Choosing Wisely® Recommendation: Don't order annual EKGs for low-risk patients.
Choosing Wisely® Recommendation: Don't routinely prescribe antibiotics for otitis media in children aged 2-12 years.
Choosing Wisely® Recommendation: Don't routinely prescribe antibiotics for acute mild-to-moderate sinusitis.
Don’t routinely recommend daily home glucose monitoring for patients who have Type 2 diabetes mellitus and are not using insulin.
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.
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.
Choosing Wisely® Recommendation: Don't do imaging for low back pain within the first six weeks, unless red flags are present.
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.
Choosing Wisely® Recommendation: Do not require a pelvic exam or other physical exam to prescribe oral contraceptive medications.
Choosing Wisely® Recommendation: Do not routinely screen for prostate cancer using a prostate-specific antigen (PSA) test or digital rectal exam.
Don’t transfuse more than the minimum of red blood cell (RBC) units necessary to relieve symptoms of anemia or to return a patient to a safe hemoglobin range (7 to 8 g/dL in stable patients).
Due to recently-published evidence related to screening adolescents for scoliosis, the AAFP has withdrawn this recommendation.
Choosing Wisely® Recommendation: Don’t screen for carotid artery stenosis (CAS) in asymptomatic adult patients.
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.
►CHOOSING WISELY® RECOMMENDATION UNDER REVIEW
Don’t screen for genital herpes simplex virus infection (HSV) in asymptomatic adults, including pregnant women.
Don’t screen for testicular cancer in asymptomatic adolescent and adult males.
Don’t perform pelvic exams on asymptomatic nonpregnant women, unless necessary for guideline-appropriate screening for cervical cancer.
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.