Paeds Cases · adolescent-and-young-adult-medicine
Adolescent STI encounter OSCE — confidentiality, site-based testing and safety
Observed structured encounter testing private time, conditional confidentiality, the 5 P's history, risk- and anatomy-based testing, pregnancy-aware treatment and a PID red-flag assessment.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is a confidential STI screening visit with a parent reluctant to leave. Station B is a return visit with pelvic pain, fever and cervical motion tenderness requiring severity assessment and disposition.
Station objectives
- Negotiate private time and explain conditional confidentiality. [5]
- Take a 5 P's sexual history with inclusive, non-judgemental language. [2]
- Choose test sites by disclosed anatomy and exposure. [3]
- Apply pregnancy-aware treatment and partner services. [2] [6]
- Assess PID severity and disposition. [4]
References8ShowHide
- [1]Davidson KW, Barry MJ, Mangione CM, et al. Screening for Chlamydia and Gonorrhea: US Preventive Services Task Force Recommendation Statement. JAMA, 2021.PMID 34519796
- [2]Workowski KA; Bachmann LH; Chan PA Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep, 2021.PMID 34292926
- [3]Bamberger DM; Graham G; Dennis L Extragenital Gonorrhea and Chlamydia Among Men and Women According to Type of Sexual Exposure. Sex Transm Dis, 2019.PMID 30676485
- [4]Gray-Swain MR; Peipert JF Pelvic inflammatory disease in adolescents. Curr Opin Obstet Gynecol, 2006.PMID 16932044
- [5]Friedman JC; Cannon B; Tyson N Providing adolescent-friendly sexually transmitted infection screening and treatment services. Curr Opin Obstet Gynecol, 2024.PMID 39109588
- [6]Jamison CD; Coleman JS; Mmeje O Improving Women's Health and Combatting Sexually Transmitted Infections Through Expedited Partner Therapy. Obstet Gynecol, 2019.PMID 30741802
- [7]Mangione CM, Barry MJ, Nicholson WK, et al. Screening for Syphilis Infection in Nonpregnant Adolescents and Adults: US Preventive Services Task Force Reaffirmation Recommendation Statement. JAMA, 2022.PMID 36166020
- [8]Barry MJ, Nicholson WK, Silverstein M, et al. Preexposure Prophylaxis to Prevent Acquisition of HIV: US Preventive Services Task Force Recommendation Statement. JAMA, 2023.PMID 37606666