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Page 1: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

cap.org

CAP Residents ForumOctober 12, 2013Orlando, FL

CAP ’13 – THE Pathologists’ MeetingTM

Page 2: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Audience Response• Audience response questions were

prepared by presenters for several segments of the Residents Forum.

• Attendees answered using cell phone text or web devices.

• Questions and answers that were received during the meeting are included in this presentation for your information.

© 2013 College of American Pathologists. All rights reserved. 2

Page 3: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Attendee Demographics

© 2013 College of American Pathologists. All rights reserved. 3

Page 4: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Is this your first RF meeting?

© 2013 College of American Pathologists. All rights reserved. 4

Page 5: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Did you move to pathology from another specialty?

© 2013 College of American Pathologists. All rights reserved. 5

Page 6: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Disney or Universal?

© 2013 College of American Pathologists. All rights reserved. 6

Page 7: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Meeting Orientation

• How the College works

• How the RF works

• How you can prosper

• How you share the love

• How you can give back

© 2013 College of American Pathologists. All rights reserved. 7

Page 8: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

CAP “Family Tree”

© 2013 College of American Pathologists. All rights reserved. 8

Pathologists + Staff

Page 9: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

How the RF Works- RF Bylaws• Residents Forum Bylaws identify:

oPurpose = the residents’ place in organized pathology

oMembership = resident delegates from each ACGME-accredited program

o Leadership = who the RF Executive Committee is and how elected

oMeetings = twice per year

© 2013 College of American Pathologists. All rights reserved. 9

Page 10: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

How the RF Works- Purpose• Voice

oAdvocate to CAP, AMA, APC, PRODS, ADASP, ABP…

• InvolvementoPlant the seeds now for the future

• NetworkoHarness our talents and

experiences

© 2013 College of American Pathologists. All rights reserved. 10

Page 11: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

How You Can Prosper

• Build a foundation of pathology knowledge and practice

• Develop leadership, teamwork, and communication skills

• Find a mentor, explore fellowships and careers

• Learn about policy, reimbursement, contracts and legal issues, lab management and accreditation, guidelines/standards… © 2013 College of American Pathologists. All rights

reserved. 11

Page 12: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

How You Share the Love

• Residents Forum Delegate GuideoAttend each meetingoTalk to your resident

colleagues before the meeting

oPresent a summary of the RF after the meeting

oEncourage other residents to get involved in the CAP

© 2013 College of American Pathologists. All rights reserved. 12

Page 13: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

• NetworkingoCareer and Camaraderie

• EducationoPresentations and Updates

• DiscussionoBreakout Sessions and Panels

• ActionoAdvocacy and Ideas

© 2013 College of American Pathologists. All rights reserved. 13

How You Share the Love

Page 14: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

How You Can Give Back

• Get involved and tell others

• Attend RF meetings – All residents welcome

• Visit cap.org/residents

1) Give feedback 2) Edit the Pathology Wiki

© 2013 College of American Pathologists. All rights reserved. 14

Page 15: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

cap.org

Residents Forum 25th AnniversaryXiaoyin “Sara” Jiang, MD

Moderator

October 12, 2013

Page 16: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

How old were you in 1988?

© 2013 College of American Pathologists. All rights reserved. 16

Page 17: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Snapshots of the Past RF…

Registration

Fall 1988 – 42 Fall 2013 – 289 as of Oct 9

Attendance

Fall 1988 – 42 delegates from 24 states*

Fall 2012 – 172 delegates from 44 states*

Fall 2013 – 175 delegates from 41states*

*states = states, provinces, DC, PR, and branches of US military

17© 2013 College of American Pathologists. All rights reserved.

Page 18: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Another Snapshot

Number of RF Delegates since 1988

2,601 !

18© 2013 College of American Pathologists. All rights reserved.

Page 19: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Residents Forum Creates Leaders

12% House of Delegates were in the RF

14% Members of CAP committees, councils, lab inspections, etc. were in RF

19© 2013 College of American Pathologists. All rights reserved.

Page 20: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Residents Forum Past Topicsand Accomplishments• Adding delegate representation to the

AMA Resident and Fellow Section

• Addressing need for fellowships

• Investigating need for fellowship match

• Requesting that ABP rescind fifth year of training requirement

20© 2013 College of American Pathologists. All rights reserved.

Page 21: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Residents Forum Topics andAccomplishments

• Adding a resident member to the ACGME Residency Review Committee for Pathology

• Requesting that ABP offer testing more than once per year

• Creating and promoting a standardized pathology fellowship application

• Addressing and requesting ways to gain laboratory management skills during training

21© 2013 College of American Pathologists. All rights reserved.

