TABLE 3—
Time Requirements for Each USPSTF Recommendation for Children Aged 0 to 24 Years in Representative Practice
| Rank | Preventive Service | Annual Frequency | Minutes Per Service | Hours Per Year |
| Screening | ||||
| A | Papanicolaou test50,a | 0.33 | 3.00 | 2.1 |
| B | Vision screenb | 0.10 | 1.00 | 0.6 |
| B | Chlamydia screenc | 1.00 | 1.00 | 0.6 |
| B | Rubella serologyd | 0.10 | 1.00 | 0.4 |
| B | Assess for problem drinking51,52,e | 1.00 | 0.50 | 4.4 |
| B | Blood pressure | 1.00 | 0.25 | 3.7 |
| B | Height and weight | 1.00 | 0.25 | 3.7 |
| Counseling | ||||
| A | Avoid tobacco/passive smoking21,f | 1.00 | 3.00 | 44 |
| A | Regular physical activity54,f | 1.00 | 4.00 | 59 |
| A | Child safety car seatb | 0.40 | 1.50 | 3.6 |
| A | Lap/shoulder belt35 | 1.00 | 1.50 | 22 |
| A | Motorcycle/bike/ATV helmetf | 1.00 | 1.50 | 22 |
| A | Hot water heater set < 120–130°Fb | 1.00 | 1.50 | 8.9 |
| B | Smoke detectorf | 1.00 | 1.50 | 22 |
| B | Window/stair guards, pool fenceb | 1.00 | 1.50 | 8.9 |
| B | Drug/toxicant/firearm/match safetyb | 1.00 | 1.50 | 8.9 |
| B | Safe storage/removal of firearmse,f | 1.00 | 1.50 | 13 |
| B | Syrup of ipecac/poison controlb | 1.00 | 1.50 | 8.9 |
| B | CPR training for parents/caretakersb | 1.00 | 1.50 | 8.9 |
| B | Breastfeeding/iron-enriched foodb | 0.05 | 1.50 | 0.4 |
| B | Baby bottle tooth decayb,f | 0.05 | 1.50 | 0.4 |
| B | Avoid underage drinking/drug usee,f | 1.00 | 3.00 | 26.3 |
| B | Driving, etc., while intoxicatede,f | 1.00 | 3.00 | 26 |
| B | Contraceptione | 1.00 | 3.00 | 26 |
| B | STD preventione,f | 1.00 | 3.00 | 26 |
| B | Limit fat and cholesterol/diet36,56 | 1.00 | 8.20 | 121 |
| B | Adequate calcium intakeg | 1.00 | 1.50 | 6 |
| B | Visits to dental care providerf | 1.00 | 1.50 | 22 |
| B | Floss, brush dailyf | 1.00 | 1.50 | 22 |
| Immunizations | ||||
| A | DTP seriesb | 0.50 | 0.50 | 1.5 |
| A | Poliovirus (OPV/IPV)b | 0.40 | 0.50 | 1.2 |
| A | MMRb | 0.20 | 0.50 | 0.6 |
| A | Hib conjugateb | 0.40 | 0.50 | 1.2 |
| A | Hepatitis Bb | 0.40 | 0.50 | 1.2 |
| A | Varicellab | 0.40 | 0.50 | 1.2 |
| A | Td boostere | 0.08 | 0.50 | 0.4 |
| A | Hepatitis B boostere | 0.08 | 0.50 | 0.4 |
| B | Varicella boostere | 0.08 | 0.50 | 0.4 |
| B | Rubellad | 0.08 | 0.50 | 0.2 |
| Chemoprophylaxis | ||||
| B | Folic acidg | 1.00 | 1.50 | 3 |
| Total hours required per year | 534 | |||
| Total hours required per working day | 2.2 | |||
Note. ATV = all-terrain vehicle; CPR = cardiopulmonary resuscitation; DTP = diphtheria–tetanus–pertussis vaccine; MMR = measles–mumps–rubella vaccine; STD = sexually transmitted disease; Td = tetanus and diphtheria toxoids; USPSTF = US Preventive Services Task Force.
aFemales if sexually active (defined, as suggested in guidelines, as “if sexual history is unreliable”; age 18 years or older).
bAge 0 to 10 years only.
cFemales if sexually active (as defined above) and aged 20 years and older.
dFemales aged 12 years and younger.
eAged 11 to 24 years only.
fThe ability of clinician counseling to influence this behavior is unproven.
gFemales aged 11 to 24 years.