In this rotation, residents will participate in ambulatory clinics in the Young Families Program, where they will be involved in the assessment, management and longitudinal care of adolescent parents and their children.
While this rotation focuses on the CanMEDS roles of Medical Expert, Collaborator and Advocate, it is expected that trainees will demonstrate proficiency in all spheres.
On completion of the rotation, the trainee will be able to:
Medical Expert
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Assess, diagnose, investigate as appropriate, and manage adolescent sexual and reproductive health issues or concerns including: o Menstrual disorders o Contraceptive options o STIs o Healthy sexual development o Sexual abuse and trauma o Peri-partum physical health, mental health, and psychosocial concerns.
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Assess, diagnose, investigate as appropriate, and manage adolescent mental health concerns including: o Depression o Anxiety o Substance use o Trauma-associated symptoms
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Demonstrate technical proficiency in the application of appropriate screening/testing tools for
STIs and in the performance of a female pelvic exam, where appropriate.
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Describe the epidemiology of, demonstrate an understanding of protective and risk factors for, and identify the physical, emotional, social and economic implications of, adolescent pregnancy and parenting.
Revised August 2015

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Provide developmentally–appropriate options in counseling for the pregnant teen
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Apply knowledge of the key tasks of adolescence and implement a developmentally appropriate approach in caring for the adolescent mother and her child.
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Establish longitudinal plans of care that incorporate an awareness of the social determinants of health, including the impact of previous and current trauma or exposure to violence and its implications for adolescents and their children.
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Support adolescent parents in implementing strategies to promote healthy infant attachment, interactions, and development.
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Maintain a general pediatric knowledge base that is evidence-based and adapt it to the adolescent parenting population.
Communicator
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Develop rapport, trust, and ethical longitudinal therapeutic relationships with the adolescent parents and their families/support networks.
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Accurately convey relevant information and explanations to adolescents in a developmentally accessible manner.
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Demonstrate effective and timely verbal and written communication skills, including: communicating with patients and families, documentation and consult letters, and use of EMR systems.
Collaborator
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Demonstrate an understanding of the roles of interprofessional staff on the team, contribute to team effectiveness, and ask for assistance appropriately.
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Establish good relationships with peers and other health professionals, actively seek the opinions of other health care professionals to optimize the care of the patient, and demonstrate the ability to accept, consider and respect the opinions of other expert team members, while contributing specialty-specific expertise.
Revised August 2015

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Identify and utilize collaborative strategies to participate effectively and appropriately in an interprofessional healthcare team in a longitudinal setting, and proactively work with other team members to prevent misunderstanding, manage difference and resolve conflict.
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Create management plans that reflect recognition of the value of other health care professionals, and effectively communicate complex or comprehensive plans of care, updates and priorities for care to the interprofessional team and relevant community agencies.
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Play an active role in collaborative team meetings, identifying patient needs and resources to meet those needs, including community-based resources.
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Identify and implement strategies for safe handover and transfer of accountability for ongoing patient care issues during periods of absence.
Manager
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Integrate into care planning an understanding of the just allocation of healthcare resources, balancing effectiveness, efficiency and access with optimal patient care.
Health Advocate
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Identify opportunities for advocacy, health promotion and disease prevention with adolescents and their children, and the communities in which they reside.
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Formulate care plans that recognize and account for the possibility of conflict inherent to the provider’s role as a health advocate for adolescent parents and for the health and well-being of their children, bearing in mind the need to fulfill the regulatory and legal obligations required of current practice.
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Initiate interventions that attempt to address the social determinants of health, including barriers to accessing care and resources for adolescent parents and their children.
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Identify and anticipate legal issues that may impact the health and well-being of adolescent parents and their children and provide referral to legal resources as needed.
Scholar
Revised August 2015

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Access, interpret and apply evidence relevant to the care of adolescent parents and their children.
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Facilitate the learning of medical trainees, health professionals and the public, when appropriate, on topics pertaining to parenting adolescents and their children.
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Actively seek out and act upon both positive and negative feedback from colleagues, other health care providers, patients and their families.
Professional
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Exhibit appropriate professional behaviors in practice, including honesty, integrity, commitment, compassion, empathy, responsibility, respect, and an appreciation of diversity.
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Cultivate supportive and sustained relationships with adolescent patients while maintaining appropriate professional boundaries.
Revised August 2015