Lesson 1Vaccination, prevention counselling, barrier methods, an harm reduction (HPV vaccine, condom use, PrEP indications)Dis section deal wid primary an secondary STI prevention, includin HPV an hepatitis vaccination, condom an barrier counselling, PrEP an PEP indications, harm reduction fi substance use, an motivational interviewin fi support safer behaviours in a supportive way.
HPV, hepatitis, an other relevant vaccinesCondom an barrier method selection an teachinHIV PrEP indications, labs, an adherence supportPost-exposure prophylaxis in sexual exposuresHarm reduction fi substance use an chemsexMotivational interviewin fi risk behaviour changeLesson 2Confidentiality, parental involvement, an legal/ethical considerationsDis section examine confidentiality in teenage care, parental involvement, an legal frameworks, includin minor consent laws, documentation, billin risks, mandatory reportin, an strategies fi protect privacy while supportin family relationships wid trust.
Minor consent laws fi sexual health servicesExplaining confidentiality an its limits to teensEngagin parents while preservin teen privacyMandatory reportin of abuse an statutory rapeDocumentation, portals, an insurance billin risksEthical dilemmas an practical case examplesLesson 3Focused sexual an social history fi teenagers (partners, consent, abuse screenin, contraception goals)Dis section outline a focused, developmentally appropriate sexual an social history, includin partners, practices, pregnancy intentions, consent, abuse screenin, mental health, an how fi integrate contraception an STI prevention goals into care wid sensitivity.
Establishin rapport an confidentiality limitsAssessin partners, practices, an pregnancy riskExplorin gender identity an sexual orientationScreenin fi coercion, abuse, an traffickinContraception goals an reproductive life planninMental health, school, peers, an digital behavioursLesson 4STI risk assessment an symptom-directed questions (exposure, discharge, dysuria, rectal/oral exposure)Dis section detail structured STI risk assessment fi teenagers, includin targeted questions on exposures, symptoms, partner factors, an substance use, while modelin nonjudgmental, inclusive language an trauma-informed, developmentally appropriate interviewin.
Core elements of teenage STI risk historySymptom review: discharge, dysuria, lesions, painAssessin oral, anal, an genital exposure patternsPartner number, gender, concurrency, an networksSubstance use, coercion, an impaired consent risksNormalizin, inclusive, an trauma-informed languageLesson 5STI testin algorithms an interpretation (NAAT fi chlamydia/gonorrhea, HIV, syphilis serology, hepatitis B/C testin)Dis section explain STI testin strategies fi teenagers, includin site-specific NAATs, HIV an syphilis screenin, hepatitis testin, window periods, result interpretation, an how fi communicate results an next steps clearly an sensitively wid care.
Choosin tests based on exposure an symptomsNAATs fi chlamydia an gonorrhea at all sitesHIV testin options, windows, an acute infectionSyphilis serology algorithms an stagin cluesHepatitis B an C screenin an follow-upCommunicatin results, uncertainty, an retestinLesson 6Contraceptive options: mechanism, effectiveness, indications, contraindications, an teenage counsellin (LARC, implants, IUDs, combined an progestin-only methods, emergency contraception)Dis section review contraceptive methods fi teenagers, includin LARC, pills, patch, ring, injection, an emergency contraception, focusin on mechanisms, effectiveness, contraindications, side effects, an shared decision-makin counsellin wid respect.
Overview of LARC: implants an intrauterine devicesCombined hormonal pills, patch, an vaginal ringProgestin-only pills an injectable contraceptionEmergency contraception methods an timinMedical eligibility, contraindications, an risksShared decision-makin an adherence strategiesLesson 7Management of common STI results an partner notification principles (treatment regimens fi chlamydia, gonorrhea, trichomonas, herpes)Dis section cover evidence-based management of common teenage STIs, includin first-line an alternative regimens, test-of-cure indications, expedited partner therapy, counsellin on transmission reduction, an documentation an follow-up plannin.
Treatment regimens fi chlamydia in teenagersUpdated gonorrhea therapy an resistance concernsTrichomonas diagnosis, treatment, an retestinGenital herpes counsellin, episodic an suppressive careExpedited partner therapy an partner notificationFollow-up, test-of-cure, an reinfection preventionLesson 8Physical exam approach fi teenagers (general exam, abdominal, external genitalia, pelvic when indicated)Dis section review a stepwise teenage physical exam, emphasizin privacy, chaperones, an consent, wid guidance on general, abdominal, an external genital exams, an when an how fi perform pelvic or speculum exams safely an respectfully.
Preparin de room, chaperone, an privacy stepsExplaining exam steps an obtainin assentGeneral an abdominal exam fi STI complicationsExternal genital an perineal inspection techniquesIndications fi bimanual an speculum examinationManagin anxiety, pain, an prior trauma history
