Dr. Sophia Kotliar is an experienced pathologist with over twenty years experience in anatomic and clinical pathology. Receiving her MD from Robert Wood Johnson Medical School at the University of Medicine and Dentistry of New Jersey, Dr. Sophia Kotliar is board certified in anatomic and clinical pathology, as well as cytopathology. She currently works as a point-of-care medical director and staff pathologist at Bayhealth Medical Center, with a focus on adopting best practices for pathology gross room redesign using Six Sigma and Lean practices. The gross room is the laboratory space where pathology specimens from operating rooms are brought in for initial stages of pathology review and analysis. Accurate diagnosis of a patient is based on how well and consistently tissue specimens are handled and processed in the gross room, which can be a busy with the average specimen having 7 touch points. Anatomic pathologists are physicians who have the expert skills necessary to diagnose illnesses based on gross and microsopy examination of tissues. Surgical pathologists handle many types of tissues and specimens, which need to be evaluated carefully, irrespective of their size. By using single piece flow and bar code scanning from the patient bedside to the final signature on the report, patient identity error rates are decreased.  A pathologist works closely together with a team of personnel, including pathologist assistants, histotechnologists, cytotechnologists and other gross room technicians from a variety of educational backgrounds. Collectively, this team works to ensure the correct diagnosis is rendered on the correct patient. Pathologists’ assistants play a key role in the modern gross room, which includes specimen accessioning, gross examination of surgical specimens, preparation of tissues for histology tissue processing, and x-ray and photography of specimens as necessary.