College of American Pathologists

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College of American Pathologists
Legal status501(c)(6) Nonprofit
PurposePhysician Membership, Advocacy, Laboratory Improvement, and Laboratory Accreditation
HeadquartersNorthfield, Illinois
Approximately 18,000
R. Bruce Williams, MD, FCAP
Stephen Myers
Approximately 650

The College of American Pathologists (CAP) is a member-based physician organization founded in 1946 comprising approximately 18,000 board-certified pathologists. It serves patients, pathologists, and the public by fostering and advocating best practices in pathology and laboratory medicine.[1]

It is the world’s largest association composed exclusively of pathologists certified by the American Board of Pathology,[2] and is widely considered the leader in laboratory quality assurance. The CAP is an advocate for high-quality and cost-effective medical care.[3] The CAP currently inspects and accredits medical laboratories under authority from the Centers for Medicare & Medicaid Services (CMS). Their standards have been called “the toughest and most exacting in the medical business.”[4] The CAP provides resources and guidance to laboratories seeking accreditation in programs for biorepositories, genomics, ISO 15189, and more.[5] In November 2008, Piedmont Medical Laboratory of Winchester, Virginia became the first laboratory in the United States [6] to be officially accredited under ISO 15189.

The CAP provides accreditation and proficiency testing to medical laboratories through its laboratory quality solutions programs. Early versions of proficiency testing—known as surveys— which laboratories use to help test and ensure accuracy, were first initiated in 1949. Laboratories first began receiving CAP accreditation in 1964,[7] and the organization was later given authority to accredit medical laboratories as a result of the Clinical Laboratory Improvement Amendments (CLIA) of 1988.[8]

The CAP publishes checklists containing requirements pertaining to the performance of laboratory tests. The All Common Checklist (COM) contains a core set of requirements that apply to all areas performing laboratory tests and procedures.[9] Some requirements exist in both the COM checklist and in a discipline-specific checklist, but with a different checklist note that has a more specific requirement. In these situations, the discipline-specific requirement takes precedence over the COM requirement.[9] The COM checklist also describes the requirements for analytical validation/verification of the method performance specifications (i.e. accuracy, precision, reportable range) that laboratories must perform for each test, method, or instrument system before use in patient testing.[9]

The CAP opened a Washington, DC, office in 1970 [10] and advocating for pathology in a legal and policy-oriented capacity remains a core mission of the organization, both through direct action and programs that connect pathologists to legislators.[11]

The CAP Foundation is the philanthropic arm of the organization and is classified as a 501(c)(3) charitable entity. Its flagship program, See, Test & Treat, partners with hospitals and clinicians to provide free cancer and HPV screening, as well as educational events, to underserved communities. The program served over 900 women in 2017.[12]

See also[edit]


  1. ^ "College Of American Pathologists (CAP) Releases 2016 Annual Report Detailing Progress With Improving Patient Care, Advocating For The Specialty, And Advancing Quality". Retrieved 2018-03-20.
  2. ^ American Board of Pathology
  3. ^ "CAP - Advocacy - NEWS - Oklahoma Spine".
  4. ^ "16 Jul 1989, 28 - The Signal at". Retrieved 2018-11-08.
  5. ^ "The Joint Commission and SGS Now Offer Hospitals Coordinated Program for Medicare Accreditation and ISO 9001 Certification | Dark Daily". Retrieved 2018-11-08.
  6. ^ first ISO-15189 accredited laboratory in the United States
  7. ^ "Historical Timeline | College of American Pathologists". College of American Pathologists. College of American Pathologists. 2018-11-08. Retrieved 2018-11-08.
  8. ^ "Announcement of the Re-Approval of the College of American Pathologists (CAP) as an Accreditation Organization Under the Clinical Laboratory Improvement Amendments of 1988". Federal Register. 2015-03-27. Retrieved 2018-11-08.
  9. ^ a b c "All Common Checklist, CAP Accreditation Program" (PDF). College of American Pathologists. 2015-07-28. Retrieved 30 January 2018.
  10. ^ "Historical Timeline | College of American Pathologists". College of American Pathologists. College of American Pathologists. 2018-11-08. Retrieved 2018-11-08.
  11. ^ "11 Dec 2005, Page 124 - The Los Angeles Times at". Retrieved 2018-11-08.
  12. ^ "Annual Report - College of American Pathologists". Annual Report - College of American Pathologists. Retrieved 2018-11-08.

External links[edit]