Clerkship Ready: Pediatrics

Before You Get a Sexual History


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The sexual history is an important part of the adolescent visit. In this episode, we will discuss the importance of the sexual history and how to handle patient confidentiality. We will introduce the 5Ps framework for the sexual history. We will also brieflyy discuss screening for sexually transmitted infections (STIs), including human immunodeficiency virus (HIV).

  • Sexual History - why it is important
  • Confidentiality
  • 5 Ps Framework 
    • Partners
    • Practices
    • Protection of STIs
    • Past history of STIs
    • Pregnancy Intention
    • STI Screening and Treatment
    • HIV screening algorithm
    • References:

      5 Ps Framework: 

      • https://www.cdc.gov/std/treatment/SexualHistory.htm
      • STI Screening and Treatment: 

        • https://www.cdc.gov/std/treatment-guidelines/provider-resources.htm#MobileApp
        • https://www.cdc.gov/std/treatment-guidelines/default.htm
        • HIV screening algorithm:

          • https://stacks.cdc.gov/view/cdc/50872
          • ...more
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