Adolescent Medicine Resident Curriculum

In response to the transition to milestones and EPAs (entrustable professional activities) for medical education, the ACGME has asked individual subspecialty organizations to create learning objectives and educational materials within their subspecialty area to help guide resident training.

To this end, the SAHM education committee, with review and approval of the SAHM Board of Directors has developed a set of educational materials linking learning objectives for pediatric and other residents with educational resources to help achieve those objectives. These objectives are broad and designed both for the four-week adolescent medicine rotation and for residents’ longitudinal learning throughout residency training, with the final goal of helping residents achieve competence in care of adolescent patients.

These resources are divided into ten content modules with specific content areas and linked resources. The adolescent curriculum is designed to supplement existing adolescent rotation teaching, or can be used as a guideline for program directors to develop or revamp their rotation. We are aware that the amount of material is more than can be covered during the required four weeks, and hope that educators will use these materials in a way that optimizes their existing program. For example, programs which already have robust teaching in a specific content area, like eating disorders, may not use these resources, but may use the curriculum to bolster their teaching in a less well-rounded content area, like substance use and abuse.

This resource is here for you to use in whatever ways it supports your adolescent medicine teaching. We have done our best to include different educational teaching modes and interactivity. Please feel free to provide us with feedback to [email protected] on this curriculum: what works, what doesn’t, how we can improve it, what additional resources you would like to be added, etc.… This curriculum will be a living educational resource and we will need YOUR feedback to keep it relevant and useful for educators and trainees alike.

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TEACHING MATERIALS MODULE AND LEARNING OBJECTIVES Interactive Learning Materials to Develop Educational CLINICAL AND Readings and Videos Opportunities Sessions COMMUNITY SETTINGS ROUTINE ADOLESCENT HEALTH CARE

Positive Youth Development and Motivational Readings: Books: ● Outpatient Interviewing: 1. Gold et al. “Motivational Interviewing Strategies to Facilitate 1. Douaihy AB, Kelly TM, and Gold MA. (adolescent clinic, 1. Demonstrate how to take a social history using Adolescent Behavior Change.” Adolescent Health Update Vol. 20, Motivational Interviewing: A Guide for primary care clinic, a strength-based approach, while screening No. 1 October 2007. Medical Trainees. Oxford University subspecialty clinics) for behaviors and risk factors for potential Press 2014 ● Inpatient (wards, morbidity and mortality (eg: SSHADES model) PICU) 2. Ginsburg, K Ed. Reaching Teens: ● Emergency 2. Describe the goals, components, and 2. Rosen, D, Goldenring J. “Getting into Adolescent Heads: An Strength Based Communication Department techniques of motivational interviewing Essential Update.” Modern Medicine. Strategies to Build Resilience and Support Healthy Adolescent 3. Identify the different situations in which Development. AAP, 2014 motivational interviewing can be used with the • Multiple chapters and videos on adolescent population adolescent communication Webinars and Videos: 4. Practice building rapport with adolescents 1. M Gold talk via PRH - webinar and handouts available through ACT using a strength-based approach for Youth – subscribe at http://www.actforyouth.net/adolescence/healthcare/training.cfm

2. Abbot Nutrition Health Institute - Motivational Interviewing (MI) video series. http://anhi.org/physician

Preventive Services: Summary tables: Online Resources: ● Outpatient 1. Compare and contrast the components of a 1. Bright Futures Guidelines, Priorities, and Screening Tables. 1. Tanski et al. Performing Preventive (adolescent clinic, health maintenance visit for an adolescent at Available at: https://brightfutures.aap.org/materials-and- Services. A Bright Futures Handbook primary care clinic) different stages of adolescence tools/Pages/Presentations-and-Handouts.aspx (AAP 2010). Available at:

2. Identify the different immunizations needed Websites and Online Resources: during adolescence for those adolescents who 1. Adolescent Visits Bright Futures Adolescent Tools are up to date and those who need catch-up PediCases available at: 3. List appropriate screening exams and their http://pedicases.org/archives/index.html indications during adolescence: vision, 1. Young, Middle and Late Adolescent hearing, blood pressure, hematocrit, vitamin Health Screening Cases. D, and cholesterol/ lipids

4. Discuss the importance of disease prevention through screening and anticipatory guidance, including healthy lifestyles

5. Screen for safety issues and provide counseling on injury prevention

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

TEACHING MATERIALS CLINICAL AND ROUTINE ADOLESCENT HEALTH CARE – continued Interactive Learning Materials to Develop Educational Readings and Videos COMMUNITY SETTINGS Opportunities Sessions Cultural Competence and Humility: Books: ARSHEP PowerPoint modules available at: ● Outpatient 1. Identify the socio-cultural aspects of young 1. Fadiman, Anne. The Spirit Catches You and You Fall Down: A 1. Cultural Competency and Adolescent (adolescent clinic, people's lives that shape their cultural values Hmong Child, Her American Doctors, and the Collision of Two Health. Available at: https://prh.org/wp- primary care clinic, Cultures. New York: Farrar, Straus, and Giroux, 1997. content/uploads/2015/03/Cultural- subspecialty clinics) 2. Enhance skills in providing culturally sensitive Competency.pptx ● Inpatient (wards, healthcare for adolescents 2. Skloot, Rebecca. The Immortal Life of Henrietta Lacks. New York: PICU) Crown, 2010. Books: ● Emergency 1. Ginsburg, K Ed. Reaching Teens: Department Articles: Strength Based Communication 1. Rue DS, Xie Y. Disparities in treating culturally diverse children and Strategies to Build Resilience and adolescents. Psychiatr Clin North Am 2009;32 (1):153-63. Support Healthy Adolescent Development. AAP, 2014 Videos: 1. “Worlds Apart: A Four-Part Series on Cross-Cultural Healthcare” by 2. Chapter 19: Cultural Humility (with video Maren Grainger-Monsen, MD, and Julia Haslett. Available for content) purchase or rental ($). Study guide also available. http://www.fanlight.com/catalog/films/912_wa.php Harm Reduction: Readings: PediCases. Available at ● Outpatient 1. Incorporate principles of harm reduction into 1. Harm reduction: An approach to reducing risky health behaviors in http://pedicases.org/archives/index.html (adolescent clinic, primary and secondary prevention strategies adolescents. Paediatr Child Health 2008;13(1):53-60. 1. Late Adolescent Health Screening: Amy primary care clinic) for behavior change Goes to College Websites and Online Resources: 2. Middle Adolescent Health Screening: But 1. Harm Reduction in Substance Use: http://harmreduction.org/about- All My Friends Do It us/principles-of-harm-reduction/ 3. Young Adolescent Health Screening: New World, Old Worries Social Determinants of Health: Readings: American Academy of Pediatrics. Trauma ● Outpatient 1. To identify the ways in which social 1. Felitti VJ, et al. Relationship of childhood abuse and household Toolbox for Primary Care. Available at: (adolescent clinic, determinants of health and toxic stresses dysfunction to many of the leading causes of death in adults. The https://www.aap.org/en-us/advocacy-and- primary care clinic, impact adolescent and adult health Adverse Childhood Experiences (ACE) Study. Am J Prev Med policy/aap-health-initiatives/healthy-foster- subspecialty clinics) 1998;14(4):245-58. care-america/Pages/Trauma-Guide.aspx ● Inpatient (wards, 2. To discuss strategies for providing trauma- PICU) informed care and addressing social 2. Flynn AB, et al. Primary Care Interventions to Prevent or Treat ● Emergency determinants of health within adolescent Traumatic Stress in Childhood: A Systematic Review. Acad Pediatr Department settings 2015;15(5):480-92.

3. Lucio R, Nelson TL. Effective Practices in the Treatment of Trauma in Children and Adolescents: From Guidelines to Organizational Practices. J Evid Inf Soc Work 2016:1-10.

