ABFM Adolescent Medicine study plan

List the Tanner stages of pubic hair and genital/breast development and state the expected age ranges for each in both sexes

Explain how to assess skeletal maturity and linear growth velocity, including what growth velocity warrants evaluation

Describe normal pubertal timing variants (precocious puberty, delayed puberty, constitutional delay) and the initial evaluation for each

Outline the recommended adolescent preventive visit components including history, physical, and screening

Differentiate normal adolescent physiologic changes (gynecomastia, acne, scoliosis screening, blood pressure norms) from pathologic findings

Select appropriate immunizations and screening labs for the adolescent preventive visit by age and risk

Identify common dermatologic and musculoskeletal adolescent complaints and their first-line management

Interpret growth chart patterns to distinguish constitutional, familial, and pathologic short stature

Summarize Piaget's and Erikson's stage frameworks as applied to early, middle, and late adolescence

Describe normal identity formation, autonomy-seeking, and parent-adolescent conflict and distinguish them from pathology

Explain the components of a confidential adolescent psychosocial interview (e.g., HEADSS-style framework) and how to structure it

List indications and limits of confidentiality and consent in adolescent care, including minor consent rules

Differentiate mood disorders, anxiety, and disruptive behavior from expected adolescent emotional variability

Outline screening tools and initial management for depression and anxiety in primary care

Describe warning signs and initial steps for self-harm and suicidality risk assessment

Identify school, peer, and family factors that influence adolescent mental health and how to elicit them

Describe developmental changes in peer relationships, family structure, and school transitions during adolescence

Outline screening and counseling for substance use, including brief intervention approaches

Explain confidentiality, consent, and mandated reporting obligations relevant to social risk factors

Identify social determinants (housing, food insecurity, school connectedness) and how to screen for them

Summarize counseling for sexual health, contraception, and STI screening in adolescents

Describe recognition and reporting of adolescent maltreatment, exploitation, and intimate partner violence

Outline media and technology use counseling, including sleep and mental health effects

Explain how cultural, family, and community context shapes adolescent risk behavior

Integrate physical, psychological, and social assessment into a single adolescent preventive visit plan

Practice timed mixed-domain question sets and record accuracy by domain

Identify the three weakest concepts across all domains and re-study them

Write concise teaching points for each missed concept

Re-drill the weakest concepts identified in week 7 until accuracy exceeds 80%

Review screening, consent, and reporting rules one final time

Complete a full-length timed practice exam under exam conditions

Finalize a one-page high-yield summary sheet covering all three domains