After approval from the institutional review board at Eastern Virginia Medical School, Norfolk, and the American Society of Dermatopathology (ASDP) board of directors, an anonymous, voluntary, Web-based survey was e-mailed to all board-certified dermatopathologist members of the ASDP. In November 2009, the e-mail invitation was sent to all 816 members who provided their e-mail addresses to the ASDP; 34 of the e-mail addresses were considered invalid because an error message was received in response. The survey remained available for responses for 30 days, and a reminder was sent during the final week. In addition to multiple choice answers, respondents were given the opportunity to write additional comments and feedback on the topic. Statistical analysis was performed using SAS computer software, version 9.2 (SAS Institute Inc, Cary, NC).