Videos: 1. Dr. Nadine Burke Harris. “How childhood trauma affects health across a lifetime.” (TED talk) Available at

Websites and Online Resources: 1. Centers for Disease Control and Prevention. Adverse childhood events; Looking at how ACEs affect our lives & society. Available at:

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

TEACHING MATERIALS CLINICAL AND ROUTINE ADOLESCENT HEALTH CARE – continued Interactive Learning COMMUNITY Readings and Videos Materials to Develop Educational Sessions Opportunities SETTINGS Anticipatory Guidance for Parents: Summary Charts: Apps: PediCases. Available at: ● Outpatient (adolescent 1. Identify opportunities in which anticipatory 1. American Academy of Child and Adolescent Psychiatry - Facts for 1. SAHM THRIVE app; available http://pedicases.org/archives/index.html clinic, primary care guidance can be provided to parents around Families Guide: Normal Adolescent Development for mobile app download 1. Young Adolescent Health Screening: clinic) normal adolescent psychosocial development https://www.adolescenthealth.or New World, Old Worries and risk taking, especially during health a. Part 1: g/SAHM-News/SAHM-THRIVE- maintenance visits App-Released.aspx

2. Discuss the importance of parents’ communication with and support of their adolescents, and provide hints on how to b. Part 2: discuss sensitive issues

Websites and Online Resources: 1. Facts for Families Guide: Talking to your Child About Sex:

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum TEACHING MATERIALS MODULE AND LEARNING OBJECTIVES

Interactive Learning Materials to Develop Educational CLINICAL AND Readings and Videos Opportunities Sessions COMMUNITY SETTINGS GROWTH AND DEVELOPMENT

Physiologic Development: Readings: Pedicases: ● Outpatient (adolescent 1. Describe SMR staging and develop skills in 1. Blondell RD, Foster MB, Dave KC. Disorders of puberty. Am Fam 1. Delayed puberty: Different from my clinic, primary care clinic, properly staging adolescents Physician 1999;60(1):209-18, 223-4. Available at friends. Available at: endocrinology) http://www.aafp.org/afp/1999/0701/p209.html http://pedicases.org/topics/index.html ● Inpatient (wards, PICU) 2. Recognize the stages and progress of normal ● Emergency department puberty 2. Bordini B, Rosenfield RL. Normal pubertal development: Part I: The 2. Understanding Growth: Normal vs endocrine basis of puberty. Pediatr Rev 2011;32(6):223-9. Abnormal patterns. Available at: http://pedicases.org/archives/index.htm 3. Bordini B, Rosenfield RL. Normal pubertal development: part II: l clinical aspects of puberty. Pediatr Rev 2011;32(7):281-92. Social and Cognitive Development: Readings: Office of Adolescent Health E- MedEd Portal: ● Outpatient (adolescent 1. Characterize the developmental continuum of 1. Hazen E, Schlozman S, Beresin E. Adolescent psychological Learning Module - Adolescent 1. Eddins-Folensbee F, Klein J, Martinez clinic, primary care clinic, adolescence including impact on health and development: a review. Pediatr Rev 2008;29(5):161-7; quiz 168. Development. Available at: S, Folensbee R, Harris T. Child and subspecialty clinics risk-taking http://www.hhs.gov/ash/oah/resour Adolescent Development for Medical dealing with adolescents 2. Sanders RA. Adolescent psychosocial, social, and cognitive ces-and- Learners: Adolescent Identity with chronic illness) 2. Assess data on adolescent brain maturation, development. Pediatr Rev 2013;34(8):354-8; quiz 358-9. publications/learning/ad_dev/index Development. MedEdPORTAL ● Inpatient (wards, PICU) development of executive function and its .html Publication; 2012. ● Emergency department influence on adolescent risk taking behavior 3. Johnson SB, Blum RW, Giedd JN. Adolescent maturity and the brain: the promise and pitfalls of neuroscience research in adolescent health policy. J Adolesc Health 2009;45(3):216-21.

Videos: 1. UCSF 2015 “How to Talk to Teens: A Developmental Approach” http://www.uctv.tv/shows/How-to-Talk-to-Teens-A-Developmental- Approach-28887

2. TED talks: Global 2012 “The mysterious workings of the adolescent brain” Available at: http://www.ted.com/talks/sarah_jayne_blakemore_the_mysterious_w orkings_of_the_adolescent_brain

3. Frontline PBS Video Inside the Teenage Brain. Available at: http://www.pbs.org/wgbh/pages/frontline/shows/teenbrain/

Summary Chart: 1. Adolescent Growth and Development chart (B13) in M. Simmons, J. Shalwitz, S. Pollock, A. Young (2003). Adolescent Health Care 101: The Basics. San Francisco, CA: Adolescent Health Working Group.

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

TEACHING MATERIALS

CLINICAL AND GROWTH AND DEVELOPMENT - continued COMMUNITY SETTINGS Interactive Learning Materials to Develop Educational Readings and Videos Opportunities Sessions

Development of Gender Identity and Sexual Readings: NYPATH Module: Working with MedEd Portal: ● Outpatient (adolescent Orientation: 1. Society for Adolescent H, Medicine. Recommendations for LGBTQ Youth. Available through 1. Lee R, Loeb D, Butterfield A. Sexual clinic, primary care clinic, 1. Explain the difference between gender identity promoting the health and well-being of lesbian, gay, bisexual, and ACT For Youth free by registering History Taking Curriculum: Lecture and trans/gender clinic - if and sexual orientation transgender adolescents: a position paper of the Society for Standardized Patient Cases. available) Adolescent Health and Medicine. J Adolesc Health 2013;52(4):506- MedEdPORTAL Publication; 2014. ● Community 2. Apply a developmental framework when 10. organizations focusing discussing the development of gender identity on providing social with patients and families 2. American Academy of Pediatrics. (2015, June 4). Gender Identity services, support groups Development in Children. to LGBTQ youth 3. Apply a developmental framework when https://www.healthychildren.org/English/ages- ARSHEP PowerPoint modules available at: discussing the development of sexual stages/gradeschool/Pages/Gender-Identity-and-Gender-Confusion- http://prh.org/teen-reproductive- orientation with patients and families In-Children.aspx. health/arshep-downloads/ 1. Lesbian, Gay, Bisexual, Trans- gender, Videos: and Questioning Youth 1. NBC News: Transgender Kids. [video] 2. Caring for Transgender Adolescents http://www.nbcnews.com/storyline/transgender-kids ARSHEP videos and discussion guides 2. PBS Frontline: Growing up Trans [video]. Available at available at: https://prh.org/adolescent- http://www.pbs.org/wgbh/pages/frontline/growing-up-trans/ reproductive-sexual-health-case-videos/ 1. Coming Out Summary Chart: 2. Sexual History-Taking and Gender 1. The Genderbread Person v3.3. Available at http://itspronouncedmetrosexual.com/wp- content/uploads/2015/03/Genderbread-Person-3.3-HI-RES.pdf

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

MODULE AND LEARNING OBJECTIVES TEACHING MATERIALS CLINICAL AND COMMUNITY SETTINGS Readings and Videos Interactive Learning Materials to Develop Educational CONSENT AND CONFIDENTIALITY Opportunities Sessions

Confidentiality Laws: Websites and Online Resources: Online Resources: ● Emergency department 1. Recognize the health rights and implications of 1. Guttmacher Institute, State Policies in Brief. Available at: 1. The Center for Adolescent Health & the ● Inpatient and outpatient HIPAA on the care of adolescents- www.guttmacher.org/statecenter Law. Available at: http://www.cahl.org/ settings reproductive health and psychiatric care per • An Overview of Minors Consent Laws state • State Policies on Teens 2. SAHM Youth Providers 2.0 Topic Guide - Confidentiality in Health Care. 2. Describe what evaluation and treatment can be 2. Society for Adolescent Health and Medicine. Section on offered confidentially in your state Confidentiality in Health care. Available at: http://www.adolescenthealth.org/Topics-in-Adolescent- 3. Discuss how EMR and patient access to Health/Confidentiality.aspx records affects confidentiality and adolescents accessing health care Readings: 1. Ford C, English A, Sigman G. Confidential Health Care for PediCases. Available at Adolescents: position paper for the society for adolescent medicine. J http://pedicases.org/archives/index.html Adolesc Health 2004;35(2):160-7. 1. Middle Adolescent Health Screening: But All My Friends Do It

