Healthcare career

Pathologist

Also called: Anatomic Pathologist · Clinical Pathologist · Forensic Pathologist · Laboratory Physician

What pathologists do, what they earn, how long training takes and how to get started, with official BLS pay data and practical, job-level detail.

Updated By the Career Education Institute Curriculum Team
What does a pathologist do?

Pathologists are physicians who diagnose disease by examining tissue samples, blood and body fluids, and who direct clinical laboratories. The median pay is $312,400 per year (BLS, May 2025), most people train for about 12 years after high school, and employment is projected to grow +4.8% from 2025–35.

Pay data: BLS OEWS, May 2025 · Outlook: BLS 2025–35 · Checked October 15, 2026

  • Median pay
    $312,400
    $150.19/hour · May 2025
  • Job growth
    +4.8%
    2025–35, about as fast as average
  • Openings per year
    300
    Average, 2025–35
  • Typical entry education
    Doctoral or professional degree
    BLS classification
  • Time to train
    12 years after high school
    Typical program length
  • U.S. jobs
    11,800
    Employment, 2025

What pathologists do

Pathologists are the doctors behind the diagnosis. They examine biopsies and surgical specimens under the microscope to diagnose cancer and other diseases, interpret lab tests, oversee blood banks and microbiology labs, perform autopsies and consult with other physicians on treatment. Forensic pathologists determine causes of death for medical examiners.

Pathologists complete medical school and a four-year pathology residency, often followed by a fellowship such as dermatopathology or hematopathology.

Typical duties

  • Examine tissue under the microscope
  • Diagnose cancer and disease
  • Interpret lab test results
  • Direct clinical laboratories
  • Perform frozen sections during surgery
  • Perform autopsies
  • Consult with physicians

Work environment and schedule

Pathologists work in hospital labs, reference labs, academic centers and medical examiner offices.

Schedule: Most work regular hours, with occasional call for frozen sections and lab issues.

A day in the life

  1. Review overnight lab quality reports.
  2. Sign out biopsy slides.
  3. Do a frozen section for a surgeon.
  4. Present cases at tumor board.

See a full day in the life of a pathologist →

Pathologist salary

Half of pathologists earned more than $312,400 and half earned less in May 2025. Pay ranged from about $92,540 for the lowest 10% to $449,970 for the top 10%.

Full pathologist pay scale and hourly rates →

How to become a pathologist

  1. Earn a bachelor’s degree
  2. Complete medical school
  3. Complete pathology residency
  4. Pass boards
  5. Complete a fellowship

Medical school plus a four-year pathology residency are required, along with a license and board certification.

Step-by-step guide to becoming a pathologist →

Skills and tools

Technical skills

  • Histopathology
  • Cytopathology
  • Clinical laboratory medicine
  • Immunohistochemistry
  • Molecular pathology

People skills

  • Attention to detail
  • Analytical thinking
  • Communication
  • Patience

All pathologist skills and tools →

Pros and cons

Pros

  • Very high pay
  • Regular hours
  • Central role in diagnosis
  • Intellectual, detail-focused work

Cons

  • Little direct patient contact
  • High responsibility for diagnoses
  • Long training
  • Heavy case volume

Certifications and licenses

  • ABPath board certification: American Board of Pathology.
  • State medical license: Required.
  • Dermatopathology certification: Subspecialty.
  • Forensic pathology certification: Subspecialty.

Career path

  1. Pathology Resident: Train.
  2. Pathologist: Practice.
  3. Subspecialist: After fellowship.
  4. Laboratory Medical Director: Lead labs.

Learn the job before day one

Our Pathologist training (12 hours, $109.99) covers the role, 15+ key terms, step-by-step procedures such as sign out a biopsy and perform a frozen section, safety and how to land your first job.

Compare: Pathologist vs. Medical Lab Tech · Pathologist vs. Dermatologist · Pathologist vs. Forensic Technician · Pathologist vs. Biological Technician

Pathologist FAQ

Do pathologists see patients?

Rarely; they work mostly in labs.

How long is training?

About 12 years after high school, plus any fellowship.

What does a forensic pathologist do?

Determines cause of death, often for medical examiners.

How much does a pathologist make?

The median annual wage for pathologists was $312,400 ($150.19 per hour) in May 2025, according to the U.S. Bureau of Labor Statistics. The lowest 10% earned less than $92,540 and the highest 10% earned more than $449,970.

How long does it take to become a pathologist?

Most people need about 12 years after high school of training. Medical school plus a four-year pathology residency are required, along with a license and board certification.

Do you need a degree to be a pathologist?

Yes. BLS lists a doctoral or professional degree as the typical entry-level education, and you also need a state license to practice.

More pathologist questions →

Sources

Reviewed by the Career Education Institute Curriculum Team. Pay figures are national estimates; local pay varies. See our editorial policy.

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