Adolescent and young adult medicine in Australia and New Zealand: towards specialist accreditation
-
Susan M. Sawyer
, Bridget Farrant
Abstract
In Australia and New Zealand, a critical mass of academic and clinical leadership in Adolescent Medicine has helped advance models of clinical services, drive investments in teaching and training, and strengthen research capacity over the past 30 years. There is growing recognition of the importance of influencing the training of adult physicians as well as paediatricians. The Royal Australasian College of Physicians (RACP) is responsible for overseeing all aspects of specialist physician training across the two countries. Following advocacy from adolescent physicians, the RACP is advancing a three-tier strategy to build greater specialist capacity and sustain leadership in adolescent and young adult medicine (AYAM). The first tier of the strategy supports universal training in adolescent and young adult health and medicine for all basic trainees in paediatric and adult medicine through an online training resource. The second and third tiers support advanced training in AYAM for specialist practice, based on an advanced training curriculum that has been approved by the RACP. The second tier is dual training; advanced trainees can undertake 2 years training in AYAM and 2 years training in another area of specialist practice. The third tier consists of 3 years of advanced training in AYAM. The RACP is currently seeking formal recognition from the Australian Government to have AYAM accredited, a process that will be subsequently undertaken in New Zealand. The RACP is expectant that the accreditation of specialist AYAM physicians will promote sustained academic and clinical leadership in AYAM to the benefit of future generations of young Australasians.
References
1. Veit FC, Sanci LA, Coffey CM, Young DY, Bowes G. Barriers to effective primary health care for adolescents. Med J Australia 1996;165:131–3.10.5694/j.1326-5377.1996.tb124885.xSuche in Google Scholar
2. Sawyer SM, Afifi RA, Bearinger LH, Blakemore SJ, Dick B, et al. Adolescence: a foundation for future health. Lancet 2012;379:1630–40.10.1016/S0140-6736(12)60072-5Suche in Google Scholar
3. Patton GC, Ross DA, Santelli JS, Sawyer SM, Viner RM, et al. Next steps for adolescent health: a Lancet Commission. Lancet 2014;383:385.10.1016/S0140-6736(14)60039-8Suche in Google Scholar
4. Santelli JS, Baldwin W, Heitel J. Rising wealth, improving health? adolescents and inequality. Lancet 2015 Feb 3. pii: S0140- 6736(14)61892-4. 10.1016/S0140-6736(14)61892-4. [Epub ahead of print].Suche in Google Scholar
5. Sawyer SM, Proimos J, Towns SJ. Adolescent friendly health services: what have children’s hospitals got to do with it? J Paediatr Child Health 2010;46:214–6.10.1111/j.1440-1754.2010.01729.xSuche in Google Scholar PubMed
6. Steinbeck K, Towns S, Bennett D. Adolescent and young adult medicine is a special and specific area of medical practice. J Paediatr Child Health 2014;50:427–31.10.1111/jpc.12491Suche in Google Scholar PubMed
7. Payne D. Meeting the needs of young people in hospital. Arch Dis Child 2013;98:930–2.10.1136/archdischild-2013-304294Suche in Google Scholar PubMed
8. Sawyer SM, Sanci LA, Conn JJ, Patton GC. A training agenda in adolescent medicine and health. Int J Adolesc Med Health 2007;19:305–15.10.1515/IJAMH.2007.19.3.305Suche in Google Scholar
9. Sawyer SM, Conn JJ, Reid KJ, Dodds AE, Hudson L, et al. Working with young people: evaluation of an adolescent health training resource. J Paediatr Child Health 2013;49:901–5.10.1111/jpc.12429Suche in Google Scholar PubMed
10. Royal Australasian College of Physicians. Paediatrics and child health division. URL: https://www.racp.edu.au/page/pch-resources. Accessed 15 May, 2015.Suche in Google Scholar
11. Shah S, Peat JK, Mazurski EJ, Wang H, Sindhusake D, et al. Effect of peer led programme for asthma education in adolescents: cluster randomised controlled trial. Br Med J 2001;322:1–5.10.1136/bmj.322.7286.583Suche in Google Scholar PubMed PubMed Central
12. Shah S, Roydhouse JK, Sawyer SM. Medical students go back to school: the Triple A story. Aust Fam Physician 2008;37:952–4.Suche in Google Scholar
13. Cahill H, Coffey. Learning partnerships. URL: http://web.education.unimelb.edu.au/yrc/linked_documents/YRC_Resea rchReport38.pdf. Accessed 15 May, 2015.10.1186/s12909-015-0315-4Suche in Google Scholar
14. Goldenring JM, Rosen DS. Getting into adolescent heads: an essential update. Contemp Pediatrics 2004;21:64–92.Suche in Google Scholar
15. Royal Children’s Hospital in Melbourne. Masters and graduate diploma certificate in adolescent health and wellbeing. URL: http://www.rch.org.au/cah/education_training/Masters_and_Graduate_Diploma_Certificate_in_Adolescent_Health_and_Wellbeing/. Accessed 15 May, 2015.Suche in Google Scholar
16. Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, et al. Global patterns of mortality in young people: a systematic analysis of population health data. Lancet 2009;374:881–92.10.1016/S0140-6736(09)60741-8Suche in Google Scholar
17. Gore F, Bloem P, Patton GC, Ferguson BJ, Joseph V, et al. A systematic analysis of the global disease burden for 10–24 year olds. Lancet 2011;377:2093–102.10.1016/S0140-6736(11)60512-6Suche in Google Scholar
18. Viner RM, Ozer EM, Denny S, Marmot M, Resnick M, et al. Adolescence and the social determinants of health. Lancet 2012;379:1641–52.10.1016/S0140-6736(12)60149-4Suche in Google Scholar
19. Catalano RF, Fagan AA, Gavin LE, Greenberg MT, Irwin Jr CE, et al. Worldwide application of prevention science in adolescent health. Lancet 2012;379:1653–64.10.1016/S0140-6736(12)60238-4Suche in Google Scholar
20. Patton GC, Coffey C, Cappa C, Currie D, Riley L, et al. Health of the world’s adolescents: a synthesis of internationally comparable data. Lancet 2012;379:1665–75.10.1016/S0140-6736(12)60203-7Suche in Google Scholar
21. Resnick MD, Catalano RF, Sawyer SM, Viner R, Patton GC. Seizing the opportunities of adolescent health. Lancet 2012;379:1564–7.10.1016/S0140-6736(12)60472-3Suche in Google Scholar
22. University of Melbourne. Learning environments. URL: https://www.coursera.org/course/adolescenthealth. Accessed 15 May, 2015.Suche in Google Scholar
23. Thomas DM, Seymour JF, O’Brien T, Sawyer SM, Ashley DM. Adolescent and young adult cancer: a revolution in evolution? Intern Med J 2006;36:302–7.10.1111/j.1445-5994.2006.01062.xSuche in Google Scholar PubMed
24. Centre for Adolescent Health. Learning modules in adolescent health. URL: http://cah.qstream.com. Accessed 15 May, 2015.Suche in Google Scholar
25. Van Staalduinen S, Thompson K, Orme L, Krelle A, Sawyer SM. An innovative approach to online learning in adolescent and young adult cancer care. Clinical Oncology Society of Australia, 41st Annual Scientific Meeting. Melbourne, Australia, 2014.Suche in Google Scholar
26. Royal Children’s Hospital Melbourne. Graduate certificate of adolescent health and wellbeing oncology stream. URL: http://www.rch.org.au/cah/education_training/Graduate_Certificate_of_Adolescent_Health_and_Welfare_Oncology_Stream/. Accessed 15 May, 2015.Suche in Google Scholar
27. Towns SJ, Sawyer SM, Stephens L, Clarke SD, Bennett DL. Hospital based care of young people in Australia. Int J Adolesc Med Health 2007;19:317–23.10.1515/IJAMH.2007.19.3.317Suche in Google Scholar PubMed
28. Payne D, Kennedy K, Kretzer V, Turner E, Shannon P, et al. Developing and running an adolescent inpatient ward. Arch Dis Child Ed Pract 2012;97:42–7.10.1136/archdischild-2011-300068Suche in Google Scholar PubMed
29. Sawyer S, Shea L, Patton G. Do we need specialist units for adolescents in hospitals? Br Med J 2001;323:401.10.1136/bmj.323.7309.401Suche in Google Scholar
30. McFerran-Skewes K, Sawyer SM. From recreation to creative expression: the essential features of an adolescent inpatient psychosocial support programme. Ann Acad Med Singapore 2003;32:64–70.Suche in Google Scholar
31. Sawyer SM. Adolescent health. In: Thomson K, Tey D, Marks M, editors. Paediatric handbook, 8th ed. Oxford: Wiley-Blackwell, 2009:175–86.10.1002/9781444308051.ch15Suche in Google Scholar
32. Sawyer SM, Kennedy A. Care of the adolescent. In: South M, Issac S, editors. Practical paediatrics, 7th ed. Edinburgh: Churchill Livingston, 2012:130–40.Suche in Google Scholar
33. Aschok A. Young people in hospital: what do young people think? Dissertation. Melbourne: University of Melbourne, 2004.Suche in Google Scholar
34. Payne D, Hughes L. School non-atendance and school refusal. In: Kang M, Skinner SR, Sanci LA, Sawyer SM, editors. Youth health and adolescent medicine. Melbourne: IP Communicatiins, 2013:384–99.Suche in Google Scholar
35. Court A, Kennedy K. Somatising disorders. In: Kang M, Skinner SR, Sanci LA, Sawyer SM, editors. Youth health and adolescent medicine. Melbourne: IP Communicatiins, 2013:371–83.Suche in Google Scholar
36. World Health Organization. Adolescent friendly health services: an agenda for change. Geneva: WHO, 2002.Suche in Google Scholar
37. Ambresin AE, Bennett K, Patton GC, Sanci LA, Sawyer SM. Assessment of youth-friendly health care: a systematic review of indicators drawn from young people’s perspectives. J Adolesc Health 2013;52:670–81.10.1016/j.jadohealth.2012.12.014Suche in Google Scholar PubMed
38. Sawyer SM, Ambresin AE, Bennett KE, Patton GC. A measurement framework for quality healthcare for adolescents in hospitals. J Adolesc Health 2014;55:484–90.10.1016/j.jadohealth.2014.01.023Suche in Google Scholar PubMed
