Electives Planned Parenthood of the Rochester/Syracuse Region Fellows help evaluate and manage adolescent reproductive health conditions, including diagnosis and counseling options related to pregnancy, birth control, and abortion. Trillium Fellows learn screening and diagnostic care of patients with HIV as well as interdisciplinary and coordinated primary care for LGBT individuals. Monroe County Health Department STD Clinic Fellows help see patients at our county STD clinic. Teens in Rochester have some of the highest rates of gonorrhea and chlamydia in the country; for adolescents ages 15-19 years, there is one case of chlamydia for every 10 teens. Pediatric HIV Program Fellows have the opportunity to learn screening and diagnostic care of adolescent patients whom attend the University of Rochester’s Pediatric HIV Program, as well as young adults at the University’s AIDS Center. School-Based Health Centers, Rochester City School District including East High School Fellows have the opportunity to see primary care and reproductive health patients in their own high schools within the Rochester City School District, serving a high risk inner city population with one of the lowest four-year graduation rates in the country. University of Rochester University Health Services Fellows care for college students and other members of the University of Rochester college community. Services include primary care, acute care, gynecological care, and chronic illness management. Rochester Institute of Technology University Health Services Fellows treat college students under the supervision of the program director at the University Health Services clinic at the Rochester Institute of Technology and the National Technical Institute for the Deaf. They learn to evaluate and treat common acute and chronic conditions of young adults, including patients who are deaf. Fellows also have the opportunity to learn to work with sign interpreters. Sports Medicine, University of Rochester Medical Center Fellows learn to evaluate adolescents with recreational and competitive sports injuries at the University Sports Medicine practice within the University’s Department of Orthopedics and Rehabilitation. St. Joseph’s Villa Chemical Dependency Program Fellows learn to screen for and assess an adolescent’s chemical dependency problems at a residential program that offers in-house chemical dependency treatment and a variety of therapeutic approaches for adolescent boys. Industry School (Juvenile Justice Facility) Office of Child & Family Services Fellows help evaluate and manage the health care of adolescent males in a limited security state facility. Transition, University of Rochester Medical Center Fellows learn to identify issues and the latest recommendations regarding transition of care for chronically ill patients from pediatric to adult providers by working in a coordinated way within multiple subspecialty sites such as the Kirch Developmental Services Center, the Cystic Fibrosis Center, the Medical Genetics Clinic, and the Long-Term Cancer Survivors Program. Pediatric Endocrinology, University of Rochester Medical Center Fellows see patients with our pediatric endocrinologists at the University of Rochester Medical Center to learn to evaluate and treat common endocrine conditions of adolescence. Oak Orchard Community Health Center, Inc., Brockport, NY Fellows help provide primary care to teens at a federally-funded community health center in Brockport, NY which serves a migrant farm-working community. Dermatology Partners of Western New York, L.L.P., Rochester, NY Fellows work with a pediatrics-trained dermatologist in a private practice to diagnose and treat adolescents with common dermatologic issues. Toxicology, University of Rochester Medical Center Fellows have the opportunity to work with Timothy Wiegand, M.D., Medical Toxicologist and Toxicology Consult Service Director for the University of Rochester Medical Center. They assist with inpatient and emergency department consults to learn to recognize the signs and symptoms of drug overdose and withdrawal. Administrative Experience Fellows spend at least one half-day with each of our faculty members to gain exposure to and experience with common administrative tasks performed by adolescent medicine physicians in both academic and community settings.