Council on Medical Student Education in Pediatrics

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Curriculum Competencies and Objectives

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

ISSUE UNIQUE TO ADOLESCENCE

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

  1. Describe the unique features of the physician-patient relationship during adolescence including confidentiality and consent. (CP)
  2. Identify and describe the sequence of the physical changes of puberty (e.g. Tanner scale). (CP)
  3. 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)
  4. Describe the common risk-taking behaviors of adolescents, such as alcohol and other drug use, sexual activity and violence (CP)
  5. Describe the contributions of unintentional injuries (CP), homicide (CP), suicide (CP) and HIV/AIDS (M) to the morbidity and mortality of adolescents.
  6. Describe the features of common mental health problems in adolescence, including school failure, attention deficit, body image, eating disorders, depression and suicide. (CP)
  7. Describe an approach to counseling an adolescent regarding sexual activity, substance abuse, and personal safety. (M)
  8. Describe the unique difficulties encountered by adolescents with chronic diseases, including adherence and issues of autonomy vs. dependence. (M)
  9. Discuss the characteristics of early, mid and late adolescence in the terms of cognitive and psychosocial development. (M)

Skills

  1. 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)
  2. Conduct a physical examination of an adolescent that demonstrates respect for privacy and modesty, employing a chaperone when appropriate. (CP)
  3. 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)
  4. 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 COMSEP Clinical Cases.

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