Clinical training during the fellowship includes extensive experience with primary adolescent health care and specific problems common during adolescence, including abnormalities of growth and development; orthopedic and sports medicine problems; issues relating to sexuality and reproductive health (including the colposcopic examination of abnormal Pap smears); psychosocial, mental health, and substance abuse problems; and the management of teenagers with chronic illnesses and recurrent somatic symptoms.
The CHCO Adolescent Medicine Center has ten faculty members: seven physicians, two mid-level providers, and a research assistant. Consultations are available from psychology, nutrition, and pediatric subspecialty services.
The CHCO Adolescent Health Center serves as the primary referral site for the entire Rocky Mountain Region and has 10,000 patient visits a year. Patients from a variety of socio-economic, ethnic and cultural backgrounds present with a wide range of acute and chronic medical and psychiatric diseases. The Adolescent Health Center has a nationally recognized eating disorders treatment center and adolescent maternity program. The fellow will have the opportunity to teach and supervise medical students, residents, and other trainees in the Adolescent Health Center, to consult on medical and surgical patients admitted to the eight-bed adolescent inpatient unit and the 16-bed adolescent psychiatric unit, and to be an active participant in the eating disorders or adolescent maternity programs.
The Denver Department of Health and Hospitals has two full-time adolescent medicine faculty members. The Teen Clinics at its Eastside and Westside Health Centers have a total of 6,000 visits a year. These clinics, which are part of Denver's nationally recognized neighborhood health program, provide a comprehensive range of acute and preventive care ambulatory services for teenagers who use the public health care system. Both clinics offer extensive experiences with primary adolescent health and medical care and with adolescent reproductive health care.
The Denver School-Based Clinics: The adolescent medicine program established student health care centers at eight middle and high schools as part of The Robert Wood Johnson Foundation's School-Based Adolescent Health Care Program. These school-based clinics offer opportunities to learn about health care in an alternative setting, to learn program administrative skills and to learn how to provide effective health education.