Prompt

Station A is a contraceptive request with a parent who will not leave the room. Station B is a private disclosure of a controlling older partner requiring a 5 Ps history, method counselling and a safety plan.

Station objectives

Negotiate private time and explain conditional confidentiality. [3] [8]
Take a structured 5 Ps sexual history including a coercion question. [3]
Counsel methods LARC-first using Medical Eligibility Criteria principles and agree dual protection. [1] [4] [7]
Conduct a safety assessment after a controlling-partner disclosure and plan accordingly. [3]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References8Show ledger

[1]Winner B, Peipert JF, Zhao Q, Buckel C, Madden T, Allsworth JE, Secura GM Effectiveness of long-acting reversible contraception. N Engl J Med, 2012.PMID 22621627
[2]Mestad R, Secura G, Allsworth JE, Madden T, Zhao Q, Peipert JF Acceptance of long-acting reversible contraceptive methods by adolescent participants in the Contraceptive CHOICE Project. Contraception, 2011.PMID 22018123
[3]American College of Obstetricians and Gynecologists Committee Opinion No. 710: Counseling Adolescents About Contraception. Obstet Gynecol, 2017.PMID 28742675
[4]Tepper NK, Krashin JW, Curtis KM, Cox S, Whiteman MK Update to CDC's U.S. Medical Eligibility Criteria for Contraceptive Use, 2016: Revised Recommendations for the Use of Hormonal Contraception Among Women at High Risk for HIV Infection. MMWR Morb Mortal Wkly Rep, 2017.PMID 28934178
[5]Rome ES, Issac V Sometimes You Do Get a Second Chance: Emergency Contraception for Adolescents. Pediatr Clin North Am, 2017.PMID 28292452
[6]Davidson KW, Barry MJ, Mangione CM, et al. Screening for Chlamydia and Gonorrhea: US Preventive Services Task Force Recommendation Statement. JAMA, 2021.PMID 34519796
[7]Hood JE, Hogben M, Chartier M, Bolan G, Bauer H Dual contraceptive use among adolescents and young adults: correlates and implications for condom use and sexually transmitted infection outcomes. J Fam Plann Reprod Health Care, 2014.PMID 24293508
[8]Whitfield B Vizcarra E, Dane'el A, Palomares L, D'Amore G, Maslowsky J, White K Minors' Experiences Accessing Confidential Contraception in Texas. J Adolesc Health, 2023.PMID 36604208

Station objectives

Negotiate private time and explain conditional confidentiality. [3] [8]

Take a structured 5 Ps sexual history including a coercion question. [3]

Counsel methods LARC-first using Medical Eligibility Criteria principles and agree dual protection. [1] [4] [7]

Conduct a safety assessment after a controlling-partner disclosure and plan accordingly. [3]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References8Show ledger

[1]Winner B, Peipert JF, Zhao Q, Buckel C, Madden T, Allsworth JE, Secura GM Effectiveness of long-acting reversible contraception. N Engl J Med, 2012.PMID 22621627
[2]Mestad R, Secura G, Allsworth JE, Madden T, Zhao Q, Peipert JF Acceptance of long-acting reversible contraceptive methods by adolescent participants in the Contraceptive CHOICE Project. Contraception, 2011.PMID 22018123
[3]American College of Obstetricians and Gynecologists Committee Opinion No. 710: Counseling Adolescents About Contraception. Obstet Gynecol, 2017.PMID 28742675
[4]Tepper NK, Krashin JW, Curtis KM, Cox S, Whiteman MK Update to CDC's U.S. Medical Eligibility Criteria for Contraceptive Use, 2016: Revised Recommendations for the Use of Hormonal Contraception Among Women at High Risk for HIV Infection. MMWR Morb Mortal Wkly Rep, 2017.PMID 28934178
[5]Rome ES, Issac V Sometimes You Do Get a Second Chance: Emergency Contraception for Adolescents. Pediatr Clin North Am, 2017.PMID 28292452
[6]Davidson KW, Barry MJ, Mangione CM, et al. Screening for Chlamydia and Gonorrhea: US Preventive Services Task Force Recommendation Statement. JAMA, 2021.PMID 34519796
[7]Hood JE, Hogben M, Chartier M, Bolan G, Bauer H Dual contraceptive use among adolescents and young adults: correlates and implications for condom use and sexually transmitted infection outcomes. J Fam Plann Reprod Health Care, 2014.PMID 24293508
[8]Whitfield B Vizcarra E, Dane'el A, Palomares L, D'Amore G, Maslowsky J, White K Minors' Experiences Accessing Confidential Contraception in Texas. J Adolesc Health, 2023.PMID 36604208

Adolescent contraceptive consult OSCE — confidentiality, 5 Ps, method choice and a coercion disclosure

Station objectives

Adolescent contraceptive consult OSCE — confidentiality, 5 Ps, method choice and a coercion disclosure

Station objectives