Choosing Wisely

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Annual EKGs for Low-risk Patients - Choosing Wisely

View the AAFP Choosing Wisely recommendation on annual electrocardiograms (EKGs) or other cardiac screening for low-risk patients.

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Antibiotics for Otitis Media - Choosing Wisely

View the AAFP Choosing Wisely recommendation on prescription of antibiotics for otitis media in children with non-severe symptoms.

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Antibiotics for Sinusitis - Choosing Wisely

View the AAFP Choosing Wisely recommendation on prescribing antibiotics to treat sinusitis.

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DEXA for Osteoporosis - Choosing Wisely

Choosing Wisely® Recommendation: Don't use dual-energy X-ray absorptiometry (DEXA) screening for osteoporosis in women under age 65 or men under 70 with no risk factors.

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Elective Inductions of Labor Between 39 and 41 Weeks - Choosing Wisely

Choosing Wisely® Recommendation: Avoid elective, non-medically indicated inductions of labor between 39 weeks, 0 days and 41 weeks, 0 days unless the cervix is deemed favorable.

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Elective, Non-medically Indicated Inductions of Labor or Cesarean Deliveries Before 39 Weeks - Choosing Wisely

Choosing Wisely® Recommendation: Don’t schedule elective, non-medically indicated inductions of labor or Cesarean deliveries before 39 weeks, 0 days gestational age.

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Imaging for Low Back Pain - Choosing Wisely

Choosing Wisely® Recommendation: Don't do imaging for low back pain within the first six weeks, unless red flags are present.

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Pap Smears - Choosing Wisely

Choosing Wisely® Recommendation: Don't perform Pap smears on women under the age of 21 or women who have had a hysterectomy for non-cancer disease.

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Pelvic Exam or Physical Exams to Prescribe Oral Contraceptive Medications - Choosing Wisely

Choosing Wisely® Recommendation: Do not require a pelvic exam or other physical exam to prescribe oral contraceptive medications.

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Prostate Cancer Screening Using a Prostate-specific Antigen (PSA) Test or Digital Rectal Exam - Choosing Wisely

Choosing Wisely® Recommendation: Do not routinely screen for prostate cancer using a prostate-specific antigen (PSA) test or digital rectal exam.

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Scoliosis in Adolescents - Choosing Wisely

View the AAFP Choosing Wisely® recommendation on screening adolescents for scoliosis.

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Screening for Carotid Artery Stenosis in Asymptomatic Adult Patients - Choosing Wisely

Choosing Wisely® Recommendation: Don’t screen for carotid artery stenosis (CAS) in asymptomatic adult patients.

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Screening for Cervical Cancer in Women Older Than 65 Years of Age - Choosing Wisely

Choosing Wisely® Recommendation: Don’t screen women older than 65 years of age for cervical cancer who have had adequate prior screening and are not otherwise at high risk for cervical cancer.

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Screening for Cervical Cancer in Women Younger than 30 Years of Age - Choosing Wisely

Choosing Wisely® Recommendation: Don’t screen women younger than 30 years of age for cervical cancer with HPV testing, alone or in combination with cytology.

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Voiding Cystourethrogram (VCUG) for First Febrile Urinary Tract Infection in Young Children - Choosing Wisely

Choosing Wisely® Recommendation: Do not perform voiding cystourethrogram (VCUG) routinely in first febrile urinary tract infection (UTI) in children aged 2-24 months.

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