Adolescent and Young Adult Medicine

The mission of the Division of Adolescent and Young Adult Medicine at UPMC Children's Hospital of Pittsburgh is to improve the health and well-being of youth and young adults through:

  • Accessible health care services for adolescents and young adults in the context of their families, cultures, and communities
  • Interdisciplinary adolescent health care education for health professional trainees and practitioners, as well as youth, young adults, families, and communities
  • Research to increase understanding of disparities in adolescent health, promote adolescent health equity, and improve adolescent health outcomes
  • Engagement with youth and young adults in their communities as adult allies and advocates

Overview

The Division of Adolescent and Young Adult Medicine is a dynamic, interdisciplinary team of researchers, educators, and practitioners dedicated to the health and well-being of adolescents and young adults. Faculty within the division hold regional and national leadership positions with organizations such as the American Academy of Pediatrics, Academic Pediatric Association, Society for Pediatric Research, Society for Adolescent Health and Medicine, and National Association of Pediatric and Adolescent Gynecology. In addition, they contribute to the editorial leadership of the Journal of Pediatric and Adolescent Gynecology and the journal Violence Against Women.

Clinical Care

The division maintains an active Oakland-based practice, supports satellite locations in the provision of adolescent care, and provides consultations at Children’s Hospital in Lawrenceville. Clinical services focus primarily on adolescent medicine consultation, as well as primary care, reproductive health, and behavioral health. Faculty members serve a diverse population of youth and young adults, including medical care and leadership at Carlow University; at the county’s juvenile detention facility, Shuman Juvenile Detention Center; and at Family Links shelters, the Gay Lesbian Community Center, and the Auberle Foundation’s 412 Youth Zone, providing care for youth and young adults who are homeless. Faculty members also work collaboratively with colleagues at Western Psychiatric Institute and Clinic (WPIC) and in the community to treat adolescents with eating disorders. The youth-led CHANGE (Children’s Hospital Advisory Network for Guidance and Empowerment) Transition Program focuses on improving support for youth and families in the successful transition to adulthood, including navigating from pediatric health care to the adult system. The Gender and Sexual Development Program (an interdisciplinary collaboration with Behavioral Health and Endocrinology at Children’s Hospital) provides support and treatment for sexual minority and gender-fluid children and youth. The division is also responsible for the clinical services and community outreach provided through the Children’s Hospital Ronald McDonald House Care Mobile (clinical services provided via a mobile van).

Clinical Activities

The Division of Adolescent and Young Adult Medicine provides a diverse program of primary care and consultative adolescent medicine. It provides in-hospital care for adolescents up to age 26 at Children’s Hospital, primarily through an inpatient consultation service which allows the division to work closely with medical and surgical professionals, including those in hematology/oncology, endocrinology, gastroenterology, urology, behavioral health, general surgery, and transplant medicine.

Each year, the division has about 7,500 outpatient visits, including approximately 4,100 visits to the Oakland office. Subspecialty clinics include pediatric and adolescent gynecology-focused sessions attended by a gynecologist, as well as insertion of longer-acting, reversible contraceptives. A nutritionist and several psychologists work collaboratively with the adolescent medicine clinicians and see patients in division offices. Clinical interests and expertise of the faculty include smoking cessation, trauma-informed care, sexual violence prevention, contraception in healthy and medically complex patients, pediatric and adolescent gynecology, eating disorders, transitional care for adolescents with chronic conditions, integrated behavioral health, polycystic ovarian syndrome, menstrual disorders, and gender and sexual development (including care for gender-fluid and transgender youth).

Community-based services include the provision of medical care to youth detained at the county’s juvenile detention center, the Shuman Center. The division provides health care to homeless youth and young adults in Allegheny County at multiple Family Links shelters, as well as the Gay and Lesbian Community Center and the Auberle Foundation’s 412 Youth Zone as part of a community-wide collaboration to increase services for unaccompanied youth. The Children’s Hospital Ronald McDonald House Care Mobile provides clinical services to children, youth, and families in underserved communities in the region. Two suburban hospital satellite locations are the sites of additional adolescent clinics (South Fayette in the south and Pine Center in the north). Ana Radovic provides medical care and leadership of the Carlow University’s Health Service and Loreta Matheo oversees the integration of adolescent and young adult care into the region’s Children’s Community Pediatrics practices.

Education

Training for those studying to be health care professionals includes rotations for medical, nurse practitioner, and physician assistant students and opportunities for service and scholarly projects; practicum and internship opportunities for public health, social work, psychology, nursing, nutrition, and pharmacy students; resident rotations for those in pediatrics, psychiatry, obstetrics and gynecology, family medicine, and internal medicine; and the Adolescent Medicine Fellowship Program. Fellows in the Reproductive Endocrinology Fellowship at Magee-Womens Hospital of UPMC also participate in the pediatric and adolescent gynecology sessions.