2. Levine SB. Adolescent consent and confidentiality. Pediatr Rev 2009;30(11):457-9.

3. Society for Adolescent Health and Medicine, et al. Recommendations for electronic health record use for delivery of adolescent health care. J Adolesc Health 2014;54(4):487-90. Available at: http://www.jahonline.org/article/S1054- 139X%2814%2900053-6/fulltext

Mandated Reporting: Websites and Online Resources: ● Social work 1. Review state-specific laws regarding mandated 1. Child Welfare Information Gateway. Provides searchable state- ● Child protection team reporting and the procedures that ensue specific statutes. Available at: thereafter https://www.childwelfare.gov/topics/systemwide/laws-policies/state/

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

MODULE AND LEARNING OBJECTIVES TEACHING MATERIALS CLINICAL AND COMMUNITY SETTINGS Interactive Learning Materials to Develop Educational SEXUAL AND REPRODUCTIVE HEALTH Readings and Videos Opportunities Sessions Contraception: Readings: NYPATH Adolescent Health ARSHEP PowerPoint modules available ● Outpatient (adolescent 1. Examine your values around prescribing 1. Committee on Adolescence. Contraception for adolescents. Service Delivery Training Modules. at: https://prh.org/arshep-ppts/ clinic, primary care contraception to your adolescent and young Pediatrics. 2014;134(4):e1244-1256. Available through ACT For Youth 1. Emergency Contraception and clinic, pediatric adult patients, and discuss professional free by registering Adolescents OB/GYN) responsibility to provide evidence-based care 2. Committee on Bioethics. Policy statement--Physician refusal to 2. Essentials of Contraception and ● Inpatient (wards) provide information or treatment on the basis of claims of Adolescents ● Emergency department 2. Describe the US Medical Eligibility Criteria for conscience. Pediatrics 2009;124(6):1689-93. 1. Providing Adolescent-Friendly 3. Long-Acting Reversible Contraceptive Use and US Selected Practice Sexual and Reproductive Contraception: First-Line Care for Recommendations for Contraceptive Use and 3. Society for Adolescent Health and Medicine. Emergency Healthcare Adolescents understand how to apply these in prescribing Contraception for Adolescents and Young Adults: Guidance for contraception and counseling patients about Healthcare Professionals. J Adolesc Health 2016;58(2):245-8. ARSHEP videos and discussion guides at: their options https://prh.org/adolescent-reproductive- 4. Trussell J, et al, eds. Contraceptive Technology. 20th revised sexual-health-case-videos/ 3. Discuss the various options for emergency edition. New York, NY: Ardent Media, 2011. 1. Drop-In Visit for Emergency contraception, including efficacy, mechanism Contraception of action, indications for use, and patient 5. Nickles MC, Alderman E. Noncontraceptive use of contraceptive 2. Request for Birth Control: Young counseling points agents. Pediatr Rev 2014;35(6):229-42 Adolescent 3. Long-Acting Reversible Contraception 4. Explain the various contraceptive methods, 6. U.S. Medical Eligibility Criteria for Contraceptive Use, 2016. MMWR including ideal and typical failure rates, Recomm Rep 2016;65(3):1-103. Available at: Online Resources: mechanism of action, non-contraceptive https://www.cdc.gov/mmwr/volumes/65/rr/rr6503a1.htm 1. Office of Adolescent Health - benefits, side effects, and patient counseling Adolescent Health Topics - points 7. U.S. Selected Practice Recommendations for Contraceptive Use, Reproductive Health. 2016. MMWR Recomm Rep 2016;65(4):1-66. Available at: 5. Apply evidence-based contraceptive http://www.cdc.gov/reproductivehealth/contraception/usspr.htm counseling methods in working with teens, 1. ipad/iphone app, summary chart, additional resources. including counseling based on efficacy and Available at: 2. SAHM Youth Providers 2.0 Topic addressing side effects and adverse effects http://www.cdc.gov/reproductivehealth/contraception/usmec.htm Guide - Sexual and Reproductive Health. Available at 6. Identify and address common myths about Videos (Contraceptive CHOICE Project): https://www.adolescenthealth.org/Top contraception 1. Pathways to CHOICE. Available at: ics-in-Adolescent-Health/Sexual- https://www.youtube.com/watch?v=cd46pXtMHOo&list=PLg4ik20U Reproductive-Health.aspx Z7sVsEyq-K3nc6xNEVqBml8OY

2. Which birth control is right for you? Available at https://www.youtube.com/watch?v=u9SHoy1C3tU&list=PLg4ik20UZ 7sVsEyq-K3nc6xNEVqBml8OY&index=2

Webpages: 1. www.bedsider.org a. Contraceptive efficacy chart b. Emergency Contraception comparison chart

Webinars: 1. Contraception [webinar] by Dr. Steinauer as part of Quality Care and Public Health Implications [online course] Link to materials at http://www.innovating-education.org/abortion101/clinical-practice/

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

TEACHING MATERIALS SEXUAL AND REPRODUCTIVE HEALTH – continued CLINICAL AND COMMUNITY Interactive Learning Materials to Develop Educational SETTINGS Readings and Videos opportunities Sessions Pregnancy Options Counseling: Readings: Values Clarification. Available as ARSHEP PowerPoint modules available ● Outpatient (adolescent 1. Provide teens with non-judgmental 1. Kumar V, Herbitter C, Karasz A, Gold M. Being in the room: part of Goodman S, Wolfe M, and at: http://prh.org/teen-reproductive- clinic, primary care clinic, counseling about all of their pregnancy reflections on pregnancy options counseling during abortion training. the TEACH Trainers Collaborative health/arshep-downloads/ pediatric OB/GYN) options and community resources Fam Med. 2010;42(1):41-46. Working Group. Early Abortion 1. Pregnancy Options Counseling with ● Emergency department Training Workbook, Fourth Edition. Adolescents 2. Describe the public health impact of 2. Finer LB, Zolna MR. Declines in Unintended Pregnancy in the United UCSF Bixby Center for Global unintended adolescent pregnancy, including States, 2008-2011. N Engl J Med 2016;374(9):843-52. Reproductive Health: San ARSHEP videos and discussion guides abortion, adoption, and teen parenting Francisco, CA (2012). Available at: at: https://prh.org/adolescent- 3. Counseling and Informed Consent. Available as part of Goodman S, http://www.teachtraining.org/trainin reproductive-sexual-health-case-videos/ Wolfe M, and the TEACH Trainers Collaborative Working Group.* gworkbook/EarlyAbortionTraining 1. Unintended pregnancy Early Abortion Training Workbook, Fourth Edition. UCSF Bixby Workbook2012.pdf 2. Hoping for a positive pregnancy test Center for Global Reproductive Health: San Francisco, CA (2012).

Webinars: 1. Decision Counseling for Positive Pregnancy Test Results [webinar] by Dr. Perrucci as part of Quality Care and Public Health Implications [online course] Link to materials at http://www.innovating- education.org/abortion101/clinical-practice/

Abortion: Readings: Early options: A Provider’s Guide ARSHEP PowerPoint modules available ● Outpatient (adolescent 1. Provide teens with evidence-based 1. Early Abortion Options. Available as part of Goodman S, Wolfe M, to Medication Abortion at: https://prh.org/arshep-ppts/ clinic, primary care clinic, information about medication and aspiration and the TEACH Trainers Collaborative Working Group. Early • Features of Medical and Surgical 1. Pregnancy Options Counseling with pediatric OB/GYN) abortion, including safety, efficacy, Abortion Training Workbook, Fourth Edition. UCSF Bixby Center for Abortion (in Counseling for Adolescents ● Emergency department indications, and expected side effects Global Reproductive Health: San Francisco, CA (2012). Medication Abortion) Available at http://www.prochoice.org/

Videos and Websites: 1. 1 in 3 campaign. Stories and videos available at: http://www.1in3campaign.org/

2. Guttmacher Institute: Abortion in the United States. Available at: https://www.youtube.com/watch?v=rY-bQ6UzhNI

3. AJ+. How to get an abortion in the United States. Available at: https://www.youtube.com/watch?v=Q36-XTyM7xs

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

TEACHING MATERIALS CLINICAL AND COMMUNITY SEXUAL AND REPRODUCTIVE HEALTH – continued SETTINGS Interactive Learning Materials to Develop Educational Readings and Videos Opportunities Sessions

