Pathologist assistants in a Pathology Department: perceptions of their changing role.

Objective: This study aimed to understand the dynamics of including Pathologists' Assistants in a surgical pathology department.

Methods: A qualitative ethnographic study employed covert participant observation and semi-structured interviews. Field notes and interview transcripts were descriptively analysed to identify categories.

Results: We developed three cross-cutting categories: (i) a testing welcome, (ii) recognising the added value, and (iii) open issues. Initially, disagreements existed regarding the integration of Pathologists' Assistants, but over time, clearer role definitions promoted collaboration. The study revealed the recognised value of Pathologists' Assistants, particularly in time-saving and professional growth opportunities.

Conclusions: Despite initial challenges, recognising the value of Pathologists' Assistants is crucial for effective collaboration and optimal utilisation of their skills. Addressing unresolved issues, such as institutionalising their role and improving academic training, is essential. Creating a community of practice and fostering effective communication and professional development are key to successful integration. Further research and stakeholder collaboration are needed to integrate Pathologists' Assistants into the healthcare system fully.