Episode 3.1 Insulin, Betty White, Pap Smears and Adopting Practice Changes

In this episode, we tell the story of the first insulin injection 100 years ago yesterday. Then we discuss the history of pap smear guidelines and the reasons for current recommendations. We also discuss the harms associated with doing too many pap smears. Finally, we discuss the reasons why some practice changes are adopted rapidly by OB/Gyns while others languish for decades. Oh, and Betty White of course. 

Links Discussed:

History of ACS Recommendations for the Early Detection of Cancer in People Without Symptoms

The Pap Smear Revisited

Prevalence of Potentially Unnecessary Bimanual Pelvic Examinations and Papanicolaou Tests Among Adolescent Girls and Young Women Aged 15-20 Years in the United States

Trends in the use of cervical cancer screening tests in a large medical claims database, United States, 2013-2019

Determinants of Potentially Unnecessary Cervical Cancer Screenings in American Women

Cervical Cancer Rates Have Dropped Among Young Women in the United States

Not Even a Pandemic Could Settle One of Medicine’s Greatest Controversies

HARMS OF CERVICAL CANCER SCREENING IN THE UNITED STATES AND THE NETHERLANDS