Adolescent Preferences for Topics Addressed during Well Visits (WMJ volume 116, no. 4)
Release date (enduring material): December 11, 2017
Expiration date: December 31, 2019
Author: Eugene C Lee, MD
Background: Current evidence is limited regarding the topics adolescents want to discuss with clinicians during routine well visits. High school students were surveyed to determine potential adolescent discussion topics, barriers to discussion, and ways to promote dialogue.
Methods: Surveys were distributed between October 2014 and January 2015 to 102 students in the Verona Area High School in Verona, Wisconsin.
Results: Of the topics presented, teens preferred to discuss vaccines and mood/stress with their clinicians. Young women were more likely to prefer gender congruent clinicians, especially when discussing sex or body image. The majority of teens felt that information discussed with their physician would be revealed to parents or the authorities.
Conclusions: In limited time with teens, it is important for clinicians to reinforce confidentiality to gain their trust. Clinicians can improve rapport with adolescents by revealing information about themselves, conveying genuine caring, and considering community involvement. Male clinicians need to work on improving rapport, especially when talking with female adolescents about sex, body image, stress, and mood. Clinicians should consider including mood, stress, and vaccine discussions in their adolescent well visits.Objectives
At the end of this educational activity, participants should be able to:
- Identify strategies to engage adolescents and establish rapport during annual well visits.
- Describe conversation topics that adolescents most prefer to discuss with a clinician, according to the study results.
- Describe barriers that may prevent adolescents from discussing certain topics
Method of Participation
Learners must read the article and complete an evaluation and post-test in which they must answer at least 75% of the answers correctly in order to receive AMA PRA Category 1 Credit™. The participant cannot proceed to request credit until this score is achieved.
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This activity is designed for Primary Care Physicians, Allied Health Professionals, and Nurses.
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Per the WMJ policy, authors disclose using the International Committee of Medical Journal Editors Disclosure Form for Potential Conflicts of Interest and those disclosures are listed in the article. The authors of this article have not disclosed any relevant financial relationships.
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The Wisconsin Medical Society designates this journal-based CME for a maximum of 1 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.