T he evolution of information technology has revolutionized the practice of pathology. After years of traditional practice using glass slides, we are stepping into a new era of digital images and telepathology.1 Digital pathology can be defined as an image-based information environment enabled by computer technology that allows for the management of information generated from a digital slide. Digital pathology is enabled in part by virtual microscopy, which involves the conversion of glass slides into digital slides that can be viewed, managed and analyzed.2,3 The range of applications of digital pathology is wide and includes primary diagnosis, intraoperative and remote consultation through telepathology, 1,4-6 quality assurance, archiving, education and conferences, examinations, automated image analysis, research and publishing. 1,7 Traditionally, education and training in pathology have been delivered using glass slides and conventional microscopy. Recently, there has been a gradual switch to use of digital images and Web-based pathology resources at the different levels of medical education, from teaching medical students to residents.8 Whole-slide imaging technology allows glass slides to be scanned and viewed on a computer screen at different Background: It is anticipated that many licensing examination centres for pathology will begin fully digitizing the certification examinations. The objective of our study was to test the feasibility of a fully digital examination and to assess the needs, concerns and expectations of pathology residents in moving from a glass slide-based examination to a fully digital examination.