K12 Academics · Residency Specialty Guide

Pathology

A plain-English guide to Pathology — what the specialty is, what you do, residency length, fellowship subspecialties, and pay.

Type
Core residency
Residency
3–4 years
Focus
Diagnosis via lab & tissue
Setting
Laboratory
Entry
MD or DO
Role
The “doctor’s doctor”
The Specialty

What it is

Pathologists diagnose disease by examining tissue, cells, and lab results — the science behind most medical diagnoses. Anatomic pathology examines tissue; clinical pathology runs the lab.

Day to Day

What you do

They read biopsies and specimens, direct laboratory testing, and confirm diagnoses that guide treatment; forensic pathologists investigate deaths.

Training

Training path & length

3–4 year residency (AP, CP, or combined AP/CP), with fellowships.

Subspecialties

Fellowship subspecialties

Fellowships include hematopathology, forensic pathology, cytopathology, surgical pathology, molecular pathology, and dermatopathology.

Pay & Outlook

Pay & job outlook

Physicians are among the highest-paid professionals. The U.S. Bureau of Labor Statistics reports a median wage of $275,930 for physicians and surgeons (May 2025), with employment projected to grow about 4% from 2025 to 2035 and ~22,100 openings per year. Pay varies widely by specialty — procedural and surgical fields generally earn more, primary-care and pediatric fields less.

Pathologists earn around the physician median, with subspecialty and setting affecting pay.

Getting There

How to get there

Become a physician first: earn an MD or DO, then match into this residency through the national match. Licensure requires completing residency and passing the board exams.

Keep Exploring

Explore further

Keep exploring this part of the resource:

At a Glance

Key facts