Paeds Vivas · adolescent-and-young-adult-medicine
Adolescent sexual health and contraception — branching viva
Branching viva on private-time confidentiality, the 5 Ps, LARC-first method choice, dual protection, emergency contraception, a coercion disclosure and follow-up.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in adolescent clinic. The examiner will move from confidential visit structure to the 5 Ps, method choice, dual protection, a coercion disclosure and follow-up.
Stem
The examiner will test whether you can run a confidential, youth-centred contraceptive consult under pressure. [3]
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Paediatrics Fellowship Pro
You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.
References8Show ledgerHide 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