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ACOG encourages everyone to ‘choose wisely’

Dr. Sandra KochSandra Koch, MD, ACOG Committee on Patient Safety and Quality Improvement vice chair

Choosing Wisely is a campaign to help physicians, patients, and other health care stakeholders think and talk about overuse of health care resources in the US. Given the enormous financial investment America makes in its health care delivery system, it is laudable to be participating in a project where the aim is to improve the quality of health care while simultaneously decreasing the costs.

ACOG has joined more than 50 medical specialties, as well as Consumer Reports and a number of consumer-focused organizations, in working with the American Board of Internal Medicine Foundation on this project. 

In February, ACOG released a list of the top five tests and procedures to question in ob-gyn as part of the Choosing Wisely campaign:

  • Don’t schedule elective, non-medically indicated inductions of labor or cesarean deliveries before 39 weeks 0 days gestational age
  • Don’t schedule elective, non-medically indicated inductions of labor between 39 weeks 0 days and 41 weeks 0 days unless the cervix is deemed favorable
  • Don’t perform routine annual Pap tests in women 30 to 65 years of age
  • Don’t treat patients who have mild dysplasia of less than two years in duration
  • Don’t screen for ovarian cancer in asymptomatic women at average risk

Lists from other specialties are available on the Choosing Wisely website. Please take the time to read through the lists, and promote their adoption within your health care system. If you have recommendations for the next list regarding ob-gyn, please email me at koch-mcfarren@sbcglobal.net.



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