Adolescent Medicine

Contacts

Before Your Rotation

  • Review the Goals and Objectives
  • E-mail Dr. Fritz 2 weeks prior to the start of the rotation to discuss scheduling

Schedule

  • Four-week required rotation for categorical pediatric interns
  • Four-week rotation available for Med-Peds senior residents
  • Most rotation activities occur during weekdays with several required evening clinics
  • No weekend or cross-coverage responsibilities unless you are assigned to sick or jeopardy call during this rotation

Roles and Responsibilities

  • Attend all assigned clinics
  • Complete all assigned reading and presentations
  • Attend morning and noon conference when scheduled at FFHC or Comer
  • Note that interns are often assigned to sick call while on the adolescent rotation. Interns must carry their pagers at all times and let Dr.  Fritz know if you are activated for sick call so she can try to rearrange your schedule

Locations

Click links for directions in Google Maps (opens in new window)


Recommended Reading/Resources

Clinician Education:

  • STD Curriculum (with lots of pictures): www.cdc.gov/std/training/othertraining.htm (you have to set up a password)
  • World Health Organization Medical Eligibilitiy Criteria for Contraceptive Use: http://www.who.int/reproductive-health/publications/mec/mec.pdf. This rates safety of each method on scale of 1-4 for any number of associated health conditions. There’s a lot of information.
  • http://www.psych.uic.edu/DOCASSIST/ . Connects to various mental health and substance abuse resources. Also has a “warm-line” number to UIC psychiatrists who can answer clinical and management questions.
Advocacy:

Patient or Parent Education:

Obesity/Nutrition:

  • Consortium to lower obesity in Chicago’s children (CLOCC): http://www.clocc.net (for training module, go to “health professionals section”, then go to clinical management)
  • Interesting info on calories and nutrition: https://www.choosemyplate.gov/

Smoking Cessation:

Databases and Statistics

  • Behavior: Youth Risk Behavior Surveillance System (YRBSS) monitors priority health-risk behaviors and the prevalence of obesity and asthma among youth and young adults. The YRBSS includes a national school-based survey conducted by the Centers for Disease Control and Prevention (CDC) and state, territorial, tribal, and local surveys conducted by state. http://www.cdc.gov/HealthyYouth/yrbs/index.htm
  • Reproductive Health: The Guttmacher Institute collects data on pregnancies, births, etc. http://www.guttmacher.org
  • Substances: Monitoring the Future Study (www.monitoringthefuture.org ): ongoing study of the behaviors, attitudes, and values of American secondary school students, college students, and young adults. Each year, approximately 50,000 8th, 10th and 12th grade students are surveyed (12th graders since 1975, and 8th and 10th graders since 1991). Volume I of the annual MTF report focuses on secondary school students and Volume II focuses on college students and young adults.

Texts: Neinstein’s Adolescent Health Care: A Practical Guide

Journals: we recommend at least leafing through the Journal of Adolescent Health

Review articles: Adolescent Medicine State of the Art Reviews devotes each issue to review of some topic—for instance, Dec 07 dealt with various articles about “Adolescent Sexuality”. Also Child and Adolescent Psychiatric Clinics of North America has some interesting review articles.

Articles: Given to you by Dr. Fritz at the beginning of the rotation

Study Guide/Quiz

The orientation packet includes a 50-question “quiz” to be used as a study guide for this rotation (it won’t be graded). The questions focus on basic adolescent issues—to help you get an idea of what things you know and what things you need to become more familiar with. Feel free to talk over the questions with colleagues or attendings—or look them up and read a little more. Some questions are meant to provoke thought and may not have any one best answer. We’ll try to have a review session to go over the answers near the end of the rotation. Residents last month said it would have been more helpful to start looking at these in the beginning of the rotation, so it would help them structure their reading a little better.