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Professional Conduct
& Attitude
Skills
Knowledge
Health
Supervision
Growth
Development
Behavior
Nutrition
Prevention
of Illness
Issues
Unique to Adolescence
Issues
Unique to Newborns
Medical
Genetics
Common
Illnesses & Problems
Common
Chronic Illnesses/Disabilities
Therapeutics
Fluid
& Electrolyte Management
Poisoning
Pediatric
Emergencies
Child
Abuse
Child
Advocacy
Clinical Cases
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Medical Student Curriculum Guide
Knowledge—Issues Unique to Adolescence
Rationale
Adolescence represents the stage of human growth and development between
childhood and adulthood. It encompasses physical changes in addition to
cognitive and psychosocial maturation. Medical problems common in adolescents reflect, in part, the
interplay between physical and psychosocial development.
Learning Objectives
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Recognize unique features of the physician-patient relationship during
adolescence, including confidentiality and consent.
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Describe strategies for interviewing and counseling adolescents.
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Discuss the characteristics of early, mid, and late adolescence in terms
of physical, cognitive, and psychosocial growth and development.
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List the major causes of mortality and morbidity in adolescents.
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Recognize the features of psychosocial and mental health problems common
in adolescence, including school avoidance/failure, eating disorders,
depression and suicide.
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Discuss approach to preventive counseling and identification of risk
behaviors for these keys areas: sexuality/sexual activity (sexual
orientation, contraception and sexually transmitted diseases), substance
abuse, and personal safety (firearms, violence, motor vehicles).
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Identify medical and psychosocial difficulties encountered by adolescents
with chronic diseases (also see section on "Chronic Disease").
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Review the concepts of "risk-taking behavior" and
"high-risk"
youth.
Competencies
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Conduct a health maintenance visit on a healthy adolescent incorporating a
developmental assessment, risk behavior assessment, and preventive
counseling.
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Describe one's approach to counseling a teenager concerned about
contraception and sexually transmitted diseases and AIDS, or a youth who
engages in smoking or "binge" drinking.
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Describe pertinent features of the history, physical examination when
evaluating a boy or girl with delayed pubertal development.
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