PIER wiki

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This project is an ongoing effort created by Emilio Madrigal, DO (PGY-2) in the winter of 2015 at MS-Roosevelt, based on the topics outlined within the PIER toolkit release 1 (October 2014), providing informatics training to pathology residents while meeting ACGME informatics milestone requirements. The wiki started in Manhattan with a goal of reaching every pathology residency program in order to gain resident contributors across the country, and have them create, curate, and maintain an up-to-date informatics teaching resource as new toolkits are released. To start contributing please fill out this form.

Pathology Informatics Essentials for Residents

Essentials 1 - Instructional Hours: 4-6

Topic 1: Informatics in Pathology Practice

Topic 2: Information Systems Fundamentals

Topic 3: Importance of Databases

Topic 4: Introduction to Data Standards

Topic 5: Data Availability & Security

Essentials 2 - Instructional Hours: 8-10

Topic 1: LIS Components & Functions

Topic 2: Specialized LISs & Middleware

Topic 3: Data & Communication Standards

Topic 4: Digital Imaging

Topic 5: Basics of the Health Care Information Ecosystem

Essentials 3 - Instructional Hours: 10-12

Topic 1: Pathologist Role in LIS & EHR Projects

Topic 2: LIS Installation & Configuration

Topic 3: Information Systems & Laboratory Performance

Topic 4: Data Security, Regulatory and Accreditation Requirements

Essentials 4 - Instructional Hours: 10-14

Topic 1: LIS Management & Oversight

Topic 2: Order and Results Management

Topic 3: Laboratory Data for Quality Improvement & Research

Topic 4: Laboratory Data & Enterprise Health Care Analytics

About PIER

PIER Collaboration Working Group


  • Walter Henricks
  • Liron Pantanowitz



  • Donald Karcher
  • Suzanne Powell
  • Allan Tucker


  • Raymond D. Aller
  • Philip J. Boyer
  • Victor B. Brodsky
  • Alexis B. Carter
  • Rajesh C. Dash
  • Michael D. Feldman
  • John R. Gilbertson
  • James H. Harrison, Jr
  • Anil V. Parwani
  • Michael W. Riben
  • Rodney A. Schmidt
  • John H. Sinard
  • Enrique Terrazas
  • J. Mark Tuthill
  • Myra L. Wilkerson



PIER is a research-based instructional resource developed by the APC, API and CAP 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.

Successful implementation of PIER is intended to help residency programs provide a sufficient pipeline of residents trained in pathology informatics knowledge and skills required now and in the future. All four essentials are modular and can be implemented in a sequence determined by individual training programs. The instructional hours for the entire toolkit range from 32 to 42.

PIER Release 1 will be alpha tested by the following 14 residency programs for one year starting in November 2014, but it is available for use by all residency programs during alpha testing:

  • Baystate Medical Center
  • Cleveland Clinic
  • George Washington University
  • Medical University of South Carolina
  • University of Buffalo
  • University of Kentucky
  • University of New Mexico
  • University of Miami
  • University of Pittsburgh
  • University of Southern California
  • University of Toledo
  • University of Washington
  • University of Vermont
  • Vanderbilt University

PIER Happenings

  • January 2015 – Begin Alpha Test
  • July 2015 – PIER at APC Annual Meeting
  • October 2015 – End Alpha Test
  • December 2015 – Identify changes for Release 2
  • Spring/Fall 2016 - Tentative deployment of Release 2

The wiki


MadrigalE API Summit2015 Poster.jpg PISummit2015Web-BlackTrans-72RGB-new.png

Wiki Editing Primer

Participating Institutions

Contributing / Questions / Suggestions

If you are a pathology resident and would like to contribute to our PIER wiki, please fill out this form. Additionally, your questions and suggestions are always welcome; please direct them to [email protected].

If you have specific questions or suggestions about PIER, please contact Sue Plath, PIER Project Lead, CAP.