Author Affiliations: Center for Education and Research in Family and Community Medicine (Dr Morioka-Douglas); and Department of Obstetrics and Gynecology (Dr Hillard), Stanford University School of Medicine, Stanford, California.
In 2010, the National Physicians Alliance (NPA) with the support of the American Board of Internal Medicine Foundation convened the Good Stewardship Working Group, consisting of a representative sample of practicing primary care physicians selected from a variety of practice settings as well as geographic locations around the United States. Their goal was to identify the top 5 common outpatient practices in general pediatrics, general internal medicine, and family medicine for which there was evidence supporting the lack of benefit as well as potential increased risk.1
Morioka-Douglas N, Adams Hillard PJ. No Papanicolaou Tests in Women Younger Than 21 Years or After Hysterectomy for Benign Disease. JAMA Intern Med. 2013;173(10):855-856. doi:10.1001/jamainternmed.2013.316