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Invited Commentary
January 6, 2020

Unnecessary Bimanual Pelvic Examinations and Papanicolaou Testing in Adolescents and Young Women—Learning How to Unlearn

Author Affiliations
  • 1Department of Obstetrics and Gynecology and Center for Health Equity Transformation, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois
JAMA Intern Med. Published online January 6, 2020. doi:10.1001/jamainternmed.2019.6291

In this issue of JAMA Internal Medicine, Qin and colleagues1 report that more than half of bimanual pelvic examinations and about 70% of Papanicolaou (Pap) tests performed among girls and women aged 15 to 20 years in the United States are potentially unnecessary. The findings of their cross-sectional study demonstrate what happens to vulnerable populations (in this case, girls and young women) when clinicians do not keep up with or do not adhere to new guidelines.

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