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The design of a training program for adolescent medicine. Thoughts of fellows in training.

Program design for training in Adolescent Medicine is still in an evolutionary state. Postgraduate fellows and program directors have different perceptions with regard to the importance of various components of the ideal training program. Fellows indicate a higher priority for problems associated with the female reproductive system than do their mentors. Inpatient experience received lesser emphasis by the Fellows. Adolescent Medicine as a subspecialty discipline is discouraged.

Adolescent

Hebiatric psychosomatic medicine.

Adolescent disease should not be considered as something similar to infantile pathology or adult sicknesses. Special consideration must be given to the adolescent as such, taking into account the characteristics of adolescents as described in the 'Normal Adolescence Syndrome'. Symptom formation follows the same pattern as described elsewhere for children, adolescents and adults, but with very special differences in this stage of human development. Hysterical, hypochondriacal and psychotic types of psychosomatic illnesses can be described with the qualification of 'adolescent type'. Hebiatric medicine must be the specialized approach to illnesses in this developmental stage and must define its study object: the adolescent. Interviewing, clinical examination, diagnosis treatment and prognosis are of a specialized kind and the psychosomatic approach is also different. There are some more typical hebiatric pathologies that must be considered properly.

Adolescent

Illicit drug use and consumption of alcohol, tobacco, and over-the-counter medicine among adolescents.

Over 9,000 junior and senior high school students in 79 schools in 10 cities completed an anonymous questionnaire concerning use of and attitudes toward licit and illicit drugs. Single and multivariate analyses indicated strong and statistically significant relationships between the consumption of alcohol, tobacco, and over-the-counter medicines and experience with illicit drugs. Also, the user of illicit drugs is also a relatively frequent user of licit drugs--alcohol, tobacco, and over-the-counter medications. The user is more likely than the nondrug user to be a "trier," if not a consistent consumer, of a variety of different substances. The patterns of relationships held across cities, types of schools, and age levels, and distinguished between those ever using illicit drugs vs never using them, present vs former users, and single vs polydrug users. Various alternative explanations are discussed.

Adolescent

[The development of pediatric gynaecology in Poland (author's transl)].

In view of the world-wide tendency to isolate adolescent medicine covering the period of puberty new problems arise for the gynaecologists. Pediatric gynaecology in Poland owes its growth to prof. Rudolf Peter from Prague (Tschechoslovakia), because it was under the guidance of prof. Peter and his followers at the clinic of Prague University that our gynaecologists extended their knowledge of the biological differences of the childhood. Since 1955 a regular gynaecological care for children and adolescence has been developed in Poland on the basis of general health care and MCH service. In Poland there are mainly out-patient departments of pediatric gynaecology, run by the gynaecological Clinics of Medical Academies and Hospitals. At the moment there are 52 pediatric gynaecological units in Poland. In the Medical Academies, Departments of Obstetrics and Gynaecology, research work on the physiology and pathology of puberty in girls is beeing carried out. The Pediatric Gynaecological Section of the National Gynaecological Society has organized two national symposia in 1969 and in 1972, devoted to gynaecological problems and functional disorders occuring during childhood and puberty. The last Symposium was attended by Professor Robert Contamin, the President of International Society of Pediatric and Adolescent Gynaecology. In June 1972 Polish gynaecologists attended the First International Symposium on Pediatric and Adolescent Gynaecology held in France (Bordeaux). The Polish translation of R. Peter and K. Vesely "Kindergyäkologie" was published in 1970. The Gynaecoligical Department of the Medical Academy in Lódź provides a training centre for gynaecologists in child and adolescent gynaecology.

Female

Postgraduate training in ambulatory pediatrics. Program evaluation.

Ambulatory pediatric, adolescent medicine, and child development fellowship programs listed in the Ambulatory Pediatric Association (APA) newsletter were surveyed to gather information about the programs for prospective fellows, to develop a descriptive summary, and to determine the extent to which programs adhere to APA guidelines. Number and types of positions offered, criteria for admission to programs, program educational objectives and activities, and career choice of graduates were examined for the 73 programs offering 132 fellowship positions in 1976 to 1977. In general, APA guidelines were followed. Programs emphasized patient care experience in contrast to health care administration, research, and teaching.

Ambulatory Care