The U.S. Preventive Services Task Force recently recommended that doctors drop routine PSA screening for prostate cancer. This decision was based on large, long-term, prospective trials that showed PSA screening did not improve overall survival. But a new survey from Johns Hopkins shows that many primary care physicians are reluctant to follow the recommendation. Three fourths of these doctors say their patients expect annual PSA tests. Although most doctors now believe in the concept of evidence-based medicine, only 2% said they would change their practice to omit routine PSA screening.