Keywords: skin cancer, pathology clinic, resident training, safety-net hospitals Background: Pathology clinics (PCs) can enhance patient understanding of their diagnoses and strengthen patient-provider communication. However, little is known about the impact of PCs on medical trainees, particularly in safety-net settings. At Olive View Medical Center (OVMC), a safety-net hospital affiliated with UCLA, dermatology residents play a crucial role in patient care while navigating limited resources, low health literacy, and language barriers. Understanding how PCs influence resident confidence, communication skills, and workflow is essential for successful and sustainable implementation. Objective: To evaluate dermatology residents’ perceptions of the feasibility, acceptability, barriers, and facilitators of implementing a PC at OVMC. Methods: We are employing a mixed-methods approach. A survey, informed by a prior study by Lapedis et al., assesses baseline knowledge and attitudes toward PCs. Semi-structured interviews, guided by the Consolidated Framework for Implementation Research (CFIR), will explore deeper insights into implementation perspectives. Interviews will be audio-recorded, transcribed, and analyzed thematically. Preliminary Results: Eight dermatology residents (PGY-1 to PGY-3) participated in preliminary polling. Sixty-three percent had no prior knowledge of PCs. Descriptive words for the PC concept included “niche,” “intellectual,” and “unnecessary.” Half expressed interest in referring patients to a PC; others were less certain. Sixty percent felt that highly educated or motivated patients would benefit most. All agreed that information from PCs must be delivered carefully to prevent cognitive and emotional overload. While half questioned pathologists’ communication skills, 67% believed PCs could improve care quality and efficiency. Concerns included language-appropriate communication, role clarity, and workflow integration. Suggestions for effectiveness included using a dedicated clinic room, implementing a secure shared communication document, and ensuring the PC team is on-site. Conclusions: Residents expressed concerns and constructive suggestions for integrating PCs into clinical practice. Their feedback provides valuable direction for fine-tuning PC implementation in safety-net hospitals.