SEXUAL AND REPRODUCITVE HEALTH MODULE - (click  to jump to specific module section)

Download PDF of module

Please share any comments and/or feedback with us via email.



Contraception

Learning Objectives:

  1. Examine your values around prescribing contraception to your adolescent and young adult patients, and discuss professional responsibility to provide evidence-based care
  2. Describe the US Medical Eligibility Criteria for Contraceptive Use and US Selected Practice Recommendations for Contraceptive Use and understand how to apply these in prescribing contraception and counseling patients about their options
  3. Discuss the various options for emergency contraception, including efficacy, mechanism of action, indications for use, and patient counseling points
  4. Explain the various contraceptive methods, including ideal and typical failure rates, mechanism of action, non-contraceptive benefits, side effects, and patient counseling points
  5. Apply evidence-based contraceptive counseling methods in working with teens, including counseling based on efficacy and addressing side effects and adverse effects
  6. Identify and address common myths about contraception
Readings and videos:
 
  • Readings
    1. Committee on Adolescence. Contraception for adolescents. Pediatrics. 2014;134(4):e1244-1256.
    2. Committee on Bioethics. Policy statement--Physician refusal to provide information or treatment on the basis of claims of conscience. Pediatrics 2009;124(6):1689-93.
    3. Society for Adolescent Health and Medicine. Emergency Contraception for Adolescents and Young Adults: Guidance for Healthcare Professionals. J Adolesc Health 2016;58(2):245-8.
    4. Trussell J, et al, eds. Contraceptive Technology. 20th revised edition. New York, NY: Ardent Media, 2011.
    5. Nickles MC, Alderman E. Noncontraceptive use of contraceptive agents. Pediatr Rev 2014;35(6):229-42
    6. U.S. Medical Eligibility Criteria for Contraceptive Use, 2016. MMWR Recomm Rep 2016;65(3):1-103.
    7. U.S. Selected Practice Recommendations for Contraceptive Use, 2016. MMWR Recomm Rep 2016;65(4):1-66.
      • ipad/iphone app, summary chart, additional resources.
  • Videos (Contraceptive CHOICE Project)
    1. Pathways to CHOICE
    2. Which birth control is right for you?
  • Webpages
    1. www.bedsider.org 
      • Contraceptive efficacy chart
      • Emergency Contraception comparison chart
  • Webinars
    1. Contraception [webinar] by Dr. Steinauer as part of Quality Care and Public Health Implications [online course]
Interactive Learning Opportunities:
Materials to Develop Educational Sessions:
Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic, pediatric OB/GYN)
  • Inpatient (wards)
  • Emergency department



Pregnancy Options Counseling


Learning Objectives:
  1. Provide teens with non-judgmental counseling about all of their pregnancy options and community resources
  2. Describe the public health impact of unintended adolescent pregnancy, including abortion, adoption, and teen parenting
Readings and Videos:
  • Readings
    1. Kumar V, Herbitter C, Karasz A, Gold M. Being in the room: reflections on pregnancy options counseling during abortion training. Fam Med. 2010;42(1):41-46.
    2. Finer LB, Zolna MR. Declines in Unintended Pregnancy in the United States, 2008-2011. N Engl J Med 2016;374(9):843-52.
    3. Counseling and Informed Consent. Available as part of Goodman S, Wolfe M, and the TEACH Trainers Collaborative Working Group.* Early Abortion Training Workbook, Fourth Edition. UCSF Bixby 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]
Interactive Learning Opportunities:
Materials to Develop Educational Sessions:
 
Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic, pediatric OB/GYN)
  • Emergency department

 

Abortion


Learning Objectives:
  1. Provide teens with evidence-based information about medication and aspiration abortion, including safety, efficacy, indications, and expected side effects
Readings and Videos:
Interactive Learning Opportunities:
 
  • Early options: A Provider’s Guide to Medication Abortion
Materials to Develop Educational Sessions:
 
Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic, pediatric OB/GYN)
  • Emergency department





Sexually Transmitted Infections


Learning Objectives:
  1. Recognize signs and symptoms of common STIs
  2. Identify and use evidence-based guidelines for routine STI screening and treatment, including expedited partner therapy (EPT)
  3. Apply the epidemiology of STIs as they relate to adolescents and identify risk factors for screening
  4. Recognize the diagnostic criteria and use up-to-date management for pelvic inflammatory disease
 
Readings and Videos:
 
  • Readings
    1. Committee on Adolescence; Society for Adolescent Health and Medicine. Policy Statement: Screening for nonviral sexually transmitted infections in adolescents and young adults. Pediatrics. 2014 Jul;134(1):e302-11.
  • Websites and Resources
    1. CDC STD Treatment Guidelines
      • phone and ipad app
    2. CDC STD Fact Sheets
  • Expedited partner therapy (EPT). Guidance including legal status by state.

 

Interactive Learning Opportunities:
 
Materials to Develop Educational Sessions:
Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic, pediatric OB/GYN)
  • Emergency department
 


 

Menstrual Cycle and Common Menstrual Disorders


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




Male Reproductive Health


Learning Objectives:
  1. Describe male adolescent reproductive health care needs
  2. Demonstrate the ability to take an appropriate male sexual health history
  3. Demonstrate the ability to perform a male GU exam and identify common abnormal findings
Readings and Videos:
Materials to Develop Educational Sessions:
 
 
Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic, pediatric OB/GYN)
  • Emergency department



 

Sexual and Gender Minority Youth


Learning Objectives:
  1. Discuss the health related challenges and screening recommendations for Lesbian, Gay, Bisexual, Transgender or Questioning (LGBTQ) youth
  2. Incorporate appropriate LGBTQ sensitive language into gender and sexual history taking for all adolescents and young adults
  3. Describe local and national resources for LGBTQ youth
Readings and Videos:
 
  • Readings
    1. Committee On Adolescence. Office-based care for lesbian, gay, bisexual, transgender, and questioning youth. Pediatrics 2013;132(1):198-203.
    2. Ryan et al “Family Rejection as a Predictor of Negative Health Outcomes in While and Latino Lesbian, Gay, and Bisexual Young Adults.”  PEDIATRICS Vol. 123 No. 1 January 1, 2009 pp. 346 -352
    3. Family Acceptance Project. Supportive Families, Healthy Children: Helping Families with Lesbian, Gay, Bisexual & Transgender Children.  Available at http://familyproject.sfsu.edu/publications
    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.
Interactive Learning Opportunities:
Materials to Develop Educational Sessions:
Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic, pediatric OB/GYN)
  • Emergency department
 

More in this Section