Consent and confidential care for adolescents

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Target exams

Red flags

• Active suicidal plan, intent or recent attempt disclosed in a confidential encounter
• Ongoing abuse, sexual assault, coercion or trafficking disclosed
• Medical instability, acute psychosis or severe intoxication impairing capacity
• A capable minor refusing life-sustaining treatment — high-stakes, seek ethics and legal advice
• Coercion or intimate partner violence masquerading as voluntary consent
• Portal, billing or insurance explanation-of-benefit letters about to leak sensitive content

Life stages

Care settings

Clinical exam formats

Board mappings

• General and Community Paediatrics
• Communication, consent and confidentiality in adolescent care
• Current 2026 PREP curriculum — Learning Objective 1.2.1: Communicate with a child or young person in a way which is appropriate to the position of that child within their own culture
• Current 2026 PREP curriculum — Learning Objective 1.2.2: Communicate with parents or carers
• Renewed curriculum for first-year trainees from 2027 — Learning goal 12: Communication with patients, families, and health professionals
• Renewed curriculum for first-year trainees from 2027 — Learning goal 15: Essential general paediatrics
• Adolescent and Young Adult Medicine — consent, capacity and confidential care
• Clinical Applications
• Ethics, consent and confidentiality in adolescent medicine
• Long Cases
• Short Cases
• Communication stations
• 1. Professional values and behaviours: Ethical practice and safeguarding
• 2. Professional skills and knowledge: Communication
• 8. Safeguarding and social paediatrics
• 11. Adolescent health
• General Paediatrics: Obtains valid consent, assesses capacity, and delivers confidential care for young people within legal frameworks
• Foundation of Practice (FOP)
• Applied Knowledge in Practice (AKP)
• Ethics, law and safeguarding in child health
• Communication
• History
• Clinical
• Development
• General Pediatrics Content Outline — Domain 1: Preventive Pediatrics/Well-Child Care
• General Pediatrics Content Outline — Domain 11: Adolescent Medicine and Gynecology
• General Pediatrics Content Outline — Domain 23: Ethics and legal issues
• General Pediatrics EPA 1: Providing well-child and adolescent care including consent and confidential care
• Patient Care 1: History and Physical Examination
• Patient Care 5: Patient Management
• Interpersonal and Communication Skills 1: Patient- and Family-Centered Communication
• Professionalism 1: Professional Behavior and Ethical Principles
• Systems-Based Practice 3: System Navigation for Patient Centered Care – Coordination of Care
• Communicator
• Professional
• Health Advocate
• Pediatrics: Foundations EPA — Assessing and providing care for adolescents including consent and confidentiality
• Pediatrics: Core EPA — Coordinating transitions of care and information sharing for patients with psychosocial complexity