Lesson 1Vaccination, prevention counseling, barrier methods, and harm reduction (HPV vaccine, condom use, PrEP indications)This section addresses primary and secondary STI prevention, including HPV and hepatitis vaccination, condom and barrier counseling, PrEP and PEP indications, harm reduction for substance use, and motivational interviewing to support safer behaviors.
HPV, hepatitis, and other relevant vaccinesCondom and barrier method selection and teachingHIV PrEP indications, labs, and adherence supportPost-exposure prophylaxis in sexual exposuresHarm reduction for substance use and chemsexMotivational interviewing for risk behavior changeLesson 2Confidentiality, parental involvement, and legal/ethical considerationsThis section examines confidentiality in adolescent care, parental involvement, and legal frameworks, including minor consent laws, documentation, billing risks, mandatory reporting, and strategies to protect privacy while supporting family relationships.
Minor consent laws for sexual health servicesExplaining confidentiality and its limits to teensEngaging parents while preserving teen privacyMandatory reporting of abuse and statutory rapeDocumentation, portals, and insurance billing risksEthical dilemmas and practical case examplesLesson 3Focused sexual and social history for adolescents (partners, consent, abuse screening, contraception goals)This section outlines a focused, developmentally appropriate sexual and social history, including partners, practices, pregnancy intentions, consent, abuse screening, mental health, and how to integrate contraception and STI prevention goals into care.
Establishing rapport and confidentiality limitsAssessing partners, practices, and pregnancy riskExploring gender identity and sexual orientationScreening for coercion, abuse, and traffickingContraception goals and reproductive life planningMental health, school, peers, and digital behaviorsLesson 4STI risk assessment and symptom-directed questions (exposure, discharge, dysuria, rectal/oral exposure)This section details structured STI risk assessment for adolescents, including targeted questions on exposures, symptoms, partner factors, and substance use, while modeling nonjudgmental, inclusive language and trauma-informed, developmentally appropriate interviewing.
Core elements of adolescent STI risk historySymptom review: discharge, dysuria, lesions, painAssessing oral, anal, and genital exposure patternsPartner number, gender, concurrency, and networksSubstance use, coercion, and impaired consent risksNormalizing, inclusive, and trauma-informed languageLesson 5STI testing algorithms and interpretation (NAAT for chlamydia/gonorrhea, HIV, syphilis serology, hepatitis B/C testing)This section explains STI testing strategies for adolescents, including site-specific NAATs, HIV and syphilis screening, hepatitis testing, window periods, result interpretation, and how to communicate results and next steps clearly and sensitively.
Choosing tests based on exposure and symptomsNAATs for chlamydia and gonorrhea at all sitesHIV testing options, windows, and acute infectionSyphilis serology algorithms and staging cluesHepatitis B and C screening and follow-upCommunicating results, uncertainty, and retestingLesson 6Contraceptive options: mechanism, effectiveness, indications, contraindications, and adolescent counseling (LARC, implants, IUDs, combined and progestin-only methods, emergency contraception)This section reviews contraceptive methods for adolescents, including LARC, pills, patch, ring, injection, and emergency contraception, focusing on mechanisms, effectiveness, contraindications, side effects, and shared decision-making counseling.
Overview of LARC: implants and intrauterine devicesCombined hormonal pills, patch, and vaginal ringProgestin-only pills and injectable contraceptionEmergency contraception methods and timingMedical eligibility, contraindications, and risksShared decision-making and adherence strategiesLesson 7Management of common STI results and partner notification principles (treatment regimens for chlamydia, gonorrhea, trichomonas, herpes)This section covers evidence-based management of common adolescent STIs, including first-line and alternative regimens, test-of-cure indications, expedited partner therapy, counseling on transmission reduction, and documentation and follow-up planning.
Treatment regimens for chlamydia in adolescentsUpdated gonorrhea therapy and resistance concernsTrichomonas diagnosis, treatment, and retestingGenital herpes counseling, episodic and suppressive careExpedited partner therapy and partner notificationFollow-up, test-of-cure, and reinfection preventionLesson 8Physical exam approach for adolescents (general exam, abdominal, external genitalia, pelvic when indicated)This section reviews a stepwise adolescent physical exam, emphasizing privacy, chaperones, and consent, with guidance on general, abdominal, and external genital exams, and when and how to perform pelvic or speculum exams safely and respectfully.
Preparing the room, chaperone, and privacy stepsExplaining exam steps and obtaining assentGeneral and abdominal exam for STI complicationsExternal genital and perineal inspection techniquesIndications for bimanual and speculum examinationManaging anxiety, pain, and prior trauma history
