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. CREATIVE COMMONS Legal Code You are free to copy and redistribute the following materials as long as you follow the below outlined license terms: • Attribution (BY) - You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. • NonCommercial (NC) - You may not use the material for commercial purposes. • NoDerivatives (ND) - If you remix, transform, or build upon the material, you may not distribute the modified material. 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 COMMUNITY SETTINGS Opportunities Sessions 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