Male Reproductive Health: Readings: ARSHEP videos and discussion guides at: ● Outpatient (adolescent 1. Describe male adolescent reproductive health 1. Adolescent and young adult male health: a review. Bell DL, Breland https://prh.org/adolescent-reproductive- clinic, primary care clinic, care needs DJ, Ott MA.Pediatrics. 2013 Sep;132(3):535-46. Available at: sexual-health-case-videos/ pediatric OB/GYN) 1. Discomfort Wearing Condoms ● Emergency department 2. Demonstrate the ability to take an appropriate Websites: 2. Sports physical male sexual health history 1. Health Provider Toolkit for adolescent and young adult males. 3. Male adolescent reproductive Available at: http://ayamalehealth.org health 3. Demonstrate the ability to perform a male GU exam and identify common abnormal findings ARSHEP PowerPoint modules available at: http://prh.org/teen-reproductivehealth/arshep-downloads/ 1. Male adolescent sexual and reproductive health Sexual and Gender Minority Youth: Readings: National LGBT Health Education ARSHEP PowerPoint modules available ● Outpatient (adolescent 1. Discuss the health related challenges and 1. Committee On Adolescence. Office-based care for lesbian, gay, Center webinars available at at: https://prh.org/arshep-ppts/ clinic, primary care clinic, screening recommendations for Lesbian, Gay, bisexual, transgender, and questioning youth. Pediatrics http://www.lgbthealtheducation.org/ 1. LGBTQ Youth pediatric OB/GYN) Bisexual, Transgender or Questioning 2013;132(1):198-203. 1. Caring for LGBT Youth in 2. Caring for Transgender ● Emergency department (LGBTQ) youth Clinical Settings Adolescents 2. Ryan et al “Family Rejection as a Predictor of Negative Health 2. Sexual Orientation, Gender 2. Incorporate appropriate LGBTQ sensitive Outcomes in While and Latino Lesbian, Gay, and Bisexual Young Identity, and Mental Health in ARSHEP videos and discussion guides language into gender and sexual history taking Adults.” PEDIATRICS Vol. 123 No. 1 January 1, 2009 pp. 346 -352 Children and Adolescents available at: https://prh.org/adolescent- for all adolescents and young adults 3. Caring for Gender Dysphoric reproductive-sexual-health-case-videos/ 3. Family Acceptance Project. Supportive Families, Healthy Children: Children and Adolescents 1. Coming Out 3. Describe local and national resources for Helping Families with Lesbian, Gay, Bisexual & Transgender 2. Sexual History Taking and LGBTQ youth Children. Available at http://familyproject.sfsu.edu/publications Gender

4. SAMHSA, A Practitioner’s Resource Guide: Helping Families to Support Their LGBT Children. HHS Publication No. PEP14- LGBTKIDS. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.

Websites: 1. American Academy of Child and Adolescent Psychiatry - Facts for Families Guide: Gay, Lesbian, and Bisexual Adolescents.

2. Family Acceptance Project. Available at http://familyproject.sfsu.edu

3. Sexual Orientation: Overview, Theories About Gay, Lesbian, and Bisexual Sexuality, Developmental Stages of Gay, Lesbian, and Bisexual Adolescents Available via Medscape: http://emedicine.medscape.com/article/917792-overview#a1

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

TEACHING MATERIALS CLINICAL AND COMMUNITY SEXUAL AND REPRODUCTIVE HEALTH – continued SETTINGS Interactive Learning Materials to Develop Educational Readings and Videos Opportunities Sessions Sexually Transmitted Infections: Readings: National STD Curriculum. Available CDC Ready-to-Use STD curriculum: ● Outpatient (adolescent 1. Recognize signs and symptoms of common at http://www.std.uw.edu clinic, primary care clinic, STIs 1. Committee on Adolescence; Society for Adolescent Health and pediatric OB/GYN) Medicine. Policy Statement: Screening for nonviral sexually ACOG "Clinical Cases in Pediatric ● Emergency department 2. Identify and use evidence-based guidelines for transmitted infections in adolescents and young adults. Pediatrics. and Adolescent Gynecology." ARSHEP videos and discussion guides at: routine STI screening and treatment, including 2014 Jul;134(1):e302-11. Materials available for purchase only https://prh.org/adolescent-reproductive- expedited partner therapy (EPT) ($) at http://sales.acog.org/Clinical- sexual-health-case-videos/ Websites and Resources: Cases-in-Pediatric-Adolescent- 1. Sexually Transmitted Infection 3. Apply the epidemiology of STIs as they relate Gynecology-P603.aspx 1. CDC STD Treatment Guidelines: http://www.cdc.gov/std/tg2015/ to adolescents and identify risk factors for 1. Sexually Transmitted Infections ARSHEP PowerPoint modules available a. phone and ipad app screening at: http://prh.org/teen-reproductivehealth/arshep-downloads/ 4. Recognize the diagnostic criteria and use up- 2. CDC STD Fact Sheets. Available at 1. Chlamydia and Adolescents to-date management for pelvic inflammatory http://www.cdc.gov/std/healthcomm/fact_sheets.htm 2. HPV and Adolescents disease 3. STI epidemiology, testing and 3. Expedited partner therapy (EPT). Guidance including legal status by treatment state: http://www.cdc.gov/std/ept/default.htm Pedicases. Available at http://pedicases.org/archives/index.html 1. HIV and the Adolescent: Michael’s Disclosure 2. STDs: The Burning Issue

Menstrual Cycle and Common Menstrual Readings: ACOG "Clinical Cases in Pediatric NASPAG "Short Curriculum" for resident ● Outpatient (adolescent Disorders: 1. Gray SH. Menstrual disorders. Pediatr Rev 2013;34(1):6-17; quiz 17- and Adolescent Gynecology." education - N. Fleming et al. / J Pediatr clinic, primary care clinic, 1. Describe the normal female menstrual cycle, 8. Materials available for purchase only Adolesc Gynecol 27 (2014) 117e120 pediatric OB/GYN) and understand the concept of anovulatory ($) at http://sales.acog.org/Clinical- ● Emergency department cycling during pubertal development 2. ACOG Committee Opinion No. 349, November 2006: Menstruation in Cases-in-Pediatric-Adolescent- Pedicases. Available at girls and adolescents: using the menstrual cycle as a vital sign. Gynecology-P603.aspx http://pedicases.org/archives/index.html 2. Describe the common menstrual disorders Obstet Gynecol 2006;108(5):1323-8. 1. Dysfunctional uterine bleeding 1. Dysfunctional Uterine Bleeding: Too including amenorrhea, irregular menses, 2. Dysmenorrhea/endometriosis Many Periods. abnormal uterine bleeding, and dysmenorrhea, 3. Talib HJ, Coupey SM. Excessive uterine bleeding. Adolesc Med State 2. Amenorrhea: Missing Menses and the differential diagnosis, evaluation, and Art Rev 2012;23(1):53-72. treatment options 4. Committee Opinion No. 668: Menstrual Manipulation for Adolescents 3. Define polycystic ovarian syndrome and its With Physical and Developmental Disabilities. Obstet Gynecol. 2016 associated features, as well as initial workup Aug;128(2):e20-5. and management

4. Explain options for menstrual regulation in adolescents with physical or developmental disabilities

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

MODULE AND LEARNING OBJECTIVES TEACHING MATERIALS CLINICAL AND Interactive Learning Materials to Develop Educational COMMUNITY SETTINGS PSYCHOLOGICAL AND BEHAVIORAL HEALTH Readings and Videos Opportunities Sessions

