Yeah I've never understood why
Path isn't always included in conversations about lifestyle specialties that also pay fairly well. It's not for everyone, but the same can be said about any of the other "ROADs". I worked 3 years in 2 different private hospital pathology labs and saw how good and predictable the hours were (mainly 8-5). "Call" does exist technically, but in 3 years, I only know of the pathologists being called back to the hospital twice! One was for abnormal lab results that turned out to be a busted machine, and the other was an acute GI obstruction patient being operated on at 10pm that turned out to have undiagnosed colon cancer. 99% of the time call is taken from home, and even then it just doesn't happen too often. There are many subspecialties (including cytopath and dermpath which actually do allow you to see patients regularly if you desire) and there is also some business aspects (generally this work is contracted out to management companies). Also, you're technically in charge of the hospital clinical lab, but day to day operations and even most major decisions are taken care of by medical lab technicians and supervisors. The only thing I can't speak to is how different academic path is from PP path. But aside from the ongoing debate about the job market for path, it's not a bad specialty to consider if you can handle not having to interact with patients and do H and P's forever more (for some of you, I'm sure that wouldn't be an issue).