Virtual Mentor. March 2005, Volume 7, Number 3.

March 2005 Contents

Ethics in Adolescent Medicine

Ethics Poll

Do you think breast augmentation should be performed on a 17-year-old?
Never.
If she requests it.
If she and her parents request it.
If she has undergone screening exams by a psychiatrist, psychologist, or primary care physician.

Parents ask a physician to perform a drug screen on their adolescent son who denies drug use. The physician should:
Order the drug screen as the parents request.
Order the drug screen only if the adolescent is acting intoxicated.
Do not order the drug screen without the adolescent's consent.

A 16-year-old seeks a prescription for contraceptives, and asks the physician not to tell her parents. The physician should:
Inform the girl's parents of her request.
Try to convince the adolescent to talk it over with her parents before providing the prescription.
Provide the prescription on condition that she returns for a follow-up.
Provide the prescription as requested.

I received training in adolescent medicine during medical school.
Yes
No

From the Editor

Adolescent Health and Medical Ethics
Megan A. Moreno
Full Text | PDF

Educating for Professionalism

Clinical Cases

Drug Testing in Adolescents
Commentary by Todd S. Varness and Norman Fost
Full Text | PDF

An Adolescent with an Eating Disorder
Commentary by Garry Sigman
Full Text | PDF

Transition of Care
Commentary by Jonathan Spahr and Don Hayes
Full Text | PDF

Journal Discussion

Black Box Blues: Kids and Antidepressants
Louis J. Kraus and Renee Mehlinger
Full Text | PDF

Medical Education

Adolescent Medicine Training for Medical Students
Maurice Clifton and Alda Maria Gonzaga
Full Text | PDF

Clinical Pearl

HEADSS: The "Review of Systems" for Adolescents
Rachel Katzenellenbogen
Full Text | PDF

Law, Policy, and Society

Health Law

Must Doctors Report Underage Sex as Abuse?
Kate Karas
Full Text | PDF

Policy Forum

Confidentiality and Consent in Adolescent Substance Abuse: An Update
Melissa Weddle and Patricia K. Kokotailo
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Health Care for Incarcerated Adolescents: Significant Needs with Considerable Obstacles
Robert E. Morris
Full Text | PDF

Medicine and Society

Adolescent Medicine: Emergence of a New Specialty
Jessica Rieder, Elizabeth M. Alderman and Michael I. Cohen
Full Text | PDF

Op-Ed and Correspondence

Op-Ed

Teenagers and Cosmetic Surgery
Diana Zuckerman
Full Text | PDF

Ethics of Cosmetic Plastic Surgery in Adolescents
Michael A. Bermant
Full Text | PDF

History, Art, and Narrative

Medical Humanities

Adolescence and Gender Identity
Allison Grady
Full Text | PDF