Understanding New Guidelines for Cervical Cancer Screening and Management of Abnormal Results

Dr. Rebecca Perkins, Associate Professor of Obstetrics and Gynecology at Boston University School of Medicine, reviews the new 2019 ASCCP Risk-Based Management Consensus Guidelines for Abnormal Cervical Cancer Screening Tests and Cancer Precursors. Through discussion, Dr. Perkins outlines the new risk-based approach for management of abnormal Pap and HPV test results. By explaining the foundational science behind the new guidelines, including the potential benefits of focusing resources on high-risk patients while reducing invasive procedures in low-risk patients, Dr. Perkins presents research that highlights implementing risk-based screening and how to distinguish patients requiring immediate evaluation from those who can be safely followed in 1 year or more. Tools and resources including identification of common case presentation and sample scripts to help facilitate conversations with patients, are provided. 

Target Audience

This course is intended for family medicine, general internal medicine, obstetrical, gynecological and primary care providers.

Learning Objectives

  • Describe how HPV epidemiology drives risk-based cancer prevention
  • Explain why risk-based management represents an improvement in care
  • Review and implement fundamentals of risk-based guidelines for managing patients

Additional Information

Massachusetts Medical Society (MMS)
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit
Course opens: 
Course expires: 

Rebecca B. Perkins, MD, MSc, Associate Professor of Obstetrics and Gynecology, Boston University School of Medicine, Obstetrician/Gynecologist, Boston Medical Center

Dr. Perkins is an Associate Professor of Obstetrics and Gynecology at Boston University School of Medicine, and a practicing gynecologist at Boston Medical Center. Her career is dedicated to reducing health disparities in cervical cancer. Her current research focuses on improving utilization of HPV vaccination and cervical cancer screening guidelines. Dr. Perkins is currently working on national projects related to HPV vaccination and cervical cancer prevention with the American Cancer Society, American Academy of Pediatrics, and American College of Obstetricians and Gynecologists. In the fields of screening and management, she was a working group member for the Colposcopy Standards project, Co-Chair and Chair of the ASCCP Practice Committee, and Co-Chair of the 2019 ASCCP Risk-Based Management Consensus Guidelines.  

Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Massachusetts Medical Society and the Massachusetts Department of Public Health. The Massachusetts Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

AMA Credit Designation Statement
The Massachusetts Medical Society designates this internet enduring material for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk management study.

MOC Approval Statement
Through the American Board of Medical Specialties (“ABMS”) ongoing commitment to increase access to practice relevant Continuing Certification Activities through the ABMS Continuing Certification Directory, this activity has met the requirements as a MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:

Family Medicine 

National Commission on Certification of Physicians Assistant (NCCPA)
Physician Assistants may claim a maximum of 1.00 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credits™ from organizations accredited by ACCME or a recognized state medical society.

Exam/Assessment: A score of 70% or higher is required to receive AMA PRA Category 1 Credit™.  

Available Credit

  • 1.00 AMA PRA Category 1 Credit
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This course is offered through Massachusetts Medical Society

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