Screening: Readings: PediCases. Available at ● Outpatient (adolescent 1. Describe the importance of screening all 1. Practice parameter for the assessment and treatment of children and http://pedicases.org/archives/index.html clinic, primary care adolescents about mental health issues adolescents with suicidal behavior. American Academy of Child and 1. Depression - Too Tired to Sleep clinic, child and including depression, anxiety, non-suicidal Adolescent Psychiatry. J Am Acad Child Adolesc Psychiatry adolescent psychiatry) self-harm, and suicidal ideation 2001;40(7 Suppl):24S-51S. Online Resources: ● Inpatient (wards, PICU) 1. Office of Adolescent Health - ● Emergency department 2. Describe the importance of asking suicidal 2. J. Shalwitz, T. Sang, N. Combs, K. Davis, D. Bushman, B. Payne Adolescent Health Topics - Mental patients if there is a plan (2007). Behavioral Health: An Adolescent Provider Toolkit. San Health. Francisco, CA: Adolescent Health Working Group, San Francisco. 3. Compare the presentation and diagnosis of ADHD between early, middle, and late 2. SAHM Youth Providers 2.0 Topic adolescence and young adults Guide - Mental Health. Available at: https://www.adolescenthealth.org/To 3. Maslow GR, Dunlap K, Chung RJ. Depression and Suicide in Children pics-in-Adolescent-Health/Mental- and Adolescents. Pediatr Rev 2015;36(7):299-308; quiz 309-10. Health.aspx

4. Kelly P. Posttraumatic stress disorder. Pediatr Rev 2012;33(8):382-3. MedEd Portal: 1. Pitts S, Borus J, Harris S, Siegel J, Videos: Gooding H, Goncalves A, Levy S, 1. Anxiety and Depression (video) http://www.uctv.tv/shows/Adolescent- Weitzman E, Burke P. Benefitting Depression-and-Anxiety-28886 Brad: An Interprofessional Case of Adolescent Substance Use and Websites and other Resources: ADHD. MedEdPORTAL Publications; 1. MCPAP (Massachusetts Child Psychiatry Access Project) Available at 2015. http://mcpap.org - section For Providers contains a. Diagnostic Resources b. Screening and Toolkits

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

TEACHING MATERIALS PSYCHOLOGICAL AND BEHAVIORAL HEALTH - CLINICAL AND COMMUNITY Interactive Learning Materials to Develop Educational continued Readings and Videos SETTINGS Opportunities Sessions

Management of suicidality: Readings: MedEd Portal: Online Resources: ● Outpatient (adolescent 1. Describe the importance of asking all 1. Practice Parameter for Assessment and Treatment of Children and 1. Biddle V. Online Adolescent 1. Office of Adolescent Health - clinic, primary care clinic, adolescents about suicidal ideation and, if Adolescents with Suicidal Behavior - American Academy of Child and Suicide Risk Assessment. Adolescent Health Topics - Mental child and adolescent present, if there is a plan Adolescent Psychiatry (2001) MedEdPORTAL Publication; Health. psychiatry; work with 2013. outpatient social work) 2. Know the resources in your area for referral of ● Inpatient (wards, PICU, an actively suicidal adolescent (crisis team, psychiatry) psychiatric or medical ED, psychiatric hospital) Websites and Online Resources: ● Partial hospitalization - 1. MCPAP (Massachusetts Child Psychiatry Access Project) Available at child and adolescent 3. Examine the basis of safety planning and how http://mcpap.org psychiatry to counsel parents/guardians of safety plan a. Suicide Prevention in the Primary Care Setting in section “For Providers”

2. The Cornell Research Project on Self-Injury and Recovery. Available at: http://www.selfinjury.bctr.cornell.edu/resources.html

3. The Trevor Project. Available at: www.thetrevorproject.org

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum MODULE AND LEARNING TEACHING MATERIALS OBJECTIVES CLINICAL AND EATING DISORDERS & Interactive Learning COMMUNITY SETTINGS Readings and Videos Materials to Develop Educational Sessions OVERWEIGHT/OBESITY Opportunities Eating Disorders: Readings: Abbot Nutrition Health Online Resources: ● Adolescent rotation 1. Recognize and define DSM-5 1. Campbell K, Peebles R. Eating disorders in children and adolescents: state of Institute. Available at: 1. National Eating Disorders Association - for ● Experience at eating eating disorders including the art review, Pediatrics 2014;134(3):582-92. http://anhi.org/physician Medical Professionals. disorder treatment center anorexia nervosa, atypical 1. Eating Disorders in ● Inpatient hospital anorexia nervosa, bulimia 2. Golden NH, Katzman DK, Sawyer SM, Ornstein RM, Rome ES, Garber AK, et al. Teens rotations nervosa, avoidant/restrictive Update on the medical management of eating disorders in adolescents. J Adolesc 2. Management of ● College health food intake disorder, binge Health 2015;56(4):370-5. Available at http://www.jahonline.org/article/S1054- Adolescent Eating 2. The eating attitudes test (EAT – 26). experience eating disorder 139X(14)00760-5/pdf Disorders in the Medical ● Emergency department Setting 2. Describe risk factors (including 3. Katzman DK, Peebles R, Sawyer SM, Lock J, Le Grange D : The Role of the genetic and neurobiological Pediatrician in Family-Based Treatment for Adolescent Eating Disorders: vulnerabilities) that may Opportunities and Challenges Journal of Adolescent Health Oct 2013 NEJM interactive case - A predispose youth to develop Patient Found Pedicases: eating disorders 4. Lock J, LaVia MC, American Academy of Child and Adolescent Psychiatry Unresponsive. 1. Anorexia Nervosa: Stephanie’s Long Walk. (AACAP) Committee on Quality Issues. Practice parameter for the assessment Available at: 3. Recognize that eating disorders and treatment of children and adolescents with eating disorders. J Am Acad Child http://pedicases.org/archives/index.html can develop in all populations Adolesc Psychiatry 2015;54(5):412–425. Available at: (ie: males, normal /overweight http://www.jaacap.com/article/S0890-8567(15)00070-2/pdf adolescents, adolescents with MedEd Portal resources: chronic disease, refugees), and Books: 1. Sonneville K, Freizinger M, Forman S, that certain populations are at 1. Lock J, Le Grange D. Help Your Teenager Beat an Eating Disorder, Second Burke P, Goncalves A, Pitts S, Gooding H. higher risk edition. New York: The Guildford Press, 2015. Treating Taylor: Multidisciplinary Management of Eating Disorders. 4. Identify medical complications Websites and Online Resources: MedEdPORTAL Publication; 2014. of eating disorders and reasons 1. NIMH - 9 Eating Disorder Myths Busted. http://www.nimh.nih.gov/news/science- for medical hospitalization news/2014/9-eating-disorders-myths-busted.shtml

5. Recognize long-term health 2. Families Empowered and Supporting Treatment of Eating Disorder (FEAST). risks associated with eating 2. Douziech I, Miller A, Student J. Child and disorders and that they are Adolescent Eating Disorders. more likely if youth with eating MedEdPORTAL Publication; 2014. disorders are not identified Videos: early, followed closely, and 1. Handbook of Assessment and Treatment of Eating Disorders. Edited by B. treated using a Timothy Walsh, M.D., Evelyn Attia, M.D., Deborah R. Glasofer, Ph.D., and Robyn 95 multidisciliplanry approach Sysko, Ph.D. (Videos accompanying text.) American Psychiatric Association 2016.

2. Kreipe RE, and Peebles R. “Model Eating Disorder Interview,” “A Comprehensive Approach to Serving Youth with Eating Disorders” and “Working with Families of Adolescents with Eating Disorders,” in "Reaching Teens: Strength-Based Communication Strategies to Build Resilience and Support Healthy Adolescent Development" Elks Grove Village IL; American Academy of Pediatrics; 2013. (A Textbook and Video Product). January 2014.