39. Luxford K, Piper D, Dunbar N, Poole N. Patient-centred care: improving quality and safety by focusing care on patients and consumers, 2010. URL: http://www.safetyandquality.gov.au/wp-content/uploads/2012/01/PCCC-DiscussPaper.pdf. Accessed 15 May, 2015.Suche in Google Scholar
40. Wilson H, Bostock N, Phillip N, Shannon P, Payne D, et al. Opportunistic adolescent health screening of surgical inpatients. Arch Dis Child 2012;97:919–21.10.1136/archdischild-2012-301835Suche in Google Scholar PubMed
41. Holmes-Walker DJ, Llewellyn AC, Farrell K. A transition care programme which improves diabetes control and reduces hospital admission rates in young adults with Type 1 diabetes aged 15–25 years. Diabetic Medicine 2007;24:764–9.10.1111/j.1464-5491.2007.02152.xSuche in Google Scholar PubMed
42. Sturrock T, Masterson L, Steinbeck K. Adolescent appropriate care in an adult hospital: the use of a youth care plan. Aust J Adv Nurs 2007;24:49–53.Suche in Google Scholar
43. Steinbeck KS, Brodie L, Towns SJ. Chronic illness and transition to adult care. In: Bennett DL, Towns SJ, Elliott EJ, Merrick J, editors. Challenges in adolescent health. An Australian perspective. New York: Nova Science, 2009:225–34.Suche in Google Scholar
44. Olsson CA, Boyce M, Toumbourou JW, Sawyer SM. Chronic illness in adolescents: the role of peer support groups. Clin Child Psychol Psychiatry 2005;10:78–87.10.1177/1359104505048793Suche in Google Scholar
45. Royal Children’s Hospital Melbourne. What is ChIPS? http://www.rch.org.au/chips/. Accessed 15 May, 2015.Suche in Google Scholar
©2016 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Editorials
- Adolescent health and medicine: a global perspective on training adolescent health professionals
- Adolescent medicine and health: a good investment
- Reviews
- The status of adolescent medicine: building a global adolescent workforce
- Accreditation of Adolescent Medicine as a pediatric sub-specialty: the Canadian experience and lessons learned
- Adolescent and young adult medicine in Australia and New Zealand: towards specialist accreditation
- The foundations of interdisciplinary fellowship training in adolescent medicine in the United States
- A different training model for adolescent medicine: a PhD program in Turkey, where adolescent medicine is not currently a sub-specialty at this stage
- LEAH interdisciplinary training program
- The globalization of training in adolescent health and medicine: one size does not fit all
- Opportunities and challenges in adolescent health training abroad: trainees’ experience and perspective
- Training international medical graduate clinical fellows: the challenges and opportunities for adolescent medicine programs
- Adolescent health in South America
- Adolescent health care education and training: insights from Israel
- Adolescent health in Asia: insights from Singapore
- Adolescent health in Asia: insights from Thailand
- Adolescent health in Asia: insights from India
- Adolescent health in the Caribbean region: insights from the Jamaican experience
- The health of Swiss adolescents and its implications for training of health professionals in Switzerland
- The role of Society for Adolescent Health and Medicine in training of health professionals
Artikel in diesem Heft
- Frontmatter
- Editorials
- Adolescent health and medicine: a global perspective on training adolescent health professionals
- Adolescent medicine and health: a good investment
- Reviews
- The status of adolescent medicine: building a global adolescent workforce
- Accreditation of Adolescent Medicine as a pediatric sub-specialty: the Canadian experience and lessons learned
- Adolescent and young adult medicine in Australia and New Zealand: towards specialist accreditation
- The foundations of interdisciplinary fellowship training in adolescent medicine in the United States
- A different training model for adolescent medicine: a PhD program in Turkey, where adolescent medicine is not currently a sub-specialty at this stage
- LEAH interdisciplinary training program
- The globalization of training in adolescent health and medicine: one size does not fit all
- Opportunities and challenges in adolescent health training abroad: trainees’ experience and perspective
- Training international medical graduate clinical fellows: the challenges and opportunities for adolescent medicine programs
- Adolescent health in South America
- Adolescent health care education and training: insights from Israel
- Adolescent health in Asia: insights from Singapore
- Adolescent health in Asia: insights from Thailand
- Adolescent health in Asia: insights from India
- Adolescent health in the Caribbean region: insights from the Jamaican experience
- The health of Swiss adolescents and its implications for training of health professionals in Switzerland
- The role of Society for Adolescent Health and Medicine in training of health professionals