Adolescent Medicine Fellowship Program Goals

Each year, fellows will incrementally increase responsibilities to meet milestones and competency-based goals and objectives. The purpose of the adolescent medicine fellowship training is to take a junior physician and offer training in the following competencies to become an expert and leader in the field.

Patient Care and Procedural Skills

Practice developmentally appropriate care that is patient centered, evidenced based, timely, compassionate, holistic and interdisciplinary for the promotion of health and the management of health-related problems.

1. Place long-acting reversible contraception with limited supervision by end of training
2. Manage gender expansive services, including hormone therapy
3. Address adolescent medicine consultations for inpatient and outpatient settings

Medical Knowledge

Acquire and interpret clinical information to utilize knowledge to formulate a differential diagnosis and demonstrate the ability to use medical resources effectively with patient care to apply knowledge towards analytic problem solving and clinical decision making.

1. Demonstrate a strong understanding of the adolescent brain and stages of adolescent development
2. Discuss the medical controversies behind contraception and sexual health and mental health services for adolescents
3. Characterize typical practices towards patients with eating disorders, substance use, sports medicine complaints, or conditions commonly seen in the college, high-school or juvenile justice settings

Problem-Based Learning and Improvement

Appraise and assimilate scientific evidence to improve patient care performance

1. Participate in quality improvement (QI) initiatives, lead research projects or drive advocacy pitches
2. Lead clinical topic reviews, journal clubs, and teach medical students and residents
3. Model evidence-based approaches to guide clinical decision-making

Interpersonal and Communication Skills

Develop interpersonal and communication skills that result in effective exchange of information and enhance the ability to work as a team with patients, their families, ancillary and support staff, colleagues and supervisors.

1. Practice adolescent health through a reproductive justice lens
2. Communicate with families and caregivers in a culturally sensitive, youth-positive and trauma-informed manner
3. Connect with patients, families, clinical staff and community partners to build relationships and foster a foundation for future collaborations

Professionalism

Role model a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to diverse patient population.

1. Increase self-awareness to personal biases that is an on-going lived experience
2. Identify methods to overcome personal and professional sources of stress and burnout in the clinical and research or educational setting to protect yourself from compassion fatigue and bitterness and rise above the cynicism in medicine
3. Inspire others to practice medicine in a non-judgmental and youth-first way

System-Based Practice

Assume leadership with patient care, become nimble with advocacy and navigate administrative level functions (grant writing, budget creation, scheduling/organizing events).

1. Lead interdisciplinary conferences, participate in advocacy days and generate questions about the intricacies of billing and cost-saving decisions
2. Delegate tasks, present to learners, connect with stakeholders to build leadership skills focused on a systems-based approach to adolescent healthcare

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