As laboratory physicians, QA and QC activities are a regular part of our practice and we can see the value of a physician practice improvement program. However, most of the supporting documentation is aimed towards physicians seeing patients in an office practice. While the emphasis on these physicians is understandable, lab physicians often feel that their medical practices are not acknowledged and find it difficult to apply guidelines or standards that are developed for clinicians to their lab medicine practice. It would be helpful to have further dialogue to help those physicians who do not see patients in office settings, like lab physicians and those working in diagnostic imaging, comply with the CPSA standards.