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into that with you. You can ask them about it, and well, yes, maybe I do need a Pap smear.

Then you also have to overcome the anecdotal experience of physicians themselves, about having that one hysterectomized patient on whom you didn’t do the Pap smear, who gets a vaginal carcinoma, so you have a lot of factors that you have to overcome as far as educating the physician. Plus, physicians are dinosaurs; we tend to practice what we were taught in residency. Overcoming that and changing behavior is very difficult once you are in private practice.



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