Rapid advances in cancer research, diagnostic testing, and targeted therapies are transforming the landscape of cancer diagnosis and care – helping to improve patient outcomes, but also increasing the complexity of diagnosis and subsequent care. This workshop examined opportunities to ensure that patients have access to appropriate oncologic pathology and imaging expertise and technologies to inform their diagnosis, treatment planning, assessment of treatment response, and oncologic surveillance. Workshop sessions considered strategies to develop and maintain a workforce with oncologic imaging and pathology competencies and the role of new technologies and models of care to improve access to these expertise areas.