ABIM Adolescent study plan

State the typical age windows and sequence for Tanner stages of breast, genital, and pubic hair development in both sexes, and identify which stage triggers a puberty workup.

Differentiate normal variants (gynecomastia, asymmetric testicular growth, constitutional delay, physiologic leukorrhea) from precocious or delayed puberty using growth velocity and bone age.

Describe the psychosocial tasks of early, middle, and late adolescence and link each stage to expected risk behaviors and counseling priorities.

Assemble the full adolescent preventive-visit checklist, including the HEEADSSS interview, blood pressure and lipid screening, vision and hearing, dental referral, and indicated laboratory screening.

Build an 11-to-18-year immunization card covering Tdap, HPV, MenACWY, MenB shared decision-making, annual influenza, and catch-up rules for missed doses.

Calculate BMI percentile for age and sex and apply the current pediatric weight-status framework to select comorbidity screening and treatment intensity.

Apply DSM-5-TR criteria to distinguish anorexia nervosa, bulimia nervosa, binge-eating disorder, and avoidant/restrictive food intake disorder, and list the medical instability thresholds that mandate inpatient admission.

Outline refeeding risk stratification and electrolyte monitoring during nutritional rehabilitation, including which patients need inpatient initiation.

Compare the presentation, first-line topical or systemic therapy, and referral triggers for acne vulgaris, atopic dermatitis, tinea infections, and hidradenitis suppurativa.

Differentiate streptococcal pharyngitis, infectious mononucleosis, and viral upper respiratory infection by clinical and testing features, and state activity restrictions for each.

Apply DSM-5-TR criteria to separate major depressive disorder, persistent depressive disorder, bipolar spectrum illness, and irritability attributable to another condition in adolescents.

Score the adolescent PHQ-9 and GAD-7 and translate each score band into a stepped-care plan specifying setting, modality, and follow-up interval.

Compare first-line psychotherapy and pharmacotherapy for adolescent depression, including how to counsel on activation, suicidality monitoring, and the 4-to-6-week reassessment.

Administer a validated brief substance screen such as CRAFFT 2.1 and deliver a brief motivational-interviewing intervention matched to the score.

State the acute management of suspected opioid overdose and alcohol withdrawal, and list which adolescents should be offered take-home naloxone.

Counsel confidentially on contraceptive options and compare typical-use versus perfect-use failure rates for implants, intrauterine devices, pills, patch, ring, injectable, condoms, and emergency contraception.

Apply current CDC sexually transmitted infection screening and treatment recommendations, including nucleic acid amplification testing at genital and extragenital sites, HIV testing, and syphilis serology.

Construct a diagnostic pathway for adolescent pelvic pain and abnormal uterine bleeding that separates pelvic inflammatory disease, ectopic pregnancy, ovarian torsion, polycystic ovary syndrome, and bleeding disorders.

State the scope and limits of minor-consent protections for sexually transmitted infection and contraception care, and describe how to structure billing and documentation to protect privacy.

Sequence HPV vaccination and cervical cancer screening timing across adolescence and young adulthood.

Draft a transition-of-care timeline spanning ages 12 to 26 for a teen with a chronic condition, listing self-management milestones, guardianship and insurance steps, and a transfer-readiness checklist.

Identify the core elements of the preparticipation physical evaluation and the cardiac red flags (exertional syncope, chest pain, family history of sudden death) that require cardiology referral.

Apply the stepwise return-to-learn then return-to-play progression after sport-related concussion, including exertion thresholds and repeat-injury precautions.

Differentiate common adolescent musculoskeletal complaints (Osgood-Schlatter disease, patellofemoral pain, spondylolysis, stress fracture, anterior cruciate ligament tear) by history and examination findings.

Counsel on relative energy deficiency in sport and the female athlete triad, including screening questions and indications to reduce training load.

Explain the confidentiality framework and its limits (danger to self or others, abuse, mandated reporting) to a teen and parent using teach-back to confirm understanding.

Compare mature-minor and emancipated-minor doctrines and apply them to contraception, mental health care, substance treatment, and vaccination scenarios.

Design a confidential visit workflow that protects privacy in billing, explanation-of-benefits statements, and patient-portal messaging.

List mandated reporting triggers and outline the reporting process and documentation for suspected abuse or neglect.

Revisit developmental staging to justify confidentiality, assent, and consent decisions at different adolescent ages.

Screen for depression and suicidality in an adolescent with obesity or disordered eating using weight-neutral language that avoids reinforcing stigma.

Differentiate medical mimics of mood and anxiety symptoms, including thyroid disease, iron deficiency, infectious mononucleosis, substance use, and chronic sleep deprivation.

Describe metabolic and weight monitoring for adolescents starting second-generation antipsychotics and the criteria for adding metformin.

Distinguish intentional weight loss, body dysmorphic disorder, and muscle dysmorphia in male adolescents by history and examination.

Co-create a structured suicide safety plan with a patient, naming warning signs, coping strategies, supports, and means-restriction steps.

Recite the catch-up rules for HPV, MenACWY, MenB, and Tdap without references, including minimum intervals and age cutoffs.

List the age-based screening thresholds and intervals for lipids, tuberculosis risk assessment, anemia, sexually transmitted infections, and depression in adolescents.

Rework every item in the accumulated error log until each can be explained aloud without prompts.

Complete a full-length timed simulated examination under test-day conditions with breaks limited to the scheduled ones.