Title : #YOLO

Instructional Objectives

At the end of the module, the student is expected to:

1. Discuss adolescent growth and development with emphasis on the following:
1.1 Define puberty and describe the physical developments that accompany this
stage focusing on:
1.1.1 Sexual Development
1.1.2 Somatic Growth
1.1.3 Sleep Patterns
1.2 Neuro-cognitive and moral development
1.2.1 Brain maturation and effect on behavior
1.2.2 Moral development and behavior
1.3 Psychosocial development
2. Discuss important health aspects unique to adolescents
2.1 Identify the Social Determinants of Adolescent Health
2.1.1 Definition of Social Determinants
2.1.2 Structural Determinants
2.1.3 Proximal Determinants
2.1.4 Social Media
2.2 Identify the major psychosocial concerns of the youth
2.2.1 Sexual Identity Development
2.2.2 Risk-taking Behavior and Health
2.2.2.1 Teenage Pregnancy
2.2.3 Violent Behavior
2.2.4 Substance Use
2.3 Compare and contrast the components of a health maintenance visit at
different stages of adolescence
3. Identify essential elements in adolescent history and complete physical examination
3.1 Recognize the unique factors of the physician-patient relationship in an
adolescent consult
3.2 HEADSSSS
3.3 Physical examination of the adolescent
3.3.1 BMI and WHO Z-scores
3.3.2 Blood Pressure
3.3.3 Genitalia and Tanner Staging
3.3.4 Spine
3.3.4 Eyes and Ears Testing
4. Outline routine immunizations for adolescents

5. List appropriate screening exams and their indications during adolescence: vision,
hearing, blood pressure, hematocrit, vitamin D, and cholesterol/ lipids
6. Discuss the importance of disease prevention and anticipatory guidance
6.1 Healthy lifestyle
 6.2 Injury prevention
6.3 Screening for safety issues

REFERENCES:

1. Kliegman RM. Nelson Textbook of Pediatrics. 20th ed. Philadelphia: Elsevier.; 2016.
2. Navarro X.R. , Bauzon A, Aguilar J Malanyaon. Fundamentals of Pediatrics
Competency- Based, 2014
3. Wolf RM, Long D. Pubertal Development. Pediatrics in Review.
http://pedsinreview.aappublications.org/content/37/7/292. Published July 1, 2016.
Accessed
4. 2017 Recommended Immunizations for Children 7-18 Years Old.
https://www.cdc.gov/vaccines/schedules/downloads/teen/parent-version-schedule-7-
18yrs.pdf.
5. TRAINING COURSE ON CHILD GROWTH ASSESSMENT.
http://www.who.int/childgrowth/training/module_c_interpreting_indicators.pdf.
6. PPS Preventive Pediatric Healthcare Handbook 2016
7. Lancet Series on Adolescent Health FACT SHEETs 1, 2, 3.
http://www.prb.org/pdf14/lancet-youth-factsheet-1.pdf.
8. HEEADSSS 3.0 The psychosocial interview for adolescents updated for a new century
fueled by media.
https://mmcp.health.maryland.gov/epsdt/healthykids/AppendixSection4/Sec._4_Add_%2
0HEEADSSS.pdf.
9. The 2013 Young Adult Fertility and Sexuality Study in the Philippines Key Findings.
https://www.drdf.org.ph/sites/default/files/YAFS4%20Key%20Findings/YAFS4%20Key%
20Findings.pdf.
10. Bright Futures : Guidelines for Health Supervision of Infants, Children and Adolescents.
4th Edition.
https://brightfutures.aap.org/Bright%20Futures%20Documents/BF4_AdolescenceVisits.p
df . American Academy of Pediatrics.
11. Teenage Pregnancy in the Philippines: Trends, Correlates and Data Sources.
http://asean-
endocrinejournal.org/index.php/JAFES/article/view/49/477?fbclid=IwAR0eX1nikijiz8E_3h
AhL6yDnUTU_9uYYF6p1V_dp9RAnjj2lMq_PcBikO8.
12. Teen Pregnancy Issues and Challenges. https://americanpregnancy.org/unplanned-
pregnancy/teen-pregnancy-issues-challenges/.
13. Preventing Teen Pregnancy A Key Role for Health Care Providers.
https://www.cdc.gov/vitalsigns/larc/index.html.
14. General comment No. 20 (2016) on the implementation of the rights of the child during
adolescence. http://www.refworld.org/docid/589dad3d4.html.
15. https://psa.gov.ph/content/one-ten-young-filipino-women-age-15-19-already-mother-or-
pregnant-first-child-final-results.