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NOTE: This issue is no longer available for CME credit. The AMA's 3-year time limit from when the issue was published has expired. You will be given a score but no credit.


All subscribers to ACOG UPDATE audio CDs will also have free access and ability to download the same program in MP3 format. They can also download a PDF file of the complete transcript with Pre- and Post-test Questions and a List of Supplementary Reading Materials.

Volume 39, Issue 1
Publication date: July 1, 2013
Expiration date: July 1, 2016

Five Things Physicians and Patients Should Question
Hal C. Lawrence III, MD (Moderator)
Executive Vice President, American College of Obstetricians and Gynecologists; Professor of Clinical Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Georgetown University Hospital, Washington, DC

Lisa M. Hollier, MD, MPH
Professor of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas

Jeffrey M. Rothenberg, MD, MS
Chief Medical Officer, University Hospital, Indiana University Health; Associate Professor of Clinical Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana

Learning Objectives
After completing this activity, the physician should be better able to:
1. Understand the origin of the Choosing Wisely campaign.
2. Discuss the reasons why the ACOG and Choosing Wisely campaign document states no nonmedical inductions of labor or Cesarean sections before 39 weeks.
3. Describe the impact of elective induction on the Cesarean delivery rate.
4. Discuss the rationale for not performing a nonmedical, elective induction of labor between 39 and 41 weeks without a favorable cervix.
5. Explain the reason for the change in frequency of Pap smears and human papillomavirus (HPV) testing.
6. List reasons for not ordering routine ultrasounds and CA125 screening in low-risk patients.


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