This document discusses the important interfaces that pathology leaders must navigate, including with clinicians, medical staff, hospital administration, laboratory staff, and their own pathology group. It emphasizes the need for pathologists to understand different perspectives, communicate effectively, provide high quality service, and get involved in various hospital committees and activities to strengthen relationships across specialties and improve patient care. Key competencies for pathologists include medical knowledge, lifelong learning, collaboration, and recognizing how pathology fits within the larger healthcare system.