Adolescent Medicine

Soccer Practice
Draft proposed by Dr Winnie Tse
Reviewed by Dr Stephen Chan, Dr S P Wu and Dr Rever Li

Essential Skills

Domain 1 - Professional Values & Behaviour

Domain 2 - Communication

Domain 4 - Patient management

Domain 5 - Health promotion & Illness prevention

Domain 9 - Safeguarding

 

Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises

Basic Training

Definition and Epidemiology

Know definition of adolescence

Understand statistics and epidemiology of adolescent health

Understand health determinants

Physical and psychological changes of adolescence

Understand biopsychosocial development -

importance of physical, emotional, intellectual & social influences

Distinguish the specific and changing health care needs of adolescents from those of children and adults.

Recognise growth and pubertal problems

Understand nutritional requirements

Recognise overweight and obesity,

Abusive substances

Understand:

  • Mode of action of the substances

  • Physiological consequences

  • Causes and prevention of health compromising and risk behaviors eg. Smoking, drug and alcohol abuse

 

Sexual health

Understand:

  • Distinction between gender identity and sexual orientation

  • Principles of sex education

  • Risk factors and implications of teen pregnancy

  • Sexually transmitted diseases

 

Adolescent Gynaecology

Understand dysfunctional uterine bleeding

Understand dysmenorrhea

Understand polycystic ovarian syndrome

Developmental conditions including eating disorders

Understand educational and vocational needs

Recognise learning disabilities

Eating disorders:

  • Recognise clinical presentation,

  • Identify anorexia nervosa,

  • Recognise roles in multidisciplinary management

 

Mental health

Recognise early signs of depression, anxiety, psychosis and suicidal tendency

Recognise red flags to refer to mental health specialists

 

Safeguarding

Identify

  • Adolescent violence and abuse

  • Self-harm

  • Date violence

 

Chronic illnesses and common clinical conditions

Understand & effectively communicate to address drug adherence

Manage chronic pains including migraine, tension headache, back and leg pains

Recognise:

  • Sport injuries

  • Chronic fatigue syndrome

  • Psychosocial impacts of chronic illnesses

 

Transition of young person to adult services

Understand the crucial importance of a successful transitional care programme

Desirable skills

  1. Active Listening

  2. Basic Counselling skills

  3. Use of HEADSS tool to take a psychosocial history

  4. Understanding of the limits of confidentiality

  5. Pubertal assessment using the Tanner’s staging method

Higher Training

Epidemiology

Appreciate the comparison between local and overseas epidemiological characteristics

Know local resources providing medical, educational, vocational, social and mental health services for adolescents

Physical and psychological changes of adolescence

Carry out a detailed assessment of growth, puberty and nutritional problems

Abusive Substances

Provide anticipatory guidance on health-compromising behaviours

Participate in MDT in abstinence programme

Sexual health

Provide medical treatment of common STDs

Gives counseling on relationship issues and safe sex practices

Give counseling and prescription of emergency contraception

Developmental conditions including eating disorders

Perform initial assessment of issues e.g. school adjustment, peers, self-image and autonomy

Understand parental styles and parenting issues

Understand the impacts of chronic illness, disability, death and dying on adolescent development

Participate in MDT management of a range of eating disorders (anorexia, binges, bulimia)

Manage ADHD

Mental health

Manage common mental health disorders e.g. anxiety, psychosomatic disorders, stable depression and psychosis, chronic fatigue syndrome

Safeguarding

Practise the limits of confidentiality

Chronic illnesses and common clinical conditions

Manage acne

Manage treatment compliance issues with involvement of the adolescent in the treatment process

Participate in adolescent palliative management

Transition of young person to adult services

Participate in the transitional care of a variety of chronic medical conditions