in the United States and Canada are very complex since include, along with Anatomic Pathology, the laboratory services of the medical center (8). The traditional divisions are: 1) Anatomic Pathology, 2) Clinical Pathology (Laboratory Medicine) and more recently, 3) Genomics and 4) Community or Regional Pathology. Anatomic Pathology is subdivided in: 1) Surgical Pathology Subspecialty Services (i.e. Neuro, GI, Breast, Cardiac, Bone, Uropathology, etc.), 2) Cytology and 3) Autopsy. Clinical Pathology or Laboratory is subdivided in: 1) Chemistry, 2) Hematopathology, 3) Microbiology, 4) Human Leukocyte Antigen (HLA) / Transplant, 5) Molecular Pathology, 6) Transfusion Medicine, 7) Coagulation. Genomics is subdivided in: 1) Cytogenetics and 2) Molecular Genetics Departments of Genetics have a Clinical Division, frequently subdivided into: 1) Prenatal, 2) General Genetics, 3) Inborn Errors of Metabolism and 4) Cancer Genetics. As above mentioned, Institutes are structured based on COEs. This concept is easy to understand in disea-DIAGNOSTIC INSTITUTE DEPARTMENTS OF RADIOLOGY, PATHOLOGY AND GENETICS IN THE UNITED STATES