells

in

the

blood.

It's

a

widely

available

but

costly

test.

It's

also

frequently

misapplied

and

demands

a

high

level

of

expertise.

Knowing

when

and

how

to

apply

this

test

is

important,

says

Dr.

Megan

Nakashima,

a

member

of

the

CAP's

Quality

Practices

Committee.

She's

the

author

of

the

CAP's

testing

module

on

peripheral

blood

flow

cytometry.

Dr. Megan Nakashima

We

have

very

experienced

and

subspecialized

medical

laboratory

scientists

running

these

assays.

And

that's

part

of

why

we

really

want

to

be

stewards

of

this

test,

not

because

we

just

want

to

do

fewer

of

them,

but

we

want

to

reserve

our

capacity

to

do

accurate

and

in-depth

analyses

for

cases

that

really

need

it.

Elizabeth McMahon

The

CAP's

test

ordering

program

provides

examples,

questions,

and

insights

about

the

proper

application

of

the

test.

Dr. Megan Nakashima

And

so

those

are

great

applications

of

the

test.

Elizabeth McMahon

Peripheral

blood

flow

cytometry

is

one

of

more

than

two

dozen

testing

modules

available

for

CAP

customers.

And

finally,

there's

a

lot

going

on

on

the

first

full

day

of

CAP

26

in

Las

Vegas,

but

the

Residents

Forum

is

the

place

to

be

for

trainees.

Dr.

Cullen

Lilley

is

chair

of

the

Residents

Forum

Executive

Committee.

He

says

the

October

3rd

meeting

will

center

on

habits

trainees

should

develop

to

set

themselves

up

for

job

success.

Dr. Cullen Lilley

Our

theme

is

measure,

reflect,

improve.

And

so

we're

trying

to

find

those

things

that

you

can

reflect

on

and

say,

you

know,

these

are

areas

that

I

want

to

improve

on.

How

do

you

make

those

goals?

How

do

you

measure

your

success?

Elizabeth McMahon

The

day-long

event

will

include

a

luncheon

with

CAP

House

of

Delegates

members.

That's

all

for

today's

Daily

Edition.

Be

sure

to

check

the

show

notes

for

more

information

on

today's

stories.

Got

a

story

you'd

like

to

hear

on

the

Daily

Edition?

Write

to

us

at

stories

at

Cap.org.

We're

back

at

5

a.m.

Eastern

for

another

episode

of

the

Daily

Edition.

I'm

Elizabeth

McMahon.

Have

a

great

day.