The American Society for Clinical Pathology 2024 Vacancy Survey of medical laboratories in the United States

Am J Clin Pathol. 2025 Nov 19;164(5):759-777. doi: 10.1093/ajcp/aqaf101.

Abstract

Objective: We sought to determine the extent and distribution of workforce shortages within US medical laboratories.

Methods: The survey was conducted through collaboration between the American Society for Clinical Pathology's (ASCP's) Institute for Science, Technology and Policy in Washington, DC, and the Evaluation, Measurement and Assessment Department and ASCP Board of Certification in Chicago, Illinois. Data were collected using an internet survey distributed to individuals in a position to report on staffing and certifications for their laboratories.

Results: Findings from the ASCP 2024 Vacancy Survey indicate that although vacancy rates have declined compared with 2022, they remain elevated relative to those observed before the COVID-19 pandemic. Retirement rates continue to rise, with 10 of the 17 laboratory departments surveyed reporting increases. Among surveyed laboratory departments, the most frequently cited concern regarding artificial intelligence was the challenge of adapting to emerging technologies. Despite this sentiment, the perceived potential of artificial intelligence to transform laboratory operations remains a major source of enthusiasm.

Conclusions: Current vacancy survey data suggest continued challenges in recruitment of laboratory professionals. Qualitative analysis results show that there is an urgent need for advocacy for laboratory professionals, increased credentialing of laboratory professionals, and an increase in the number of laboratory education and training programs.

Keywords: AI in the laboratory; ASCP Vacancy Survey; anatomic pathology; certification; clinical pathology; credentialing; laboratory departments; laboratory staff recruitment and retention; laboratory staffing; laboratory workforce.

MeSH terms

  • COVID-19 / epidemiology
  • Humans
  • Laboratories
  • Laboratories, Clinical* / statistics & numerical data
  • Pathology, Clinical*
  • Societies, Medical
  • Surveys and Questionnaires
  • United States
  • Workforce / statistics & numerical data