Page 22: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Panel of Past RF Chairs and RFECSuggestions for RF Delegates

• Take advantage of CAP – you won’t realize now how it will benefit you later

• Make friends and connections – they are your pathology family – build your professional network

• Expand your focus from academic training – we are all one family with one goal for our patients

• Embrace leadership training and mentoring

© 2013 College of American Pathologists. All rights reserved. 22

Page 23: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Panel of Past RF Chairs and RFEC Suggestions for RF Delegates

• Have fun changing our specialty

• Apply for committees and other CAP involvement – speak up, don’t just sit there

• First-timers talk to other residents – learn that your program isn’t as bad as you thought =)

• Ask CAP staff and RFEC members when you have questionsowww.cap.org/residents

© 2013 College of American Pathologists. All rights reserved. 23

Page 24: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

What do you want to be doingin 25 years?

© 2013 College of American Pathologists. All rights reserved. 24

Page 25: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

cap.org

Residents Forum Executive Committee Election ResultsOctober 12, 2013

Page 26: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

RF Election Results

• Chair – Ricardo Mendoza Jr., MD, MS

• Vice Chair – Melissa C. Austin, MD, MBS

• Secretary –Tesha Guillory, MD

• Alternate to the CAP House of Delegates –Ryan C. Romano, DO

• Alternate to the AMA Resident and Fellow Section – Claire Murphy, MD

• Member-at-Large –Buu Duong, MD© 2013 College of American Pathologists. All rights reserved. 26

Page 27: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Continuing on the RFEC

• Roseann I. Wu, MD, MPH – Immediate Past Chair

• Lauren C. King, MD – Delegate to the AMA Resident and Fellow Section

• Xiaoyin “Sara” Jiang, MD – Delegate to the CAP House of Delegates

© 2013 College of American Pathologists. All rights reserved. 27

Page 28: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

cap.org

The Future of Pathology Practice in a New Health Care SystemErica Syklawer, MD, Moderator

October 12, 2013

Page 29: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

The Future of Pathology Practice in a New Health Care SystemPanelists:

James Hernandez, MD, MS, FCAP - Responding to Challenges in Pathology

Donald Karcher, MD, FCAP – Accountable Care Organizations and Value-Based Health Care

Raj Dash, MD, FCAP - Informatics

Jonathan Myles, MD, FCAP - 2014 Payment Issues© 2013 College of American Pathologists. All rights

reserved. 29

Page 30: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

My greatest concern about my future in pathology is…?

© 2013 College of American Pathologists. All rights reserved. 30

Page 31: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Which of the following is considered part of value-based health care?

© 2013 College of American Pathologists. All rights reserved. 31

Page 32: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

What do you think is the “right amount” of informatics to know in order to be successful in practice?

© 2013 College of American Pathologists. All rights reserved. 32

Page 33: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

What do you think is the greatest threat to compensation for pathology services?

© 2013 College of American Pathologists. All rights reserved. 33

Page 34: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

cap.org

PathPAC-sponsored Speaker at Joint Lunch with House of Delegates

Bob Woodward

Investigative Reporter and Non-fiction Author

Page 35: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

cap.org

Pathologists and Patient CareThe CAP Foundation

Christine Jabcuga, MD, Resident Representative, CAP Foundation Board

Nora Bowers, Cancer Survivor,CAP Sr. Member Engagement Specialist

October 12, 2013

Page 36: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Have you heard about the CAP Foundation’s See, Test &Treat program?

© 2013 College of American Pathologists. All rights reserved. 36

Page 37: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

“Nothing endures but change”

Pathologists then…

And NOW….

37© 2013 College of American Pathologists. All rights reserved.

Page 38: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

• Philanthropic arm of the CAP

• Patient-centered, humanitarian roles for pathologists

• Pathology residents grant & awards

• Connects people in need to the specialized, life–saving skills of pathologists

• CAP members volunteer, coordinate free cervical, breast cancer screening

© 2013 College of American Pathologists. All rights reserved. 38

Page 39: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

What about those more vulnerable ?

See, Test & Treat is about pathologists helping patients in need

• By overcoming obstacles to care

• Building a community of care

And YES, Residents Can Get Involved!

© 2013 College of American Pathologists. All rights reserved. 39

Page 40: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Why Get InvolvedSee, Test & Treat is the ONLY Humanitarian Program that

• Spotlights our valuable role on care teams

• In a socially responsible, humanitarian way

• No donation is too smallo $5 a month means medical supplies to

screen 6 women in need. Just visit foundation.cap.org to start today

© 2013 College of American Pathologists. All rights reserved. 40

Page 41: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Or Tribute a Gift @ CAP ‘13

© 2013 College of American Pathologists. All rights reserved. 41

Honor a mentor, teacher, friend or family member who paved your way!

