Pathology Informatics Essentials for Residents (PIER)

PIER Announcements

Please make note of the following change(s) related to PIER Recommended Resources:

Content in the CAP online course, Health Information Technology (HIT) Primer, has been updated and the design of the course improved. This course is a recommended resource for Essentials 1, topics 1, 2, 3, and 5. Please make note that the updated course has a new name, Tackling Today’s Technology: A Pathologist’s Guide to Health IT Basics, and the new URL is:

What is PIER?

PIER is a research-based instructional resource developed by the Association of Pathology Chairs, Association for Pathology Informatics, and College of American Pathologists that presents training topics, implementation strategies and resource options for PRODS and faculty to effectively provide informatics training to their residents and meet ACGME informatics milestone requirements. PIER is also an effective resource for aspiring specialists to develop prerequisite pathology informatics knowledge and skills prior to advanced training or fellowships. For further information, see PIER At-a-Glance (PDF).

PIER Release 2 (July 2016)

  • PIER Instructional Resource Guide, Release 2 (PDF) - This guide, written for PRODS and faculty, explains PIER's approach and the pathology informatics curriculum scope and sequence
  • PIER Toolkit Release 2 (PDF) - The Toolkit provides interactive instructional tools and support information to successfully plan, implement, and manage PIER.

PIER Implementation Webinars

Helpful implementation webinars are available for PRODS, either those “Gearing Up” to use PIER for the first time or those “Continuing With PIER” who want to sharpen implementation. Links to past webinar recordings can be found below.

Not using PIER yet?

Gearing Up for PIER Webinar

PIER-Experienced Faculty:
Scott Anderson, MD

The Gearing Up for PIER Webinar is for PRODS with little or no experience using PIER, who are interested in learning more about it before making implementation decisions. This webinar for residency programs of all sizes provides an overview of PIER’s informatics curriculum and PIER Toolkit, featuring different ways programs have used PIER, how to solve common challenges, and helpful start-up implementation hints and tips.

Already using PIER?

Continuing with PIER Webinar

PIER-Experienced Faculty:
Suzanne Z. Powell, MD
Scott Wesley Long, MD, PhD

The Continuing with PIER Webinar is for PRODS who know and understand PIER, have implemented one or more of the four PIER Essentials with residents, and are planning to use it this coming year. This interactive webinar zeroes in on common implementation and content challenges for residency programs of all sizes, featuring different ways of implementing PIER successfully, working around limited in-house informatics experts and/or faculty resources, solving scheduling challenges, and managing instructional materials.


Additional Resources

Pathology Informatics Training Review Checklist (PDF)
This assessment tool is for PRODS whose programs have a need to implement and/or further develop pathology informatics training. It is intended to help PRODS identify the degree to which their residency programs have the bandwidth and conditions necessary for successful informatics training implementation.


Pathology Informatics Essentials for Residents: A Flexible Informatics Curriculum Linked to Accreditation Council for Graduate Medical Education Milestones
Henricks, WH et al.

PIER Leadership Committee

The committee is comprised of GME and informatics experts representing APC, API, and CAP in addition to a resident member.

Representing APC, Program Directors, GME Education
Scott R. Anderson, MD, Chair, University of Vermont Medical Center
Mary Furlong, MD, Medstar Georgetown University Hospital
Michael J. Esposito, MD, Hofstra Northwell School of Medicine

Representing CAP, API, Informatics Experts
Bruce Levy, MD, Geisinger Medical Center
Brent Tan, MD, PhD, Stanford University

Representing Residents
Prajesh Adhikari, MD, University of Vermont Medical Center

Questions or Comments?

Contact Sue Plath, PIER Project Lead, at or 847-832-7624.