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

TEACHING MATERIALS EATING DISORDERS & CLINICAL AND OVERWEIGHT/OBESITY – COMMUNITY SETTINGS continued Interactive Learning Readings and Videos Materials to Develop Educational Sessions Opportunities

Disordered Eating: Readings: Online Resources: ● Adolescent rotation 1. Recognize that disordered 1. Neumark-Sztainer D, Wall M, Larson NI, Eisenberg ME, Loth K. Dieting and 1. Disordered eating and dieting. National ● Experience at eating eating including dieting is disordered eating behaviors from adolescence to young adulthood: findings from a Eating Disorders Collaboration. Available disorder treatment center common during adolescence 10-year longitudinal study. J Am Diet Assoc 2011;111(7):1004-11. at: http://www.nedc.com.au/disordered- ● College health eating experience 2. List indications to refer 2. Golden NH, Schneider M, Wood C, Committee On Nutrition, Committee On ● Outpatient primary care adolescents with disordered Adolescence, Section On Obesity. Preventing Obesity and Eating Disorders in eating to eating disorder Adolescents. Pediatrics 2016;138(3). specialists (e.g. medical, mental health, nutrition) 3. Sim LA, Lebow J, Billings M. Eating disorders in adolescents with a history of obesity. Pediatrics 2013;132(4):e1026-30. 3. Recognize that unhealthy weight control behaviors can Books: occur at any weight, may be 1. "I'm, Like, SO Fat!" Helping Your Teen Make Healthy Choices about Eating and present in youth with Exercise in a Weight-Obsessed World. Dianne Neumark-Sztainer. New York: overweight, or may initiate Guildford Press, 2005. after a provider raises concerns about weight or rate of gain Overweight/Obesity: Readings: Preventing Weight Bias: 8 Online Resources: ● Outpatient (adolescent 1. Recognize risk factors for, 1. Inge TH, et al. The effect of obesity in adolescence on adult health status. Pediatrics toolkits for health care 1. Office of Adolescent Health - Adolescent clinic, primary care clinic, public health impact of, and 2013;132(6):1098-104. providers Health Topics - Physical Health and endocrinology, weight medical complications of Nutrition. Available at: management programs) obesity 2. Apovian CM, Aronne LJ, Bessesen DH, McDonnell ME, Murad MH, Pagotto U, et al. http://www.hhs.gov/ash/oah/adolescent- ● Inpatient (wards) Pharmacological management of obesity: An Endocrine Society clinical practice health-topics/physical-health-and-nutrition/ 2. Discuss appropriate guideline. J Clin Endocrinol Metab 2015;100(2):342-62. screening labs for obese AAP Institute for Healthy 2. The Obesity Society - Resources for individuals Videos: Childhood Weight "Change Childhood Overweight. 1. Videos on Motivational Interviewing around weight. Abbot Nutrition Health Institute. Talk.” 3. As sensitivity is required in Available at http://anhi.org/physician addressing overweight with young people to avoid Websites and Online Resources: 1. mobile app also 3. Centers for Disease Control and development of unhealthy 1. “Take Charge of Your Health” (NIH 2012) - teen handout, information for teaching available Prevention. Obesity and Overweight - weight control practices, patients the basics of health energy balance. http://www.niddk.nih.gov/health- Prevention Strategies and Guidelines. demonstrate techniques, information/health-topics/weight-control/take-charge-your- effective language, and health/Documents/TakeCharge.pdf Abbot Nutrition Health strategies to work with Institute. adolescents around weight 2. Section on Overweight: Further Evaluation. J. Shalwitz, D. Bushman, K. Davis, S. http://anhi.org/physician loss Williams (2005). Body Basics: An Adolescent Provider Toolkit. San Francisco, CA: 1. Over-Nutrition in Teens: Adolescent Health Working Group, San Francisco. Obesity and the 4. List indications for Metabolic Syndrome pharmacotherapy and bariatric surgery in 3. Bariatric Surgery Procedures. American Society of Metabolic and Bariatric Surgery. adolescents Available at: https://asmbs.org/patients/bariatric-surgery-procedures

Screening and counseling: Readings: Ahadpour M, Forman Online Resources: ● Inpatient settings 1. Relate the public health 1. NIH/NIDA “Drugs, Brains, and Behavior: The Science of Addiction” (revised R, E Kleinschmidt.. 1. SAHM Youth Providers 2.0 Topic Guide - Substance Use. ● Outpatient settings: burden of substance use 2014) Available at: Substance Use in Available at https://www.adolescenthealth.org/Topics-in- school and college based, among teens including https://d14rmgtrwzf5a.cloudfront.net/sites/default/files/soa_2014.pdf Adults and Adolescent-Health/Substance-Use.aspx juvenile justice tobacco, alcohol, Adolescents: ● Emergency department prescription drugs, and non- 2. Levy S, Siqueira LM, Committee on Substance Abuse, Ammerman SD, Screening, Brief 2. Alcohol Screening and Brief Intervention for Youth: A ● School, County, or prescription drugs Gonzalez PK, Ryan SA, et al. Testing for drugs of abuse in children and Intervention and Practitioner's guide. National Institute on Alcohol Abuse Community-based adolescents. Pediatrics 2014;133(6):e1798-1807. Referral to Treatment and Alcoholism. substance use 2. State the components of (SBIRT). Available at support/treatment initial substance use 3. Deas D, Brown ES. Adolescent substance abuse and psychiatric www.medscape.org screening, including comorbidities. J Clin Psychiatry 2006;67(7):e02. CRAFFT questions 3. Office of Adolescent Health - Adolescent Health Topics - 4. Committee On Substance Use and Prevention. Substance Use Screening, Substance Abuse. Available at: 3. Describe when to use brief Brief Intervention, and Referral to Treatment. (SBIRT) Pediatrics 2016;138(1). http://www.hhs.gov/ash/oah/adolescent-health- advice, motivational topics/substance-abuse/ interviewing, and/or refer to treatment for substance use Websites and Online Resources: MedEd Portal: treatment 1. SAMHSA – “Incorporating substance abuse screening into adolescent office 1. Clifton M. Teen Substance Abuse Problem Based Learning visits – CRAFFT”. Available at: (PBL). MedEdPORTAL Publication; 2009. Available from: 4. Recognize the comorbidity of www.adolescenthealth.org/SAHM_Main/media/Adol-Resident- https://www.mededportal.org/publication/263 mental health and substance Curriculam/CRAFFT_IncorporatingSubstanceAbuseScreening.pdf use in adolescents 2. Pitts S, Borus J, Harris S, Siegel J, Gooding H, Goncalves 2. SAHMSA-HRSA Center for Integrated Health Solutions. SBIRT Screening A, Levy S, Weitzman E, Burke P. Benefitting Brad: An 5. Describe the utility and Page. Available at: http://www.integration.samhsa.gov/clinical- Interprofessional Case of Adolescent Substance Use and appropriate use of a urine practice/sbirt/screening ADHD. MedEdPORTAL Publications; 2015. Available from: drug screen https://www.mededportal.org/publication/10224 3. Adolescent SBIRT: Toolkit for Providers. Adolescent Screening, Brief Intervention, and Referral for Treatment for Alcohol and Other Drug Use. 3. Azari S, Ratanawongsa N, Hettema J, Cangelosi C, Developed in partnership with the Massachusetts Departments of Public Tierney M, Coffa D, Shapiro B, Jain S, Hersh D, Manuel J, health, Mental Health, and the Massachusetts Child Psychiatry Access Project. Ciccarone D, Lum P. A Skills-Based Curriculum for 2015." Available at: https://www.mcpap.com/pdf/S2BI%20Toolkit.pdf Teaching Motivational Interviewing-Enhanced Screening, Brief Intervention, and Referral to Treatment (SBIRT) to 4. State Medical Marijuana Laws. Available at Medical Residents. MedEdPORTAL Publications; 2015. http://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx Available from: https://www.mededportal.org/publication/10080

PediCases. Available at http://pedicases.org/archives/index.html 1. Adolescent Substance Abuse: The Craffty Pupil

Community resources: Websites and Online Resources: ● Social work 1. Describe the resources 1. SAMHSA Treatment Locator. Available at: https://findtreatment.samhsa.gov/ available in your community, which may include outpatient, intensive outpatient, partial hospitalization, or residential settings

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

MODULE AND LEARNING TEACHING MATERIALS OBJECTIVES CLINICAL AND COMMUNITY SETTINGS Interactive Learning SAFETY AND VIOLENCE Readings and Videos Materials to Develop Educational Sessions Opportunities

Injury Prevention: Websites and Online Resources: Powerpoint Presentations: ● Adolescent Clinic 1. List the risk factors for, and 1. Society for Public Health Education. Emerging Trends in 1. Columbia University. Teens and Violence Powerpoint. ● Resident Continuity identify the public health Adolescent Injury and Violence. 2012;5. Available at: Clinic significance of unintended www.adolescenthealth.org/SAHM_Main/media/Adol- ● School-based Health injury in adolescence Resident-Curriculam/emerging-trends-in-adolescent-injury- Clinic and-violence.pdf ● health educator 2. Identify and counsel teen Online Resources: ● Emergency department about injury prevention using 2. CDC National action plan for child injury prevention (2012) 1. CDC’s WISQARS™ Injury Prevention and Control Dad & effective prevention programs Statistics. and resources

