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ADOLESCENT WELLNESS EXAM - Overcoming Reluctance on Both Sides by Building Rapport Using Every Opportunity to Promote Healthy Choices

 A Resource from the American College of Preventive Medicine



During the transition from childhood to adulthood, adolescents make decisions and establish habits that significantly influence morbidity and mortality. These range from diet and exercise, to seatbelt and substance use or nonuse, to relationship choices and sexual activity. Information and medical guidance from health care professionals should be provided to adolescents in order to help inform such important decisions.

Many adolescents experiment with risky behaviors, which potentially can lead to serious and permanent health effects or even death. Yet studies show that, collectively, health care providers are missing many opportunities to educate their adolescent patients. Preventive service delivery is not as consistent or widespread as it could or should be, and many providers lack knowledge and skills for effective communication with teenaged patients.

The Adolescent Wellness Exam Time Tool developed by the American College of Preventive Medicine is an innovative educational tool designed to assist the provider in managing adolescent health issues. It will increase awareness, provide education, and offer the guidance of the best evidence and guidelines in the delivery of an adolescent health services. The tool includes an executive summary of the evidence and a practical approach to delivering the needed services to patients in the context of a clinical visit. It is complemented by a robust clinical reference document delineating the epidemiology,the clinical evidence, recommendations by various professional and government entities, and additional resources.

This educational activity is intended for primary care providers.

After completing this program, participants should be able to:

  • Identify key health issues to address with adolescents
  • Recognize the overall lack of preventive services currently being offered to adolescents
  • List and implement strategies to improve preventive service delivery
  • Understand the importance of confidentiality as it relates to adolescent patients and their willingness to share information

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME). The American College of Preventive Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American College of Preventive Medicine designates this Enduring Material for a maximum of 1.0 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The estimated time to complete this activity is 1.0 hour.

To earn CME credit for this educational activity:

  1. Read the CME information on this page.
  2. Read the Time Tool and Resource Document.
  3. Complete the CME post-test exam with a score of at least 70%.
  4. Complete the CME evaluation survey.
  5. Your CME certificate will be sent to you via e-mail.


October 2010 through October 2012. Original release date: October 2010


These materials have been reviewed by the members of the American College of Preventive Medicine and partners to ensure the continued scientific accuracy and medical relevance of information presented and its independence from commercial bias.

  • Roxanne Y. Barrow, MD, MPH
    Center for Disease Control and Prevention
    Atlanta, GA

  • P. Anne Loveless, MD, MS
    Pennsylvania Department of Health
    Harrisburg, PA

  • Nicole L. Mihalopoulos, MD, MPH
    Department of Pediatrics
    University of Utah
    Salt Lake City, UT


In the interest of providing an educational experience free of commercial bias, and as the accredited provider of CME for this activity, the American College of Preventive Medicine was responsible for decisions regarding educational content and allocation of funds. All individuals involved in the planning, development, and delivery of educational activities are required to sign a conflict of interest statement in which they disclose any relevant financial interests or other affiliations with industry or other associations which may have direct and substantial interest in the subject matter of the CME activity. Such disclosure allows program participants to better evaluate the objectivity of the information presented in the program.

  • Trina Anglin, MD, PhD
  • Roxanne Y. Barrow, MD, MPH
  • P. Anne Loveless, MD, MS
  • Nicole L. Mihalopoulos, MD, MPH
  • Larry Mattson, Medical Writer

This program is supported by a cooperative agreement from the Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau (Title V, Social Security Act), Office of Adolescent Health.

These pages may be viewed using standard Internet browser applications (e.g., Internet Explorer). They may also be downloaded as PDFs and read using standard PDF reader applications (e.g., Adobe Acrobat Reader).

The American College of Preventive Medicine collects personal information from participants in this online activity for purposes of assigning CME credit only. We will not share or sell your contact information, and your answers to quizzes and feedback forms will be kept confidential.

This material is copyright of the American College of Preventive Medicine.

If you have questions regarding this CME activity, please contact cme@acpm.org.

Adolescent Wellness Exam Patient Guide




Put Time Tools in Your Pocket!

Download the Adolescent Wellness Exam Time Tool directly to your iPhone, BlackBerry, Palm or Pocket PC and have access on the go!

Click here to download the Apprisor viewer software
and the Time Tool directly to your phone

  1. The Apprisor website contains step-by-step instructions to download this application directly to your PDA/smartphone.

  2. Once the viewer is installed on your phone you are free to download any tool or document from the site.

If you have questions about using the Time Tools on the Go, please contact mnath@acpm.org.


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