Adolescent Medicine

Insomnia in Adolescence

“…Another layer of complexity is that a larger proportion of adolescents with physiological, psychological and developmental comorbidities report insomnia compared to the general population, and their treatment plans need to be even more individually tailored. The recent growth in the adolescent medicine and sleep medicine fields [ 95 , 96 ] presents an incredible opportunity to collaborate and conduct large scale analysis of adolescent sleep health, hopefully allowing us to demonstrate prevalence of insomnia among adolescents and to further analyze the predisposing, precipitating, and perpetuating factors of adolescent insomnia [ 70 ]. Perhaps the demonstration of confirmed prevalence across multiple centers, with a more rigorous exploration of the impact of poor sleep may strengthen the argument for implementation of policies such as delaying school start times.…”

Caring for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Inclusive and Affirmative Environments

“…27,29,30 This workforce includes a wide range of disciplines, including physicians, nurses, psychologists, social workers, dieticians, clinical assistants, community workers, clerical staff, and other professionals involved in health care delivery. The existing LGBTQ youth-friendly workforce is currently concentrated in urban areas and may be non-existent in some rural and other locales.…”

The status of adolescent medicine: building a global adolescent workforce

“…These numbers also do not include those physicians who, while not having pursued formal adolescent medicine fellowship training, have developed experience-based clinical and content expertise in adolescent medicine in order to fill a clinical need in regions where adolescent medicine providers are unavailable (73). Concerns about a slowly dwindling adolescent medicine workforce, evidenced by lower numbers of trainees entering Adolescent Medicine fellowship programs over the last 5–7 years, have led to discussions among many in the field about the future of Adolescent Medicine and has prompted examination of the quality and length of training, the responsibilities of Adolescent Medicine physicians versus primary care, as well as the financial and professional incentives that could facilitate increased recruitment of fellows into the field (73–78). …”

“…Additional strategies such as redesign of resident training, creation of alternative paths to adolescent medicine certification, expanded recruitment strategies (e.g. private and public loan repayment programs), and increased advocacy for expansion of LEAH funding have been proposed to raise the quality of adolescent health care in the U.S. and increase individuals who are specialized in adolescent medicine (73,76,78). …”