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
- 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)
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.
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.
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.
- Gynecologic care for pediatric and adolescent patients undergoing hematopoietic stem cell transplantation.J Pediatr Adolesc Gynecol. 2021; 34: 112-116
- Pediatric and young adult vulvovaginal graft-versus-host disease.Biol Blood Marrow Transplant. 2019; 25: 2408
- Gynecologic care in hematopoietic stem cell transplant patients: a review.Obstet Gynecol Surv. 2010; 65: 668
- Screening for Mullerian anomalies in patients with unilateral renal agenesis: leveraging early detection to prevent complications.J Pediatr Urol. 2018; 14: 144
- The missing uterus, the missed diagnosis, and the missing care. Mayer-Rokitansky Küster-Hauser syndrome in the lives of women in Malaysia.J Pediatr Adolesc Gynecol. 2021; 34: 161-167
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© 2021 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
