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Grand Rounds: Clinical Preventive Services for Adolescents: What’s the Recent Research Telling Us?


By John Santelli, MD, MPH , Professor of Population and Family Health and Pediatrics, Mailman School of Public Health, Columbia University

Objectives (Educational Content) :

1. Describe recent research on the importance of physician explanations of confidentiality to adolescents and provision of private time with the adolescent during a preventive services visit. 2. Explore how a triadic framework and an understanding of the reciprocal influences of parents, healthcare providers and adolescents can inform the delivery of primary care to adolescents. 3. Explain the importance of structural changes in clinical practices to improve the delivery of clinical preventive services to adolescents.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Update on importance of confidentiality and structural changes in clinical practice to improve delivery of preventive services to the adolescent patient.

Estimated Time to Complete the Educational Activity:

1 hour

Expiration Date for CME Credit:


Method of Physician Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CME credit.


Dr. John Santelli has indicated that there are no relevant financial or other relationships with any commercial interests and that this activity was developed independent of commercial interest.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


John S. Santelli, Jonathan D. Klein, Xiaoyu Song, et al. Discussion of Potentially Sensitive Topics with Young People. Pediatrics; February 2019, Volume 143/Issue 2.

John S. Santelli, MD, MPH, Stephanie A. Grilo, PhD, Jonathan D. Klein, MD, MPH, et al.  The Unmet Need for Discussions Between Health Care Providers and Adolescents and Young Adults.  Journal of Adolescent Health XXX (2020) 1-8.

Xiaoyu Song, DrPH, Jonathan D. Klein, MD, MPH, Hanying Yan, MS, et al.  Parent and Adolescent Attitudes Towards Preventive Care and Confidentiality.

Stephanie A. Grilo, MD, MPhil, Marina Catallozzi, MD, MSCE, John S. Santelli, MD, MPH, et al.  Journal of Adolescent Health.