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PREFACE | PROFESSIONAL
CONDUCT AND ATTITUDES | SKILLS
| HEALTH
SUPERVISION |
GROWTH
|
DEVELOPMENT | BEHAVIOR
| NUTRITION
| PREVENTION
|ISSUES
UNIQUE TO ADOLESCENCE |
ISSUES UNIQUE TO THE NEWBORN |
MEDICAL GENETICS AND DYSMORPHOLOGY | COMMON
ACUTE PEDIATIC ILLNESS |
COMMON CHRONIC ILLNESS AND DISABILITY | THERAPEUTICS
|
FLUID AND ELECTROLYTE MANAGEMENT | POISONING
|
PEDIATRIC EMERGENCIES | CHILD
ABUSE | CHILD
ADVOCACY | COMMON PEDIATRIC ILLNESS TABLE
|
CLINICAL ENCOUNTER TABLE | DIAGNOSIS LIST | CURRICULUM DEVELOPMENT PARTICIPANTS
Rationale
Prerequisites
Competencies
Processes
Rationale
Adolescence represents the stage of human growth and development
between childhood and adulthood. During this time, significant physical,
cognitive, and psychosocial changes occur.
Prerequisites
- Introductory communication and interviewing skills
- Knowledge of the anatomy, physiology, and endocrinology related
to growth and reproduction
- A framework for understanding childhood development
Competencies
Knowledge
- Describe the unique features of the physician-patient relationship
during adolescence including confidentiality and consent. (CP)
- Identify and describe the sequence of the physical changes
of puberty (e.g. Tanner scale). (CP)
- List the components of health supervision for an adolescent,
such as personal habits, pubertal development, immunizations,
acne, scoliosis, sports participation, and indications for pelvic
exam. (CP)
- Describe the common risk-taking behaviors of adolescents, such
as alcohol and other drug use, sexual activity and violence (CP)
- Describe the contributions of unintentional injuries (CP), homicide
(CP), suicide (CP) and HIV/AIDS (M) to the morbidity and mortality
of adolescents.
- Describe the features of common mental health problems in adolescence,
including school failure, attention deficit, body image, eating
disorders, depression and suicide. (CP)
- Describe an approach to counseling an adolescent regarding sexual
activity, substance abuse, and personal safety. (M)
- Describe the unique difficulties encountered by adolescents
with chronic diseases, including adherence and issues of autonomy
vs. dependence. (M)
- Discuss the characteristics of early, mid and late adolescence
in the terms of cognitive and psychosocial development. (M)
Skills
- Interview an adolescent patient, using the HEADSS method, to
ask sensitive questions about lifestyle choices that affect health
and safety (e.g. sexuality, drug, tobacco and alcohol use) (CP)
and give appropriate counseling (M)
- Conduct a physical examination of an adolescent that demonstrates
respect for privacy and modesty, employing a chaperone when appropriate.
(CP)
- Conduct a pre-participation sports examination and demonstrate
the key components of that examination necessary to clear an individual
for participation in strenuous exercise (special senses, cardiac,
pulmonary, neurological, and musculo-skeletal). (M)
- Conduct a health supervision visit for a healthy adolescent,
incorporating a psychosocial interview, developmental assessment
and appropriate screening and preventive measures. (M)
Processes
All students on the Pediatric Clerkship should see an adolescent
patient or patients.
Click
here to link to the Clinical Case Scenarios.
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