Onboarding plan

Pathologist Onboarding Plan (30-60-90 Days)

A practical, printable plan to take a new pathologist from first day to full productivity.

Updated By the Career Education Institute Curriculum Team
Pathologist onboarding at a glance

Week one covers orientation, safety and shadowing. Days 1–30 build vocabulary and supervised practice on core procedures; days 31–60 move to independent work with competency sign-offs; days 61–90 focus on full productivity, cross-training and a credential plan.

Before day one

  • Confirm start date, schedule, pay and supervisor in writing
  • Verify required credentials: ABPath board certification, State medical license (as applicable)
  • Prepare equipment and access: microscopes; digital pathology scanners; laboratory information systems; cryostats
  • Assign a buddy or preceptor
  • Enroll the new hire in Pathologist training so foundations are covered before or during week one

Week one: orient and protect

  • Workplace tour, emergency procedures and incident reporting
  • Handle specimens with biosafety precautions
  • Use formalin safely
  • Follow sharps safety
  • Ensure correct specimen labeling
  • Shadow an experienced pathologist through a full shift
  • Training modules 1–3: role foundations, a day on the job and essential vocabulary (15 terms)

Days 1–30: learn

Goal: perform core tasks safely under supervision.

  • Supervised practice: sign out a biopsy
  • Supervised practice: perform a frozen section
  • Supervised practice: present at tumor board
  • Training modules 4–7: duties, step-by-step tasks, tools and safety
  • 30-day check-in: confidence, questions and early wins

Days 31–60: contribute

Goal: handle a regular workload independently.

  • Examine tissue under the microscope: independently
  • Diagnose cancer and disease: independently
  • Interpret lab test results: independently
  • Direct clinical laboratories: independently
  • Competency sign-offs completed (see checklist below)
  • Training final knowledge check and certificate of completion
  • 60-day check-in

Days 61–90: own

Goal: full productivity and a growth plan.

  • Meet productivity and quality targets for the role
  • Begin cross-training on a secondary task
  • Agree on a credential goal (for example, ABPath board certification)
  • Discuss the career path: Pathology Resident → Pathologist → Subspecialist
  • 90-day review

Competency checklist

Skill or taskTrainedObservedSigned off
Sign Out a Biopsy
Perform a Frozen Section
Present at Tumor Board
Histopathology
Cytopathology
Clinical laboratory medicine
Immunohistochemistry

How to measure onboarding success

  • Days until the new hire works without a preceptor
  • Competency sign-offs completed on time
  • Documentation or charting error rate
  • 90-day retention

How Pathologist training maps to this plan

  1. Introduction to the Pathologist Role
  2. A Day on the Job
  3. Essential Pathologist Vocabulary
  4. Core Duties and Responsibilities
  5. Common Tasks, Step by Step
  6. Tools, Equipment and Technology
  7. Safety, Compliance and Professional Standards
  8. Skills Employers Look For
  9. Launching Your Pathologist Career
  10. Final Knowledge Check
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