Pathologist
Pathologists work in hospitals and laboratories on different areas of prevention, diagnosis and treatment of disease.
In this guide
What you'll do
Day-to-day tasks
Depending on your area, as a pathologist you could:
- examine, explain and advice on the results of blood tests, smear tests and tissue removal
- research and develop new tests and treatments
- treat diseases and develop vaccines against diseases and conditions
- organise work in laboratories and supervise staff
- discuss the treatment of individual patients with other health professionals
You can find out more about what you'll do as a pathologist from the Royal College of Pathologists.
Working environment
You could work in an NHS or private hospital or in a laboratory.
Your working environment may be emotionally demanding.
You may need to wear protective clothing.
Career path and progression
With experience you could:
- lead a team or manage a department
- apply for senior or consultant roles if you're on the General Medical Council's Specialist Register
- move into teaching and training students, trainee doctors and other healthcare professionals
What it takes
Skills and knowledge
You'll need:
- knowledge of medicine
- analytical thinking skills
- the ability to accept criticism and work well under pressure
- knowledge of biology
- thinking and reasoning skills
- to be thorough and pay attention to detail
- excellent verbal communication skills
- complex problem-solving skills
- to be able to use a computer and the main software packages competently
Related subjects
Most relevant
- Biology - Pathologists need a deep understanding of biology to examine tissues, blood samples, and cells under the microscope and identify signs of disease. Their work relies on knowledge of how the human body functions at a cellular and molecular level, including how diseases develop and spread.
- Chemistry - Pathologists use chemistry when analysing blood samples, developing diagnostic tests, and understanding how drugs and toxins affect the body. Biochemistry is central to understanding disease processes, and laboratory techniques like staining and chemical analysis are part of everyday work.
- Mathematics - Pathologists use statistics to interpret test results, assess the significance of findings, and contribute to medical research. They also work with data analysis when evaluating patterns in disease across patient populations and when developing new diagnostic tests.
Also relevant
- Physics - Pathologists use equipment like electron microscopes, spectrophotometers, and imaging technologies that rely on principles of physics. Understanding how light, radiation, and electromagnetic waves interact with biological tissue helps them get the most from these diagnostic tools.
- English Language - Pathologists write detailed reports on their findings that other doctors rely on to make treatment decisions. They also need to communicate complex medical information clearly when discussing cases with colleagues, presenting research, or contributing to medical records.
- Computer Science - Pathologists increasingly work with digital pathology systems that use algorithms and machine learning to assist in analysing tissue samples and identifying patterns. Understanding how these computational tools work helps them adopt new diagnostic technologies and contribute to research using large datasets.
- Psychology - Pathologists work in emotionally demanding environments and sometimes need to communicate difficult findings to patients or families. Understanding human behaviour and emotional responses helps when working as part of a healthcare team making sensitive decisions about patient care.
How to become
You can get into this job through a university course.
You can take either a medical doctor route or clinical scientist route to become a pathologist.
Medical doctor route
To become a pathologist through the medical doctor route, you'll need to complete:
- a degree in medicine, recognised by the General Medical Council which takes 5 years
- a foundation course of general training which takes 2 years
- a specialist training programme in pathology which can take between 5 to 6 years
There's a lot of competition for places on medical degrees. Most universities will expect you to have done some paid or voluntary work experience in healthcare.
Science degrees
If you already have a first class or 2:1 (upper second class) science degree, you could take the graduate entry route into medicine instead. Some universities will also accept non-science graduates, but you might need to a do a foundation year.
Entry tests
When you apply for a course in medicine, you may be asked to take the University Clinical Aptitude Test (UCAT).
It tests the skills you'll need on the course, like critical thinking, problem solving, data analysis, communication and scientific knowledge.
Clinical scientist route
To become a pathologist through the clinical scientist route, you'll need to complete:
- a degree or master's in a science subject like biology, chemistry, clinical or biomedical science which takes 3 to 4 years
- the Scientist Training Programme which is work based, takes 3 years and leads to a master's degree
- the pathology speciality of the Higher Specialist Scientist Training Programme which takes 5 years
Entry requirements
You'll usually need:
- 5 GCSEs at grades 9 to 4 (A* to C), or equivalent, including English, maths and science
- 3 A levels, or equivalent, including biology and chemistry
More Information
To become a veterinary pathologist, you'll need to train as a vet.
Registration
- you'll need to register with the General Medical Council
Further information
You can find out more about a career in pathology from the Royal College of Pathologists and Health Careers.
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