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Pediatric and Adolescent Gynecology Is Care for the Underserved

      When I was a resident in Obstetrics and Gynecology from 1977 to 1981, I had no idea what pediatric and adolescent gynecology (PAG) was. I'll save you the trouble of calculating how long ago that was; it's been 40 years since I completed my residency, and yes, that was a long time ago. As an ob/gyn resident, I learned about adolescent obstetrics, and I learned a lot about contraception for adolescents. Preventing adolescent pregnancies was clearly an important priority and educational objective. I also learned a lot about unplanned and unintended pregnancies, and learned the techniques of safe and legal first- and second-trimester abortions. My faculty mentors at the University of North Carolina, Chapel Hill, were nationally and internationally recognized experts in family planning, and developed safe techniques for contraception, legal abortions, and sterilizations. But beyond the areas of contraception and obstetric care for adolescents, I saw very few adolescent patients with any other type of gynecologic problem, and I honestly can't recall seeing any pediatric patients.
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      References

        • CREOG
        Educational Objectives Core Curriculum in Obstetrics and Gynecology.
        2020 (https://www.acog.org/-/media/project/acog/acogorg/files/creog/creog-educational-objectives-12th-edition-secured.pdf. Accessed 30 January 2021)
      1. American Board of Pediatrics: General pediatrics content outline 2017. Available from: https://www.abp.org/sites/abp/files/pdf/gp_contentoutline_2017.pdf. Accessed 30 January 2021.

      2. American Board of Pediatrics: Adolescent medicine content outline 2020. Available from: https://www.abp.org/sites/abp/files/pdf/adol_latest.pdf. Accessed 30 January 2021.

      3. Royal College of Physicians and Surgeons of Canada: Obstetrics and gynecology competencies 2019. Available from: https://www.royalcollege.ca/rcsite/documents/ibd/obstetrics-gynecology-competencies-e.pdf. Accessed 30 January 2021.

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