Growth and Development

• Physiologic Development
• Social and Cognitive Development
• Development of Gender Identity and Sexual Orientation

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Physiologic Development

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

Social and Cognitive Development

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

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.

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 

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. 

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

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

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.

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

1. The Gender Unicorn. Available from Trans Student Educational Resources.

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