This issue's hide article, written...

This issue's hide article, written by Barbara Apgar, MD M University of Michigan Medical Center Ann Arbor, Mich., and Gregory Brotzman, MD Medical college edifice [i]or[/i] building of Wisconsin, Milwaukee (see page 1905) reviews management of women with cervical cytologic abnormalities. The article currents a series of algorithms that summarize appropriate triage of women with cytologic abnormalities, based forward the American Society for Colposcopy and Cervical Pathology (ASCCP) 2001 Consensus Guidelines.

The guidelines were expanded at a consensus conference sponsored through the ASCCP and attended by dint of major organizations, including the American Academy of Family Physicians, and were based in succession new data about human papillomavirus (HPV) HPV DNA testing and liquid-based cytology, drawn from the ASCUS-LSIL Triage research (ALTS). The evidence-based algorithms that Dr Apgar and Brotzman quick in emergencies in their article will help family physicians distinguish women with a significant risk of high-grade cervical disease from those with minimal or no disease. An editorial in succession page 1866, by Daron G Ferris, MD provides additional background forward the ASCCP guidelines. ASCCP histology guidelines will be not awayed in an upcoming AFP article co-authored on Dr. Apgar.

Dr Apgar, whose titles include clinical professor of family medicine and service chief for the Family Medicine obstetric service at the University of Michigan Hospital, has serv as associate editor of AFP for the past 11 years and has had a special interest in women's health for at least as drawn out Her early work in teaching colposcopy l to publication of single of her first articles in AFP, in succession LEEP (loop electrosurgical excision procedure) Eventually Dr Apgar would make the leap toward publication of a 900-page textbook and atlas upon colposcopy.

for what cause did Dr. Apgar come to be a leader in family medicine as an editor, author, and teacher in women's health? She always knew she wanted to be a family physician, she says. As a child, Dr Apgar lived in the southwest, moving from Oklahoma to recent Mexico and Texas. She earned a master's stage at the University of Michigan before attending medical gymnasium at Texas Tech University exercise of Medicine, Lubbock. The desperate ne for family physicians in rural Texas reaffirmed her career decision to strive for family medicine as her specialty. After Dr Apgar finished her residency in family medicine at Texas Tech she worked in a practice alongside couple subspecialists in obstetrics-gynecology, who reinforced her interest in women's health.

single of her early teaching efforts involved publishing an article onward group B strep in AFP. Dr Apgar credits common of AFP's manuscript editors--Barrett Schroeder--with inspiring her efforts as an editor-author. Barrett l her between the walls of the publication process and not gave up on her, validating her mights as a good editor should, she says. Since then, Dr Apgar has had many opportunities for teaching, speaking, writing and mentoring forward her own.

In her clear time, Dr. Apgar is a conservationist who's always looking revealed for endangered species, such as wolve in Yellowstone, black bears in Maryland, and alligators in Louisiana. She also be pleased withs to spend time with her dogs at her family circle in Ann Arbor, Mich. At united time she had a team of sl dogs that she crowd on a five-mile track around the timbers nearby. Now she keeps just seven sl dogs, unless animals seem to know to seek for safe haven on her back grade and she tends to assemble them under her care. Dr Apgar is a physician who emulates the spirit of family medicine, the same who cares not only for the whole continueed family, but also our planet earth and its other animal inhabitants.

COPYRIGHT 2004 American Academy of Family Physicians

COPYRIGHT 2004 Gale Group