GROWTH AND DEVELOPMENT - (click  to jump to specific module section)

Updated March 2020

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Physiologic Development


Learning Objectives:
  1. Describe Sexual Maturity Rating (SMR) staging and develop skills in properly staging adolescents' physiologic development
  2. Recognize the stages and progress of normal pubertal development

Readings and Videos:

Readings:
  1. Khan, L.  Puberty: Onset and Progression. Pediatric Annals. 2019;48(4):e141-e145
  2. Chulani VL, Gordon LP. Adolescent growth and development.  Prim Care. 2014 Sep;41(3):465-87. doi: 10.1016/j.pop.2014.05.002.
  3. Bordini B, Rosenfield RL. Normal pubertal development: Part I: The endocrine basis of puberty. Pediatr Rev 2011;32(6):223-9.
  4. Bordini B, Rosenfield RL. Normal pubertal development: part II: clinical aspects of puberty. Pediatr Rev 2011;32(7):281-92.

Materials to develop educational sessions:

Pedicases: 
  1. Delayed puberty: Different from my friends 
  2. Understanding Growth: Normal vs Abnormal patterns 

Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic, endocrinology)
  • Inpatient (wards, PICU)
  • Emergency department

 


Social and Cognitive Development


Learning Objectives:
  1. Characterize the developmental continuum of adolescence including impact on health, risk-taking and development of protective factors
  2. Assess knowledge related to adolescent brain maturation, development of executive function and its influence on adolescent risk taking behavior
Readings and Videos:

Readings:
  1. Sanders RA. Adolescent psychosocial, social, and cognitive development. Pediatr Rev 2013;34(8):354-8; quiz 358-9.
  2. 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.
  3. Lamblin M, Murawski C, Whittle S, Fornito A. Social connectedness, mental health and the adolescent brain.  Neurosci Biobehav Rev. 2017 Sep;80:57-68. doi: 10.1016/j.neubiorev.2017.05.010. Epub 2017 May 12.
Videos:
  1. UCSF 2015 “How to Talk to Teens: A Developmental Approach” 
  2. TED talks: Global 2012 “The mysterious workings of the adolescent brain” 
  3. Frontline PBS Video Inside the Teenage Brain 
 
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. 

Interactive learning opportunities:
  1. Office of Adolescent Health E-Learning Module - Adolescent Development


Materials to develop educational sessions:

MedEd Portal:

  1. Eddins-Folensbee F, Klein J, Martinez S, Folensbee R, Harris T. Child and Adolescent Development for Medical Learners: Adolescent Identity Development. MedEdPORTAL Publication; 2012. 

Clinical and Community Settings:

  • Outpatient (adolescent clinic, primary care clinic, subspecialty clinics dealing with adolescents with chronic illness)
  • Inpatient (wards, PICU)
  • Emergency department


Development of Gender Identity and Sexual Orientation


Learning Objectives:
  1. Explain the difference between gender identity and sexual orientation, and how these both exist on a spectrum
  2. Apply a developmental framework when discussing the development of gender identity with patients and families
  3. Apply a developmental framework when discussing the development of sexual orientation with patients and families
Readings and Videos:

Readings:
 
  1. Society for Adolescent Health and Medicine. Recommendations for promoting the health and well-being of lesbian, gay, bisexual, and transgender adolescents: a position paper of the Society for Adolescent Health and Medicine. Journal of Adolescent Health 2013;52(4):506-10. 
  2. Raftery, Jason. American Academy of Pediatrics. (2015, June 4). Gender Identity Development in Children
  3. Raferty, Jason. American Academy of Pediatrics (2018, October). Ensuring comprehensive care and support for transgender and gender diverse children and adolescents
  4. Olson-Kennedy, Rosenthal, Hastings, & Wesp. UCSF Transgender Care. (2016, June). Health considerations for gender non-conforming children and transgender adolescents.

Videos:
  1. PBS Frontline: Growing up Trans [video]. 

Summary Chart:
  1. The Gender Unicorn. Available from Trans Student Educational Resources.

Interactive Learning Opportunities:
  1. Caring for LGBTQ Youth in Clinical Settings - Available free with registration from National LGBT Health Education Center

Materials to develop educational sessions:

MedEd Portal:
  1. Lee R, Loeb D, Butterfield A. Sexual History Taking Curriculum: Lecture and Standardized Patient Cases. MedEdPORTAL Publication; 2014. 
  2. There are many more resources from MedEd – click to search “LGBT” on the MedEd Portal.

ARSHEP PowerPoint modules available at: https://prh.org/arshep-ppts/#lgbtq-essentials 
  1. Caring for Lesbian, Gay, Bisexual, Trans- gender, and Questioning Youth
  2. Caring for Transgender Adolescents

ARSHEP videos and discussion guides available at: https://prh.org/adolescent-reproductive-sexual-health-case-videos/ 
  1. Sexuality & Gender: Sexual History-Taking and Gender
  2. Sexuality & Gender: Coming Out


Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic, trans/gender clinic - if available)
  • Community organizations focusing on providing social services, support groups to LGBTQ youth
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