We dive deep into the relationship between HPV and cervical cancer and identify when and how to screen women with tips from Dr. Karen Smith-McCune (UCSF), Professor in the Department of Obstetrics and Gynecology! We review common cytology findings, screening guidelines, and basic indications for HPV vaccination.  Full show notes at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Producer: Molly Heublein MD Writer: Elena Gibson MD and Molly Heublein MD Infographic: Beth Garbitelli MS2 Cover Art: Kate Grant MBChB DipGUMed Hosts: Molly Heublein MD; Matthew Watto MD, FACP Editor: Emi Okamoto MD; Matthew Watto MD, FACP Guest: Karen K. Smith-McCune MD, PhD   Sponsors Win a prize! Help ACP Celebrate National Internal Medicine Day and tell us why you’re I.M. Proud. Tell us why you are I.M. Proud and enter the contest by visiting acponline.org/improud to submit your story today! Answer one of the three questions below and share your story on social media using the hashtags #IMProud #NationalInternalMedicineDay, and tag @acpinternists. Prizes will be given out 3 times through June of 2020. The first group of winners will be announced on the first ever National Internal Medicine Day October 28, 2019! What makes you proud to practice internal medicine or one of the I.M. subspecialties?  What recent patient experience made you proud to be an internist or subspecialist? How is internal medicine unique from other subspecialties? See us at the CHEST 2019 Annual Meeting in New Orleans! We’ll be doing two live interviews on stage, plus recording two recap episodes to bring you high yield clinical pearls from the conference. Look out for us in our red Curbsiders shirts and say hello. Take a picture with Stuart! Give Paul a hug! Register today https://chestmeeting.chestnet.org/ !!!! Time Stamps 00:00 Sponsor: I.M. Proud National Internal Medicine Day Story Contest 01:00 Reminder: We’ll be at CHEST 2019 in NOLA! 01:33 Intro, guest bio 04:35 Guest one-liner; Check out our classic Curbsiders’ Top Picks 08:00 Sponsor: I.M. Proud National Internal Medicine Day Story Contest 09:49 Case of HPV; Background; Is HPV an STI? 13:47 Frequency of screening; Discussion of testing types & pitfalls 18:11 Summary of testing for cervical cancer 20:20 Is co-testing every helpful? 24:05 Choosing a testing interval 24:40 Colposcopy; Risks 32:19 Screening women under 30 years old? Under 21 years old? 33:22 Interpreting a PAP (cytology) result; Algorithm for cervical cancer screening 42:08 Women over 65 years old; When to stop screening 46:02 Will Vaginal swabs replace traditional cervical screening 48:40 Screening after Hysterectomy or “Partial” hysterectomy 50:25 HPV vaccine in older adults and shared decision making 54:21 HPV vaccine in children, young adults 58:12 Take home points 59:40 Outro Disclosures Dr. Smith-McCune reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Citation Smith-McCune K, Heublein M, Gibson E, Garbitelli B, Okamoto M, Watto MF. “#175 Cervical Cancer Screening and HPV”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list. September 30, 2019.