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Colposcopy for Family Physicians
Diane M. Harper, MD, MS
Truman Medical Center East Kansas City, Mo
Arch Fam Med. 1994;3(5):400-401.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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I am writing in response to the article by Phillips1 and its accompanying editorial by Dietrich and Kotrady2 in the October 1993 issue of the ARCHIVES. I specifically want to address the comment that colposcopy should not be added to the basic list of family physician skills.
The family physician excels at screening and early detection and treatment of most all cancers for which there is an effective screening method. The Papanicolaou smear is the oldest, most studied, and most useful of these methods. The indirect evidence supporting this is the 69% decrease in the number of cervical cancer deaths in the past 30 years.3 Forty percent of all Papanicolaou smears done in the United States are performed by family physicians, an estimated 28 million per year.4 Phillips1 infers that 97% of family physicians who are members of the Washington Academy of Family Physicians are
. . . [Full Text PDF of this Article]
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