3. Safe Storage of Firearms. American Academy of Pediatrics.

Physical Violence and Websites and Online Resources: Principles of Prevention - Online Resources: ● Adolescent Clinic Prevention: 1. CDC. Youth Violence - Facts at a Glance. Available at: CDC Division of Violence 1. CDC Division of Violence Prevention - Youth Violence. Available ● Resident Continuity 1. Recognize the prevalence of http://www.cdc.gov/violenceprevention/pdf/yv-datasheet-a.pdf Prevention - free online at: Clinic and risk factors for physical violence prevention course. http://www.cdc.gov/violenceprevention/youthviolence/index.html ● School-based Health violence in the community in Module 5 - Youth Violence. Clinic which you practice Available at: ● Health educator http://www.cdc.gov/Features/ ● Emergency department 2. Identify resources and preventviolence/index.html programs targeted at violence prevention in your community

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

TEACHING MATERIALS CLINICAL AND SAFETY AND VIOLENCE – continued COMMUNITY SETTINGS Readings and Videos Interactive Learning Opportunities Materials to Develop Educational Sessions

Intimate Partner Violence (IPV) Readings: Online Resources: ● Adolescent Clinic and Sexual Assault: 1. Cronholm PF, et al. Intimate partner violence. Am Fam 1. Hanging Out or Hooking Up: Clinical Guidelines on ● Resident Continuity 1. Describe risk factors for, and Physician 2011;83(10):1165-72. Available at: Responding to Adolescent Relationship Abuse. Clinic identify the public health http://www.aafp.org/afp/2011/0515/p1165.html Available at: http://ipvhealth.org/wp- ● School-based Health significance of IPV content/uploads/2017/02/FINAL-Adolescent-Health- Clinic 2. Kaufman M, American Academy of Pediatrics Committee on Guidelines.pdf ● Health educator 2. List resources for teens who Adolescent. Care of the adolescent sexual assault victim. ● Emergency department experience IPV and sexual Pediatrics 2008;122(2):462-70. Available at 2. Health Cares About IPV: IPV Screening and assault in your community http://pediatrics.aappublications.org/content/pediatrics/122/2/46 Counseling Tool Kit. Available at: 2.full.pdf http://ipvhealth.org/health-professionals/educate- 3. Discuss screening for and providers/ anticipatory guidance around Websites and Online Resources: IPV and sexual assault 1. Futures without violence: 3. Office of Adolescent Health - Adolescent Health • Protocol for Adolescent Relationship Abuse Prevention and Topics - Healthy Relationships. 4. Review components of Intervention available at emergency care for a victim of https://www.futureswithoutviolence.org/userfiles/file/HealthCa sexual assault re/Adolescent%20Protocol.pdf

• Addressing Intimate Partner Violence, Reproductive and Sexual Coercion: A Guide for Obstetric, Gynecologic and Reproductive Health Care Settings available at https://www.futureswithoutviolence.org/userfiles/file/HealthCa re/reproguidelines_low_res_FINAL.pdf

2. Health Cares about IPV: Training kit available at http://ipvhealth.org/health-professionals/educate-providers/

Podcasts: “Why do I stay?” part of the Radio Rookies series “Crushed: Teens and Dating Abuse.” Available at: http://www.wnyc.org/story/why-do- i-stay/

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

TEACHING MATERIALS CLINICAL AND SAFETY AND VIOLENCE – continued COMMUNITY SETTINGS Readings and Videos Interactive Learning Opportunities Materials to Develop Educational Sessions

Juvenile Justice: Readings: National Partnership for Juvenile Online Resources: ● DYS facilities 1. Describe health needs of 1. Committee on Adolescence. Health care for youth in the Services E-Learning Academy. Courses 1. Juvenile Offenders and Victims: 2014 National Report. ● Other youth detention adolescents in the juvenile juvenile justice system. Pediatrics 2011;128(6):1219-35. available for purchase only ($). Available National Center for Juvenile Justice. facilities justice system including at: http://www.npjs.org/e-learning recommended screening 2. American Bar Association. Juvenile Justice Center. Cruel and guidelines Unusual Punishment: The Juvenile Death Penalty. Adolescence, Brain Development and Legal Culpability. 2004. 2. National Committee on Correctional Healthcare Standards for Health Services in Juvenile Detention and Confinement Facilities, 2015. Available at: http://www.ncchc.org/juvenile-standards-1

3. National Partnership for Juvenile Services - 3. National Juvenile Detention Association. Health Care in infographic “Playground to Prison”. Available at: Juvenile Detention [position statement]. 2002. Available at: http://npjs.org/infographics/ http://npjs.org/wp-content/uploads/2012/12/NJDA-Position- Statement-Health-Care.pdf 4. National Institute of Corrections “Desktop Guide to Quality Practice for Working with Youth in Websites and Online Resources: Confinement” Chapter 12, Healthcare by Michelle 1. National Partnership for Juvenile Services website. Available at Staples-Horne, MD, MPH. www.npjs.org

Bullying and Cyberbullying: Readings: Online Resources: ● Adolescent clinic 1. Develop skills for assessing 1. Aboujaoude E, et al. Cyberbullying: Review of an Old Problem 1. Office of Adolescent Health - Adolescent Health ● Resident primary care risk, asking about, and Gone Viral. J Adolesc Health 2015;57(1):10-8. Topics - Healthy Relationships. Available at: clinic addressing bullying online http://www.hhs.gov/ash/oah/adolescent-health- ● SBHC and in schools 2. Hertz, MF ed. The Relationship Between Youth Involvement in topics/healthy-relationships/ Bullying and Suicide. J Adolesc Health. 2013;53 (S1): S1-S54. Available at http://www.jahonline.org/issue/S1054- 2. Stopbullying.gov. HHS website with videos, fact 139X(13)X0015-1 sheets, community interventions

Preparticipation Screen: Readings: Online Resources: ● Outpatient (adolescent 1. Identify medical and family 1. Peterson AR, Bernhardt DT. The preparticipation sports 1. AAP Section on Sports Medicine and Fitness: clinic, primary care history components important evaluation. Pediatr Rev 2011;32(5):e53-65. Preparticipation Physical Evaluation Resources - PPE clinic, subspecialty in assessing an adolescent Monograph (2010) - also with links to forms clinics, sports medicine during a pre-participation 2. Roberts WO1, Löllgen H, Matheson GO. Advancing the https://www.aap.org/en-us/about-the-aap/Committees- clinics) screen preparticipation physical evaluation: an ACSM and FIMS joint Councils-Sections/Council-on-sports-medicine-and- consensus statement. Clin J Sport Med. 2014 Nov;24(6):442-7. fitness/Pages/PPE.aspx 2. Recognize the medical conditions that limit 3. LaBotz M, Griesemer BA, Council On Sports Medicine and participation in certain sports Fitness. Use of Performance-Enhancing Substances. Pediatrics activities 2016;138(1).

