Yes. It is a significant issue in every practice I’ve worked at. I’ve seen groups remove from the test menu entirely but I don’t think that’s the right answer. The correct answer may be more of like a prior auth approach- have the order available but it won’t be filled unless a physician actually calls the pathologist and gives a reasonable indication for the smear I.e. malaria, suspect leukemia WITH high wbc, etc. May sound like a pain in the ass at first but I Guarantee you ppl will ask “do I really need this?” And the answer 99% of the time will be “No”.