Visit CAPMemberTributecap.foundation.kintera.org

Page 42: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

cap.org

How to Get Published Through NewsPath™Daniel Wimmer, DO

October 12, 2013

Page 43: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Do you want to get published?

© 2013 College of American Pathologists. All rights reserved. 43

Page 44: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Have you heard about NewsPath?

© 2013 College of American Pathologists. All rights reserved. 44

Page 45: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

What is NewsPath?• Written by Junior Members for other clinicians

• Available as articles and podcasts

© 2012 College of American Pathologists. All rights reserved. 45

Page 46: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

NewsPath Needs You to Write

• Get published

• Make connections

• Augment your CV

• Help educate other clinicians

46

Page 47: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

NewsPath Needs You to Share

• Share articles and podcasts with your clinical colleagues

• Email topic ideas to NEB at [email protected] oExamples:oCommon questions/issues with CP calls, tumor boards

oSpecimen collection for ancillary studies 47

Page 48: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Contact Information

[email protected]

• http://www.cap.org/NewsPath

Page 49: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

cap.org

What’s New at the American Board of Pathology – Looking Toward Your BoardsRicardo Mendoza Jr., MD, MS, CT(ASCP), Moderator

Rebecca Johnson, MD, FCAP, CEO, American Board of Pathology

October 12, 2013

Page 50: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

The primary reason that cheating on board certification exams is wrong is because cheating…?

© 2013 College of American Pathologists. All rights reserved. 50

Page 51: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

I consider the use of recalled exam items (“remembrances”) cheating.

© 2013 College of American Pathologists. All rights reserved. 51

Page 52: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

I am aware that some residents have had their exam results invalidated and a diplomate had his/her certification revoked because of cheating.

© 2013 College of American Pathologists. All rights reserved. 52

Page 53: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

cap.org

CAP Graduate Medical Education Committee 2013 Pathology Job Market Survey ResultsLauren C. King, MD, Moderator

Robert D. Hoffman, MD, PhD, FCAP, CAP Graduate Medical Education Committee Member

October 12, 2013

Page 54: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

What percentage of pathologist trainees obtain employment within five years of completing residency?

© 2013 College of American Pathologists. All rights reserved. 54

Page 55: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

What do you believe is the average starting salary for a pathologist?

© 2013 College of American Pathologists. All rights reserved. 55

Page 56: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

What is your usual source of information about career planning?

© 2013 College of American Pathologists. All rights reserved. 56

Page 57: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Do you feel your usual source of information is reliable?

© 2013 College of American Pathologists. All rights reserved. 57

Page 58: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Job Market Conclusions

• There are jobs available for pathologists!o The majority of newly trained

pathologists find satisfactory positions.o The CAP’s Integrated Workforce Model

predicts an imminent pathologist shortage.

58© 2013 College of American Pathologists. All rights reserved.

Page 59: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Job Market Conclusions

• Many positions are identified by word of mouth.o Build your professional network!

• Being invited to an interview does not guarantee a job offer.o Some interviews are competitive.

• Fellowship training increases success finding a position.

• You need to be reasonably flexible with regards to geography.

59© 2013 College of American Pathologists. All rights reserved.

Page 60: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

cap.org

Items of Interest and Miscellaneous Tidbits for CAP Junior Members

Page 61: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Items of Interest for CAP Juniors

• Passed your Boards? Become a CAP Life Fellow!oOne-time CAP Fellow Dues to

become a CAP Life FellowoMember tab on cap.org

• Intersociety Council on Pathology Information (ICPI)o Lists fellowships, travel grants, and

medical student pathology interest group grants

© 2013 College of American Pathologists. All rights reserved. 61

Page 62: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

Miscellaneous Tidbits…

• Michael Misialek, MD, FCAP – WBUR http://commonhealth.wbur.org/2013/09/pathology-beauty-danger

• APC-PRODs meeting – Residents can attend – Boston 2014 www.apcprods.org

• Business Cards are a great idea to share with newly met colleaguesoGet 250 cards free at vistaprint.com 

© 2013 College of American Pathologists. All rights reserved. 62

Page 63: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM

© 2013 College of American Pathologists. All rights reserved. 63

Page 64: Cap.org CAP Residents Forum October 12, 2013 Orlando, FL CAP Residents Forum October 12, 2013 Orlando, FL CAP ’13 – THE Pathologists’ Meeting TM