3. Identify risk factors for abuse of Podcasts: performance enhancing drugs 1. Advancing the Preparticipation Evaluation: A Conversation with Dr. William Roberts (Podcast) available at: https://player.fm/series/clinical-journal-of-sport-medicine-the- clinical-journal-of-sport-medicine-podcast/advancing-the- preparticipation-evaluation-a-conversation-with-dr-william-roberts Common Injuries: Readings: American Medical Society for Sports Powerpoint Presentations: ● Adolescent 1. Recognize and understand risk 1. DiFiori JP. Evaluation of overuse injuries in children and Medicine - interactive online cases 1. American College of Emergency Physicians - Sports Clinic/Rotation factors for common overuse adolescents. Curr Sports Med Rep 2010;9(6):372-8. http://www.amssm.org/Case- Medicine Core Curriculum Lecture Series. ● Resident Continuity injuries in adolescents such as Studies.php Clinic patellofemoral pain syndrome, 2. Valovich McLeod TC, Decoster LC, Loud KJ, Micheli LJ, Parker 1. 32 Yo Woman With Excruciating ● Sports Medicine Clinic shoulder instability, tibial stress JT, Sandrey MA, et al. National Athletic Trainers' Association Left Lower Extremity Pain (during adolescent fracture, spondylolysis. position statement: prevention of pediatric overuse injuries. J Athl 2. Knee Pain After A Slide Tackle In rotation or separate Train 2011;46(2):206-20. Football rotation/ experience) 2. Recognize and diagnose ● Emergency department common traumatic sports 3. Metzl JD. Managing sports injuries in the pediatric office. Pediatr ● Acute/urgent care injuries in adolescents such as Rev 2008;29(3):75-84; quiz 85. settings ACL tear, ankle sprain, patellar dislocation. Podcasts: 1. Overuse Injuries & Burnout in Youth Sports with Dr. John DiFiori (lead author), Dr. Joel S. Brenner and Dr. Neeru Jayanthi. Available at: http://www.amssm.org/E-Learning.php

Websites and Online Resources: 1. Overuse injuries in Children. American Assoc of Orthopedic Surgeons. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00613

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

TEACHING MATERIALS CLINICAL AND SPORTS MEDICINE – continued COMMUNITY SETTINGS Readings and Videos Interactive Learning Opportunities Materials to Develop Educational Sessions

Female Athlete Triad and Readings: American Medical Society for Sports Online Resources: ● Adolescent Relative Energy Deficiency: 1. Joy E, De Souza MJ, Nattiv A, Misra M, Williams NI, Mallinson Medicine - interactive online cases 1. Female Athlete Triad Coalition. Clinic/Rotation 1. Identify components of the RJ, et al. 2014 female athlete triad coalition consensus statement http://www.amssm.org/Case- ● Eating disorder female athlete triad and the on treatment and return to play of the female athlete triad. Curr Studies.php treatment center possible long-term health Sports Med Rep 2014;13(4):219-32. 1. Hip Pain in a College Runner ● Pediatric/ consequences associated 2. Devastating Fracture In An ● Adolescent gynecology 2. Mountjoy M, Sundgott-Borgen J, Burke L, et al. The IOC Adolescent Runner: Nature Vs. ● Sports medicine 2. Recognize that excessive consensus statement: beyond the Female Athletic Triad— Nurture? exercise may result in relative Relative Energy Deficiency in Sport (RED-S). Br J Sports Med energy deficiency in athletes 2014, 48:491-497. Sports Medicine in the Pediatric and others focused on Office: 2008 © American Academy of exercise for weight 3. Weiss Kelly AK, Hecht S, Council on Sports Medicine and Pediatrics. Jordan D. Metzl MD, management Fitness. The Female Athlete Triad. Pediatrics 2016;138(2). FAAP. Available for purchase ($) and includes a skills-focused 2-hour DVD. 3. Recognize athletes who are at Podcasts and Videos: risk for developing female 1. Female Athlete Triad Discussion with American Medical Society athlete triad of Sports Medicine (AMSSM) members Drs. Britt Marcussen, Scott Young, Elizabeth Joy, and Aurelia Nattiv. Available at: 4. Describe possible treatment http://www.amssm.org/E-Learning.php approaches to adolescents diagnosed with female athlete 2. Dr. Gloria Cohen presents The Female Athlete Triad at the ONSF triad. Medical Education Conference for medical professionals held at Greenwich Hospital on November 8, 2014. Available at: https://www.youtube.com/watch?v=jbyLcZ0nZXg Concussion: Readings: CDC HEADS UP to Health Care Online Resources: ● Adolescent Clinic 1. Recognize symptoms of 1. Sport-Related Concussion in Children and Adolescents (AAP Providers - Online Concussion 1. American Academy of Neurology Sports Concussion ● Emergency Room sports-related concussion in 2010; reaffirmed 2014). Available at: Training. Available at: Toolkit https://www.aan.com/practice/sports- Rotation adolescents http://pediatrics.aappublications.org/content/126/3/597 http://www.cdc.gov/headsup/providers/ concussion-toolkit/ ● Neurology/ concussion training/index.html clinic 2. Describe second impact 2. Managing Sports Injuries in the Pediatric Office (2008). Peds in 2. CDC HEADS UP to Health Care Providers. Available ● Continuity clinic syndrome Review. at: http://www.cdc.gov/headsup/providers/index.html ● Sports medicine ● College health 3. Explain the importance of Podcasts available at: http://www.amssm.org/E-Learning.php return to play guidelines and 1. Concussion Evaluation and Management with Dr. Jeffrey Kutcher practice their implementation 2. Managing Concussion with Dr. Kim Harmon

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017 Society for Adolescent Health and Medicine Adolescent Medicine Resident Curriculum

MODULE AND LEARNING TEACHING MATERIALS OBJECTIVES CLINICAL AND COMMUNITY SETTINGS TRANSITION TO ADULT CARE Readings and Videos Interactive Learning Opportunities Materials to Develop Educational Sessions

Well Teens: Readings: MedEd Portal: ● Resident primary care 1. Describe the timing and 1. AAP, AAFP, and ACP, Transitions Clinical Report. Supporting ● Fishman L. But Tommy Likes It Here: Moving to Adult clinic progression of transition the health care transition from adolescence to adulthood in the Medicine. MedEdPORTAL Publication; 2012. Available ● Adolescent clinic preparation during medical home. Pediatrics 2011;128(1):182-200. Available at from: https://www.mededportal.org/publication/9190 ● Inpatient settings adolescence http://pediatrics.aappublications.org/content/early/2011/06/23/ped s.2011-0969.full.pdf FloridaHATS “Tool Kit - For Medical Providers.” 2. Identify at least one tool for assessing youth readiness Websites and Online Resources: for transition 1. Becoming an Adult: Taking Responsibility for Your Medical Care: https://www.youtube.com/watch?v=cjXurYrFMZM 3. Delineate the key components of transition 2. Six Core Elements of Health Care Transition preparation and https://www.youtube.com/watch?v=5EAH-VIErRw implementation 3. Florida HATS Health Care Transition Curricula: 4. Describe the objectives and http://www.floridahats.org/?page_id=2206 measurable outcomes of transitional care

Chronic Illness: Readings: Got Transition Resources: ● Resident primary care 1. Describe the impact of 1. Bloom SR, Kuhlthau K, Van Cleave J, Knapp AA, Newacheck P, ● Got Transition Six Core Elements Toolkit - Transitioning clinic chronic illness on physical, Perrin JM. Health care transition for youth with special health youth to adult health care providers: ● Adolescent clinic emotional, sexual, social, care needs. J Adolesc Health 2012;51(3):213-9. http://www.gottransition.org/resourceGet.cfm?id=208 ● Inpatient settings and cognitive development, http://www.jahonline.org/article/S1054-139X(12)00018-3/abstract ● Subspecialty clinics and the reciprocal impact of ● Transitioning to an adult approach to care without ● Adult care setting normal adolescent 2. Okumura MJ, Hersh AO, Hilton JF, Lotstein DS. Change in health changing providers: s(Internal or Family development on chronic status and access to care in young adults with special health care http://www.gottransition.org/resourceGet.cfm?id=210 medicine clinic) illness needs: results from the 2007 national survey of adult transition and health. J Adolesc Health. 2013;52(4):413-418. ● Integrating young adults into adult health care: 2. Explain how chronic disease http://www.gottransition.org/resourceGet.cfm?id=212 and intellectual impairment 3. Shaw TM, Delaet DE. Transition of adolescents to young uniquely impact the process adulthood for vulnerable populations. Pediatr Rev of transition preparation and 2010;31(12):497-504; quiz 505. Available at: challenges they pose for http://pedsinreview.aappublications.org/content/31/12/497.full.pdf transfer of care Websites and Online Videos: 3. List the consequences in 1. Trapeze: A supported leap into adult health. Resources for young adulthood of paediatric teams available at: ineffective, delayed, or www.trapeze.org.au/content/paediatric-teams unsuccessful transition 2. Nemours Health Care Systems Video Series - for patients, families, and caregivers.

Approved by SAHM Board on March 7, 2017; Last updated on 8/16/2017