{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T04:51:26Z","timestamp":1790139086973,"version":"4.0.1"},"reference-count":23,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":278,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23HD097291"],"award-info":[{"award-number":["K23HD097291"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000862","name":"Doris Duke Charitable Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000862","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017483","name":"Harry S. Moss Heart Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017483","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In the United States, many residents and fellows lack confidence in their ability to confidentially counsel adolescents regarding sexual health topics. Little is known about how personal and professional experiences may affect medical residents\u2019 and fellows\u2019 confidence in counselling adolescents about sexual health services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We invited 361 residents and fellows (trainees) from paediatric, obstetrics and gynaecology, as well as family medicine programs at an academic medical centre in Texas to complete a survey about confidence in counselling about sexual health services. We describe respondents\u2019 demographics, medical training, personal sexual healthcare experiences, and confidence in confidential care and STI management measured on a four-point Likert scale. We calculated average confidence scores, dichotomised responses into confident (\u22653 points) and not-so-confident (&amp;lt;3 points), and performed two multivariable regression analyses to explore factors associated with confidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 228 trainees (63% response rate), 54% were confident in confidential care and 81% were confident in STI management. Those who received training in aspects of confidential care and STI management reported significantly greater confidence in many of these areas. Respondents who recalled private discussions with their personal healthcare provider as an adolescent reported confidence in STI management (P\u00a0=\u00a00.02) compared to those who did not have that experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Medical training should focus on communication training to address gaps in confidence, particularly regarding adolescent confidentiality. Clinicians\u2019 personal experiences may impact aspects of confidence, highlighting the importance of encouraging trainees to reflect on how their background might influence their clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh24156","type":"journal-article","created":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T18:08:46Z","timestamp":1739383726000},"source":"Crossref","is-referenced-by-count":2,"title":["Exploring residents\u2019 and fellows\u2019 confidence in sexually transmitted infection management and confidential care for adolescents"],"prefix":"10.1071","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0877-8787","authenticated-orcid":true,"given":"Cameron L.","family":"Wynn","sequence":"first","affiliation":[{"name":"ASchool of Medicine, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Wong","sequence":"additional","affiliation":[{"name":"BPeter O\u2019Donnell Jr. School of Public Health, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA."},{"name":"CInstitute for Clinical Research and Learning Healthcare, UTHealth Houston, 1133 John Freeman Boulevard, Houston, TX 77030, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MinJae","family":"Lee","sequence":"additional","affiliation":[{"name":"BPeter O\u2019Donnell Jr. School of Public Health, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmin A.","family":"Tiro","sequence":"additional","affiliation":[{"name":"DDepartment of Public Health Sciences, University of Chicago \u2013 Biological Sciences Division, 5841 S Maryland Avenue, Chicago, IL 60637, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny K. R.","family":"Francis","sequence":"additional","affiliation":[{"name":"BPeter O\u2019Donnell Jr. School of Public Health, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA."},{"name":"EDepartment of Pediatrics, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA."},{"name":"FChildren\u2019s Health System of Texas, 935 Medical District Drive, Dallas, TX 75235, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2025,2,13]]},"reference":[{"key":"2025111814255120100_R1","unstructured":"Guttmacher. An overview of consent to reproductive health services by young people. Guttmacher Institute; 2023. 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